What should a nutrition coach do if a client complains of alternating constipation and diarrhea?

In cases of alternating constipation and diarrhea, it is essential for a nutrition coach to recognize that this symptom can indicate underlying health issues that may require more advanced medical evaluation. Referring the client to an Internal Medicine Doctor is appropriate because such medical professionals have the training to assess and diagnose gastrointestinal conditions that may be causing these symptoms. They can conduct necessary tests to rule out conditions like irritable bowel syndrome, food intolerances, or other digestive disorders that a nutrition coach is not equipped to diagnose.

While monitoring the client's symptoms and providing dietary recommendations like fiber may seem helpful, these approaches could potentially overlook serious health issues. Likewise, referring to a Registered Dietitian could be beneficial for diet-specific advice, but it is important first to ensure that there are no underlying medical concerns that need to be addressed by an internal medicine physician. In this scenario, prioritizing medical evaluation is the best first step for the health and safety of the client.