Irritable Bowel Syndrome Case Summary

A. Description/Clinical Presentation: a 24 year-old male was referred to a hospital for specialized management of consistent symptoms such as: intermittent epigastric and lower abdominal pain that had started around 7 months earlier. Around that period the patient lost 11 pounds. One month before being admitted to this current hospital, the patient was visiting a primary outpatient clinic several times and he was given medication to control the persistent symptoms, but the symptoms after medication were not corrected. The patient was later admitted to a primary hospital for only one week. Gastroduodenoscopy, colonoscopy, abdominal sonography, and laboratory examination was performed to determine the cause of the symptoms the patient was experiencing. Results of the examinations showed that the patient was diagnosed with Irritable bowel syndrome (IBS). Laboratory tests showed peripheral blood, blood biochemistry, and serum electrolytes all within the normal ranges. Urine and stool occult blood test were also conducted and showed no abnormal findings. and was given medication. But due to again the symptoms not improving, the patient was referred to the current hospital to

Clinical Presentation: Presented through a 24 year-old male with an issue of intermittent epigastric and lower abdominal pain. On the basis on clinical examination, the male was diagnosed with Irritable bowel syndrome (IBS). He was then transferred to a primary clinic. There, his symptoms did not improved and he was finally transferred to the hospital he is in now. Here, the hospital performed a capsule endoscopy and identified the parasite “Ancylostoma duodenale” in the proximal jejunum. From there the case of refractory IBS was reported more precisely and hook worm at the second part of the small intestine (Jejunum). From there, the patient was prescribed albendazole for three days. Ten days after the drug was given, the patients symptoms finally began to lessen and the patient