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CASE STUDY

Irritable Bowel Syndrome

Caleb is a 30 year old man with a ten year history of intermittent abdominal pain, diarrhoea and fluctuating weight loss, he has seen several specialists and has been diagnosed with IBS.

Caleb has been extensively investigated. His symptoms vary significantly but on ‘a bad day’ he can have 10 episodes of diarrhea per day and he wakes up with abdominal pain and diarrhoea about 3 times per night and feels that he often has a low-grade fever. He has previously noted severe rectal pain on passage of stool. His medical history is otherwise unremarkable but he does describe some back stiffness in the mornings and some arthralgias of the knees, elbows and hands.

He has trialled diet modification without lasting benefit. For the last year Caleb has been self-medicating with street cannabis with significant benefit to his bowel function, joint pain, sleep and general sense of well-being.

His partner has become concerned by his ‘habit’ and they present requesting transition to medicinal cannabis.

You can download this case study as .pdf

CURRENT MEDICATION

PATIENT HISTORY

CLINICAL OPINION

Reliance on illicit cannabis due to suboptimal response to previous therapy with evidence of distressing symptoms and weight loss adversely affecting well-being and function

Rotation to medicinal cannabis is indicated

You can download this case study as .pdf

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