Does she really have constipation

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Reference no: EM134005889

Question

A 37-year old woman comes to your clinic for "constipation," which she has had since childhood. She states that a work-up by her pediatrician turned up nothing. She reports intermittent, crampy abdominal pain that reaches 8 out 10 in severity and is relieved "mostly" by a bowel movement. She has a bowel movement nearly every day, but her stools are usually hard. When the pain occurs, her stools are "really hard." She was recently laid off from her job and has noted an increase in her abdominal pain and hard stools.

1. Does she really have constipation?

2. What additional questions would you ask to learn more about her symptoms?

3. Do her symptoms suggest a serious diseases?

4. How helpful is the history in diagnosing the etiology of constipation?

Reference no: EM134005889

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