IC Doctor Letter

Thank you for referring John Doe, a 45-year-old male, for assessment regarding irritable bowel syndrome (IBS). John has been experiencing symptoms of IBS for the past two years, with increased motivation to manage his condition through dietary changes. He has undergone a colonoscopy in March 2023, which showed no significant abnormalities. John lives alone and works as an accountant. He reports regular bowel movements, though occasionally experiences constipation. Medications: John is currently taking a daily probiotic supplement and over-the-counter antacids as needed. Assessment: Diet history: John follows a varied diet but often skips breakfast. He enjoys a wide range of foods but has noticed that dairy products and high-FODMAP foods exacerbate his symptoms. Recently, he has reduced his intake of processed foods and increased his consumption of fruits and vegetables. John reports moderate stress levels due to work deadlines. Anthropometry: Weight: 80 kg, Height: 175 cm, BMI: 26.1 Weight history: John has maintained a stable weight over the past year. Impression: John's symptoms are consistent with IBS, likely exacerbated by dietary triggers and stress. Recommendations: Implement a low-FODMAP diet, increase fiber intake, and consider stress management techniques. Review appointment: Scheduled for four weeks from today. Once again thank you for the referral, I look forward to assisting John in management of irritable bowel syndrome. Kind regards, Michelle Holt Accredited Practicing Dietitian cc: Dr. Thomas Kelly