A 32-year-old woman presented to the hospital with complaints of chronic intestinal distress. She frequently experienced abdominal pain and cramping with alleviated defecation. Her stools were intermittent, loose, and came with urgency. She experienced these symptoms since adolescence, with periods of improvement and worsening over the years. She recollected that her symptoms improved during her pregnancy with her first child four years ago.
History She had an uncomplicated pregnancy and a vaginal delivery four years ago. She is a well-developed, well-nourished woman in no acute distress. She has no family history of organic gastrointestinal diseases such as inflammatory bowel disease, malignancy, or celiac disease. Examination Height: 5'6" Weight: 120 lb Blood pressure: 108/64 mm Hg Pulse: 60 beats per minute Respiratory rate: 12 breaths per minute Physical examination Her physical…
