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Intestinal Permeability Final Quiz – Part 1

The essay questions in this quiz correspond to a case study that is based on information you encountered in this module. Please read the case study thoroughly and submit a text answer below each question. You will initially be rewarded full points for each question so you can proceed in your certification sequence. Once one of our staff reviews your essays, you will be awarded final points as well as feedback on your response.

CC: Stomach often feels “tight and knotted.” She suffers from “gas pains” and irregular bowel movements; sometimes constipated, sometimes loose. 

Symptoms: Her bowel movements seem worse after eating a lot of vegetables or bead, drinking too much wine, and around her menstrual cycle which has become irregular. She always has lots of energy and finds it hard to relax and unwind. She also acknowledges that the pain in her stomach and her irregular bowel habits are stressful.

History: Since her mid thirties, this woman has not been a regular healthy eater. She has a one hour commute to work and is a self proclaimed “go getter;” she is climbing the corporate ladder at her work and keeps a busy social and activity calendar in her free time. 

During the day her diet consists mainly of smoothies, quick carb snack foods such as crackers, granola, toast,  coffee, and sometimes a salad with some protein. For dinner she typically has a “good meal” that includes a grain, a protein, and some sort of vegetable. She has 2 glasses of wine a night.  She drinks iced tea and diet soda throughout the day to stay hydrated.

Other Info: 

  • She takes NSAIDS regularly for a low-grade temporal headache that she gets every afternoon. 
  • This woman believes she is in perimenopause. She sleeps “hot” and often wakes in the middle of the night.  Her sleep hours are generally 11:30-6:00.
  • The  friend who referred her to you  told her she has “leaky gut”.
  • Money is no problem for this client; she just wants her digestive symptoms resolved “as soon as possible” because she feels like her body is already “out of control” because of her changing hormones.

Pertinent Lab Work for Case Study: 

Based on these lab results, you immediately begin a SIBO treatment protocol with this woman. After 3 months of SIBO treatment, the tight knotted feeling in the woman’s stomach is gone and her gas pain is gone. She still thinks she is a little “too gassy.” Her bowel movements are more regular and generally on the loose side. She is drinking more water, has stopped taking NSAIDS daily and her temporal headaches are a “thing of the past.”