year-old Tom’s chief complaints were asthma
for four years, rectal itching, weight loss and secondary
stress. His medical history included tonsillitis from
ages 8 to 15 and the use of tetracycline for teenage
acne. The need for antibiotics was minimal for the
next 18 years of Tom’s life.
Tom’s allergies included increasing severe nasal
symptoms which had begun at age five, and improved
when he limited diary products in 1995. However, he
continued to have a persistent mild stuffiness and
post nasal drip.
When Tom first came to see me, his major concern was
asthma, which he first noted during exercise in his
early 30’s. The symptoms became more frequent
and were also triggered by respiratory infections
and increased coughing.
He said his symptoms were worse in the middle of the
night and when he swallowed. His complaints included
tightness, shortness of breath and wheezing.
His symptoms were helped with Albuterol, a steroidal
prescription inhalant, which he puffed once a day.
High doses of the drugs had caused adverse side effects,
including dry mouth, agitation and raised blood pressure.
He also used another inhalant, Aerobid, daily.
He said his asthma was better when he was outside
the house rather than inside.
His other major complaints were rectal itching, bleeding
ands scabbing. An important point he made was with
increased asthma, there was decreased rectal itching
and vice versa. An inhaled steroid has increased his
rectal itching, but helped his asthma.
Tom was also concerned by his 20 pound weight loss
over the past three years before his first office
visit. He had been avoiding wheat, tomato and soy
for two months and he avoided milk for six months
before his first visit. He’d also received allergy
testing at Johns Hopkins hospital and was found to
be negative for allergies to pollen, dust, mold and
dog hair. Foods were not tested.
In discussing his problems with him, I said, “Tom,
I think you have a yeast problem and in all likelihood,
a food allergy/leaky gut plays a part in causing your
Physical examination was within the normal limits
except for some signs of mold allergies in his nose
and severe dermatitis in his genital-anal region.
This was treated with antifungal cream.
Tom was also tested for dust products, molds and foods.
A yeast culture showed a variety of yeast that was
very sensitive to Nizoral and mildly sensitive to
nystatin, caprylic acid and garlic. I started Tom
on a probiotic, followed by “yeast fighters”
two weeks later, then a 10-day course of Nizoral,
which caused increased fatigue.
Following this treatment program helped Tom control
both his asthma and his rectal itching.
Over the next few months, Tom was given several course
of prescription antifungals and he reported, “I
feel a lot better, think more clearly and all in all,
I’m feeling great.”
At his next visit, Tom told me he was able to start
running and lifting weights for the first time in
a year. He was still using inhaled steroids to control
At his final visit, Tom said he was enjoying his best
health in years.
He continued to take a low dose of Diflucan (50 mg.
three times a week), which was keeping his asthma
under control. On this dosed, his asthma, sleep, fatigue
and rectal itching all improved.
He continued to avoid foods he was allergic to, take
probiotics and used the inhaled steroids when needed.
He’s maintained this good health for a year
and a half.
This success story was sent to Dr. Crook in 1999
by Dr. Richard Layton of Towson, MD
Professional Books, Inc.