In this case study episode, the Turd Nerds tackle a challenging 50-year history of chronic constipation and uncontrollable gas in a 74-year-old female patient. Despite trying numerous treatments, from medications to dietary changes, the gas issue remained unresolved. Dr. Gurevich shares her detailed approach to treating the patient, highlighting the difficulties in managing what may seem like a simple symptom. This case offers insight into the complexity of chronic digestive issues and the perseverance needed for treatment success.