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A Relook Into The Patient Care And Changes In Prescription

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A high-intensity treatment for a period of 6 weeks continued, but the patient failed to demonstrate any perceptible changes. It suggests that there is a possibility of malabsorption or no absorption of the nutrients across the mucosa of the digestive tract. Gastrointestinal malfunction is a possibility in such patients. The term malabsorption is used broadly to include intraluminal processes that primarily involve maldigestion, dysfunction at the mucosal level that alters transport or absorption per se, and postabsorptive handling of nutrients. Therefore, a review of the patient's case history is warranted, and it indicated that the patient may be very prone to gastrointestinal dysfunction.

One reason could be dysbiosis, where the normal microbial flora of the intestinal tract is imbalanced (Holzapfel and Schillinger, 2002). Chronic and prolonged stress, erratic and abnormal dietary history, antibiotic use, all may lead to dysbiosis. The same factors may cause leaky gut syndrome, where food components in the diet may increase gut permeability. Clinically, often replenishing beneficial GI flora with lactobacillus and bifidobacterium strains along with fructooligosaccharides is helpful, particularly when a patient has a history of antibiotic use.

Antimicrobial agents active against both gram-positive and gram-negative organisms have a greater impact on the intestinal flora and may lead to overgrowth of unfavorable pathogens. High sugar intake has also been implicated as a causative factor in intestinal dysbiosis (Tannock, 2002). While the mechanism for this alteration in microflora has yet to be fully elucidated, researchers postulate that high sugar intake increases bile output. Because certain species of intestinal bacteria utilize bile acids for energy, increased production of bile acids may result in a competitive advantage for this group of bacteria.

In her case, perhaps, these putrefactive bacteria are feeding on undigested proteins, resulting in toxic amines, create an alkaline environment, and produce sticky gunge that adheres to the intestinal mucosa.

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