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Aarti, aged 63 years, presents with right lower quadrant abdominal pain. Aarti is well known to you; her abdominal pain has been intermittent for the past year with periods of reprieve, but she has had similar episodes in the previous 20 years. She has been experiencing predominantly constipation with occasional diarrhoea. After meals, she feels bloated.
Aarti reports no rectal or vaginal bleeding and has been postmenopausal for 15 years. 1.What history would you seek from Aarti? 2.What are the red flags to consider in patients with chronic abdominal pain? 3.What conditions would you include in the differential diagnoses? What is the most likely diagnosis? 4.What comorbid conditions are associated with IBS? 5.What investigations are appropriate for Aarti? 6.What treatment would you commence? #Week13_Case1
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