IBS with weight loss after five gastroenterologists
A young professional from Gurgaon with two years of cramps, bloating, loose stools and weight loss, and five previous consultations.
Presentation
Alternating bowel habit, post-meal pain, 6 kg weight loss and severe health anxiety. Previous treatment: repeated antibiotics and PPIs.
Approach
Structured exclusion first: celiac serology, stool calprotectin, thyroid, colonoscopy with biopsies — all normal. Hydrogen breath test showed SIBO; treated with rifaximin. Then a supervised low-FODMAP diet with reintroduction, an antispasmodic, and a low-dose neuromodulator for pain and sleep. Forty-five minutes spent explaining why the diagnosis was IBS and not something worse.
Outcome
Pain and bloating down by 80% at eight weeks; weight regained over four months; back to a normal diet with two identified triggers.
Where it was managed
PSRI Hospital, Sheikh Sarai (procedures, admission) and the Gut Liver Obesity Clinic, Chittaranjan Park (consultations and follow-up).
The lesson
IBS is a positive diagnosis made after the right exclusions — and reassurance is a treatment. The patient called him 'the best gastro doctor for IBS and chronic gas'.
Representative case based on real outcomes; personal details changed to protect privacy. Individual results vary.
Related conditions & procedures
IBS (Irritable Bowel Syndrome)
Pain, bloating and altered bowels — treated by subtype
Symptoms, tests & treatmentBloating
Distension with a mechanism, not just gas
Symptoms, tests & treatmentBreath Tests (H. pylori, SIBO, Lactose)
Non-invasive tests for H. pylori, bacterial overgrowth and sugar intolerance
How it worksDiet & Nutrition Counselling
Diagnosis-specific Indian meal plans
Symptoms, tests & treatment
Why patients choose Dr Paliwal for complex cases
- Trained at India's best: MD from Lady Hardinge, DM Gastroenterology & Hepatology from SGPGI Lucknow, SCE Gastroenterology (UK), advanced endoscopy training in Japan.
- 22+ years at Medanta, Artemis and PSRI — the complex cases other doctors refer.
- Delhi's first luminal GI & motility lab — breath tests, manometry, pH studies and biofeedback done in-house, not outsourced.
- No unnecessary tests. The phrase patients use most in 265+ Google reviews.
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