Case Overview

Patient Details

• Name: Samarah
• Age: 20
• Occupation: Medical Student
• Living Situation: Hostel

Chief Complaint

IBS: Samarah, a 20-year-old second-year medical student, has been experiencing recurring abdominal pain, bloating, and changes in bowel movements for the past six months.

History of Present Illness

Samarah’s symptoms began during her first year of college and have persisted despite initial beliefs that they were stress-related. Her symptoms include:

• Abdominal pain (6/10) in the lower abdomen, relieved by bowel movements
• Bloating and discomfort
• Alternating bowel habits (diarrhea and constipation)
• Increased symptoms during exams and stressful periods
• Fatigue and difficulty concentrating due to poor sleep quality
• Social avoidance due to embarrassment about symptoms

Past Medical History

Samarah has no significant medical history and is not currently taking any medications.

Lifestyle Factors

• Sleep: Irregular schedule (6-7 hours/night)
• Diet: Frequent consumption of junk food, caffeine, and carbonated drinks
• Physical Activity: Limited
• Stress Levels: High due to academic pressure
• Stress Management: Inadequate techniques

Physical Examination Findings

• Abdomen: Tenderness in the lower quadrants, no rebound tenderness or guarding, normal bowel sounds
• Appearance: Pale and tired

Investigations

• Complete Blood Count (CBC): Normal
• Stool Examination: Normal
• Endoscopy: Normal
• Colonoscopy: Normal
• Food Intolerance Tests: Negative for gluten and lactose

Diagnosis

Based on the clinical presentation and test results, Samarah was diagnosed with Irritable Bowel Syndrome (IBS) with predominant abdominal pain and bloating.

Treatment Plan

1. Lifestyle Modifications

• Sleep: Establish a regular sleep schedule (7-8 hours/night)
• Diet: Adopt a balanced diet with increased fiber intake
• Physical Activity: Engage in regular exercise (30 minutes/day)
• Stress Management: Incorporate meditation, yoga, and deep breathing techniques
• Time Management: Prioritize tasks to reduce academic stress

2. Dietary Changes

• Avoid Trigger Foods: Such as gluten, dairy, and spicy foods
• Probiotic Intake: Increase consumption of yogurt and probiotic supplements
• Food Diary: Track symptoms and food intake to identify triggers

3. Medications

• Antispasmodics: (e.g., mebeverine/spadix) for abdominal pain relief
• Probiotics: (e.g., bifidobacterium, lactobacillus) for gut regulation
• Antidepressants: Consider low-dose options for chronic pain and mood regulation

4. Follow-up

Regular follow-up appointments are crucial to monitor Samarah’s symptoms and adjust the treatment plan as needed.

Challenges

• Balancing academic responsibilities with lifestyle modifications
• Limited access to healthy food options in the hostel
• High stress levels due to academic pressure
• Stigma associated with IBS and seeking help

Prognosis

With proper management and lifestyle changes, Samarah’s prognosis is good. Ongoing follow-up and support will be key to improving her quality of life.

Additional Recommendations

• Cognitive-Behavioral Therapy (CBT): To address stress and coping mechanisms
• Support Group: Joining a group to connect with others experiencing IBS
• Relaxation Techniques: Exploring methods such as progressive muscle relaxation and visualization
• Physical Activity: Increasing exercise to enhance overall health and reduce symptoms

Conclusion

Samarah’s case highlights the importance of a comprehensive approach in managing IBS, particularly for students living in a hostel environment. Addressing both physical and emotional factors will be essential for her long-term well-being.

For more insights

The Importance of Early Diagnosis and Support for IBS

Early diagnosis and support are crucial for individuals living with IBS, especially students who may struggle to balance their academic and personal lives. Understanding the condition and implementing lifestyle changes can significantly improve quality of life. Educational institutions should also provide resources and support systems for students dealing with chronic conditions like IBS. Raising awareness and reducing stigma can encourage more students to seek help early, leading to better outcomes and a more fulfilling college experience.

Disclaimer: This case study is for educational purposes only and is not intended to substitute for professional medical advice, diagnosis, or treatment. Always consult a healthcare provider for advice concerning your specific health condition.