Abdominal discomfort from dairy consumption
John is an 82-year-old man who moved into a residential care facility located near a close relative.
On meeting his new GP, John complains of abdominal discomfort and diarrhoea, which commenced soon after his arrival at the facility.
John recently decided to move into residential care after a fall at home led to hospitalisation. Before the sudden onset of blindness a few years ago, he had been very independent, living alone and was fully responsible for his own care.
Investigations, including for gastroenteritis, are negative. However, John is finding that his unpleasant gastrointestinal symptoms are having a significant impact on his quality of life.
He attributes his symptoms to cold milk being served with cereal for breakfast. He says that, for several years he has always boiled milk before drinking it, as otherwise, he gets "the runs".