Abstract:

This case report documents a self-directed recovery from a complex, chronic multisystem condition consistent with Gu syndrome, involving Candida overgrowth, dysbiotic flora consistent with small intestinal bacterial overgrowth (SIBO), mold toxicity, intestinal hyperpermeability (leaky gut), and significant microbiome disruption. A 38-year-old male developed multiple symptoms after a trip to a developing country. His initial symptoms included excessive fatigue and weight gain, followed by multisystem involvement.

Originally published in Naturopathic Doctor News and Review (NDNR) on January 2, 2015.

Background

Irritable bowel syndrome (IBS) is a common functional bowel disorder with a worldwide prevalence estimated between 10-20%. It has a significant impact on quality of life and societal expense. While there are pharmaceutical options available, few can be reliably recommended. Many IBS sufferers turn to complementary and alternative medicine including naturopathy. Naturopathic approaches to IBS are poorly studied to date.

Introduction

Irritable bowel syndrome (IBS) affects 11% of the population, and up to 50% of patients report using complementary and alternative medicines (CAM) for it. To date, there is no research describing how providers of naturopathic medicine in North America, a well-defined CAM profession, approach IBS.

Methods

A Delphi study was conducted over a 17-month period in 4 rounds with 15 North American naturopathic medicine experts in IBS. Consensus was defined as a median value of 75% or greater agreement with the relevant statement.

Objective:

To evaluate the efficacy of Western herbal medicines in the treatment of irritable bowel syndrome (IBS).