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Irritable Bowel Syndrome (IBS-D)

Gastrointestinal Disorders
Hariharan PillaiGender: MaleAge: 43 years (Adult) Chronicity: 6 years

Presenting Complaints & History

  • Frequent loose stools (4-5 times daily), especially after morning tea
  • Urgency to pass stool immediately after eating (gastrocolic reflex)
  • Abdominal cramping relieved by passing flatus or stool
  • Weight loss due to malabsorption and food anxiety

Clinical Assessment

A 43-year-old sales executive from Thrissur presenting with severe diarrheic IBS. Suffered for 6 years, worsening with travel anxiety and spicy foods. Previously treated with antispasmodics and antidiarrheals with only temporary containment, causing mouth dryness.

Diagnostic Investigations: Colonoscopy normal (ruling out Crohn's/Ulcerative Colitis); stool test negative for parasites.

Homeopathic Therapeutics & Management

Argentum Nitricum was chosen for anxiety-induced loose stools and gastrocolic urgency, while Aloe Socotrina addressed rectal insecurity and post-meal cramping.

Selected Constitutional Remedies: Argentum Nitricum and Aloe Socotrina

Lifestyle & Nutritional Support

Practice mindfulness before meals; eliminate dairy and spicy foods; consume small, frequent meals.

Clinical Outcome

Follow-up Period: 1 year
  • Stool frequency reduced to twice daily within 3 weeks
  • Gastrocolic urgency and travel anxiety resolved by Month 2
  • Regained 4 kg of weight due to stable digestion and diet expansion by Month 6
  • Normal bowel habits maintained at 12-month follow-up
Medically reviewed by Dr. Navaneeth K. Unni
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