A 46 yr old male with c/o of irregular bowel movement, indigestion, weakness and wt. loss
NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. PATIENT HISTORY: Pt. is a 46 yr old para teacher in a school. When in class 6, had the first incident of dysentery (loose mucus-laden stool, 4-5/day). abd. pain which would resolve on passing stool. Then 3-4 months later again the same problem. Recovery on its own within a day. No treatment was done. While studying B.A, he noticed that whenever he eats spicy foods, he would suffer from dysentery with abd, pain. Used to take medicine from a local hospital which would resolve his symptoms temporarily. In 2008 got married for the first time. When the first child was 13 months old, his wife became pregnant f