The Patient: Elise, a 43-year-old esthetician and salon owner.
Why she came to see me: Elise appeared fit and strong but turned to the side to reveal the distension of her stomach. Claiming she’d been “wracked with digestive misery” for the last few months, she ticked off a litany of symptoms that ranged from excessive gassiness to joint pain. “The bloating is what bothers me the most,” she said, going on to say that eating even small amounts of food left her with a swollen tummy, rendering her unable to wear some of her clothes and leaving her fatigued, glum and “achy.”
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