Role of bowel nosode Bacillus morgan in the management of post-infective irritable bowel syndrome

Abstract

Background: Irritable bowel syndrome (IBS) is a functional disorder characterised by multifactorial causes and is classified according to Rome IV criteria into IBS-constipation, (IBS-diarrhoea prominently in post-infectious cases), and IBS-mixed symptoms. Psychological factors and certain foods fermentable oligosaccharides, disaccharides, monosaccharides, and polyols are known to aggravate the condition. The morbidity rate of IBS is a global concern as it negatively impacts the patient’s quality of life, leading to psychological distress, financial losses, and reduced work efficiency. Case Summary: This case report highlights a 69-year-old female patient who experienced a (acute) sudden onset of IBS symptoms, that is., an urgent need to defecate, increased frequency of evacuation, abdominal bloating, sour eructations, and heartburn on eating, developing over 4–5 days which heightened her health anxiety. Physical examination revealed epigastric tenderness and associated headache, vertigo, and cough leading to a diagnosis of post-infective IBS. Regular follow-ups were taken to conceptualise Kent’s twelve observations for all the prescriptions. The patient received Carbo vegetabilis, Natrum carbonicum, and Lycopodium clavatum in tandem with Bowel Nosode, Bacillus morgan as the patient related the onset of her complaints to her suffering from “Swine flu” in 2009. The patient’s assessment was done using the IBS-36 questionnaire, IBS symptom severity index, and the MONARCH tool, demonstrating clinical improvement and enhanced quality of life. This evidence-based case report illustrates the usefulness of Homoeopathy in managing post-infective IBS by reducing symptom intensity and episode frequency. The treatment protocol involved ascending potencies of the prescribed medicines, demonstrating a beneficial approach to patient care.