What is a likely cause of this patients problem

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Reference no: EM133383733

Assignment:

The patient presents with a greater than 1 year history of severe abdominal pain with gaseous distension following the ingestion of carbohydrates. Pain is relieved on passing of flatulence with liquid stool. but this typically does not occur until hours after the onset of pain. This was previously diagnosed as irritable bowel syndrome but prolonged treatment has not provided relief. Past medical history is positive for Roux-en-Y gastric bypass for obesity. What is a likely cause of this patient's problem?

Peptic ulcer disease
Crohn disease
Worsening irritable bowel syndrome
Small intestine bacterial overgrowth syndrome

Reference no: EM133383733

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