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.
Sx:
- Her bowel movements seem worse after eating a lot of vegetables, bread, drinking too much wine, and around her menstrual cycle.
- She has lots of energy and finds it hard to relax and unwind.
- The pain in her stomach and her irregular bowel habits are stressful.
Hx:
- Since her mid thirties, this woman has not been a regular healthy eater.
- 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 regularly 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.
- She 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.
- Money is no problem for this client.
- She 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:
This woman tested positive for Hydrogen based SIBO. She also has elevated SIgA.
Initial Treatment:
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.”
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Question 1 of 7
1. Question
20 point(s)Prompt:
Please review Case Study and associated lab work and answer the following as best as you are able. We recommend opening the Case Study in a separate tab so it can be easily referenced while you complete these questions.
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Please provide a detailed description as to why SIBO was the first order of treatment with this woman? Include information pertaining to treatment process for IP in your answer.
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 2 of 7
2. Question
20 point(s)- Because of this woman’s continued GI symptoms, you suspect intestinal permeability. What next steps would you want to address in this woman’s treatment? Please describe each step in detail and include any dietary changes or supplement protocols you would include.
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 3 of 7
3. Question
20 point(s)- Are there any foods or beverages you would want to investigate as a cause of food sensitivity for this woman? How would you go about determining which foods are a potential cause of inflammation? Please provide a detailed response and supporting rationale.
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 4 of 7
4. Question
10 point(s)- Alcohol and caffeine consumption are a regular part of this woman’s life; what research-based evidence can you present her with that connects alcohol consumption with the results of some of her test results or symptoms she is experiencing? Do you have any recommendations for this woman in regards to her alcohol and caffeine consumption?
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 5 of 7
5. Question
10 point(s)- Are there any lifestyle recommendations you would make for this woman? How would you present these recommendations as beneficial to her overall health and in relation to her current symptom picture?
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 6 of 7
6. Question
10 point(s)- Is retesting required for this woman? If so, what tests and when would you recommend them?
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 7 of 7
7. Question
10 point(s)- After resolving intestinal permeability, what are the other root causes you would want to begin to work on with this woman?
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.