A woman in her 30s presents as a new patient to establish care and reports loose stools (three to four episodes per day) with occasional streaks of blood for the past 6 months. What's the diagnosis? MedEd
who recently moved to work in a law firm presents as a new patient to establish care. Her chief report is loose stools , with occasional streaks of bright red blood in them, for the past 6 months. She also describes intermittent episodes of abdominal pain relieved by defecation.hemorrhoids
. The patient was instructed to take a fiber supplement, which slightly reduced her stool frequency, although she continued to have small amounts of blood in her stool. About 4 months ago, she went to a rheumatologist because of knee and hip pain. The rheumatologic workup was largely unrevealing. The rheumatoid factor, antinuclear antibody, and C-reactive protein levels and the erythrocyte sedimentation rate were all within normal limits, and the radiographs were normal.
She reports no nausea, vomiting, early satiety, vision changes, rash, low back pain, unintentional weight loss, fecal urgency, or episodes of nocturnal diarrhea or fecal incontinence. She has no family history of
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