03-24-2010, 09:26 AM
A 46-year-old white woman returns to the office for follow-up of abdominal pain. Two weeks ago, she came to the office because of constipation and passing two to three loose stools with mucus per day. Physical examination at that time was normal. Her weight has remained the same and temperature has been normal. She has never had an abdominal operation. Lower gastrointestinal barium study and flexible sigmoidoscopy are normal. Complete blood count is normal. Today, you review the results with the patient. Which of the following is the most appropriate recommendation to the patient?
A) Antianxiety medication
B) Antispasmodic medication
C) Consultation with a gastroenterologist
D) Consultation with a psychiatrist
[E) Fiber supplementation
A) Antianxiety medication
B) Antispasmodic medication
C) Consultation with a gastroenterologist
D) Consultation with a psychiatrist
[E) Fiber supplementation