Constipation-predominant irritable bowel syndrome

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A 31 year old female is diagnosed with constipation-predominant irritable bowel syndrome. Her medication history is below. In addition to lifestyle and dietary education and encouraging increased fiber intake, which of the following is the most appropriate therapy for this patient? Allergies: Sulfa Current Medications: Albuterol MDI, 1-2 inhalations PRN Fluticasone/salmeterol MDI, 2 inhalations BID Tiotropium MDI, 2 inhalations daily Pertinent History: Severe persistent asthma Health Maintenance. Immunizations: Immunizations up to date Family History: No significant family history Social History: Denies drug use or alcohol use; smokes one pack per day (14 year pack history)

Polyethylene glycol 3350, 17 g daily Dicyclomine hydrochloride, 20 mg tab; one tab up to four times daily Mesalamine, 500 mg ER cap; 2 caps TID Tegaserod, 6 mg tab; one tab BID.

Reference no: EM133760547

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