nbme - paraprotein

[ArchivalUser]

A 27 year old woman comes to the physician because of a 2 year history of intermittent diarrhea and severed cramping abdominal pain. The stools are watery, occasionally foul-smelling and nonbloody. She is currently pain-free and has not had diarrhea for 2 days. She aslo has intermittent constipation. She has not had fever or weight loss. She returned from a trip to Mexico 3 months ago. She had appendectomy at the age of 12 years and a cesarean delivery 4 years ago. Examination shows no abnormalities. What of the following is the most likely diagnosis?

A. Bacterial gastroenteritis
B. Crohn's disease
C. Intermittent small bowel obstrution
D. Irritable bowel syndrome
E. Laxative abuse

[ArchivalUser]

its c irritable bowl syndrome...regarding 2 yrs h/o of intermittent diarrhoea and constipation...

[ArchivalUser]

Thanks, linab, i got it
at first, i confuse with intermittent small bowel obstruction bcoz she has a history of bowel surgery and another point is that foul smelling diarrhea