The physician thinks a teenager is having clinical manifestations of irritable bowel syndrome. Which ...

Ans: A, D
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A hallmark of irritable bowel syndrome is abdominal pain that is relieved by defecation and associated with a change in consistency or frequency of stools. Irritable bowel disease is characterized by persistent or recurrent symptoms of abdominal pain, altered bowel function, and varying complaints of flatulence, bloating, nausea and anorexia, constipation or diarrhea, and anxiety or depression. Abdominal pain usually is intermittent, is described as cramping in the lower abdomen, and does not usually occur at night or interfere with sleep. Inflammatory bowel disease is characterized by blood in stool. Peptic ulceration pain occurs when the stomach is empty.

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