Friday

Crohn's disease

Aideen was a 33-year-old business executive. She had always enjoyed the best of health, but then her bowels started 'acting up'. She first noticed that she was passing slimy stuff, like raw egg white, from the back passage. This could happen on its own or with the stool. She then developed abdominal cramps, and the stools became looser. Within weeks she was feeling quite unwell with loss of appetite, fatigue and joint pains. Finally, blood started to appear with every bowel motion. She was admitted to hospital and a biopsy of the intestine confirmed that she had Crohn's disease. She was treated in hospital with medication, and given instruction on how to administer the medication to herself at home on an ongoing basis. That worked well but Aideen still had symptoms, and besides, she wasn't happy with the notion of taking medication for any length of time. In fact, when I saw her she had stopped her medication entirely and her symptoms were beginning to flare up again. She started the Low Allergy Diet and came back for review ten days later. She was able to report a reduction in all symptoms, although they hadn't cleared completely as yet. In view of her improve­ment, she was willing to stay on the diet for another few days, and this time her symptoms were virtually gone. Subsequently, we challenged her intestine with various foods and, in so doing, identified which foods were safe for her, and which ones were not. It was clear that Aideen had food intolerance and that this was playing a significant part in her Crohn's disease.



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