This case discussion the doctors focuses on a 74-year-old female patient with a 50-year history of constipation and uncontrollable gas. Despite trying various treatments, including medications and dietary changes, the gas issue persisted. Dr. Gurevich discusses how she treated the patient and the many attempts at resolving her chronic issue. The case highlights the complexity of such a simple symptom. 
 
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Rebecca Sand ND, LAc, MSOM
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 <li><a href="www.drrebeccasand.com">⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠</a></li>
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 <li><a href="https://www.instagram.com/drrebeccasand/">⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠</a></li>
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Ilana Gurevich ND, FABNG, LAc, MSOM
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 <li><a href="⁠https://www.openwellnesspdx.com">⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠</a> </li>
 <li><a href="https://www.instagram.com/openwellness_pdx/#">⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠</a></li>
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Ami Kapadia, MD, ABFM, ABIHM
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 <li><a href="⁠⁠https://www.amikapadia.com/⁠⁠">⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠</a></li>
</ul>

#52 - Hemorrhoids and Fissures

The Turd Nerds is an integrative gastroenterology podcast. Drs. Rebecca Sand, Ami Kapadia and Ilana Gurevich tackle complex digestive topics, spanning IBS, Celiac, parasites, SIBO, biofilms, the gut-brain connection and more. Tune in to hear clinical pearls, research updates and think with us through some tough cases.