It can colonize the intestine following a disruption of normal gut flora. diff.) is a gram-positive anaerobic bacterium that causes antibiotic-associated colitis. The GI-MAP uses quantitative PCR (qPCR) technology which is more sensitive than the standard PCR run in the hospital, which explains why it was missed in the ER.Ĭlostridiodes difficile ( C. In this case, the GI-MAP identified the root cause of Diane's symptoms that were missed by more expensive and invasive conventional procedures. Diane's GI-MAP results showed an elevation of both C. She had Clostridiodes difficile (formerly known as Clostridium difficile). Within two weeks, we received the GI-MAP results, and the root cause of her discomfort became obvious. The hospital performed GI pathogen testing as well as a CT scan, and all findings were negative. Just prior to her first visit with me, Diane went to the emergency department because her acute abdominal pain had worsened. The colonoscopy and endoscopy results were normal, and the SIBO breath test was negative, but Diane's chronic gastrointestinal symptoms persisted. GI-MAP is a Non-Invasive Stool Test That Can Identify Low-Level Pathogens Other Tests and Invasive Procedures May Missīefore visiting my office, Diane had seen a gastroenterologist who performed a colonoscopy, an endoscopy, and a SIBO (small intestinal bacterial overgrowth) breath test. I immediately ordered a GI-MAP ® stool test for further analysis. After talking with her, I discovered that many of Diane's gastrointestinal (GI) complaints began over two years earlier after being treated with multiple rounds of antibiotics for suspected urinary tract infections. She did not report any blood or mucus in her stool. When I first saw Diane, she was experiencing urgent, watery diarrhea three to five times per day, accompanied by a significant amount of gas. As a result, she had lost thirty pounds, unintentionally, over the course of two years. ![]() Diane's chronic intestinal pain was so disruptive that she avoided eating. Diane presented to the office complaining of chronic diarrhea, severe abdominal pain, daily belching, malodorous gas, and bloating. Elderly Patient with Chronic, Unresolved GI Complaints Turns to Functional Medicineĭiane is an 83-year-old female who was referred to our clinic for a consult by her gastroenterologist.
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