Буклет 2014 року

A 33-year-old female complains of escalating spastic pain in the abdomen after the psycho-emotional stress. The patient has intermittent bowel movements, that is 2-3 bowel movements after waking up alternate with constipation lasting for 1-2 days. Objectively: body weight is unchanged, there is moderate pain on palpation of the sigmoid colon. Hb- 130 g/l, WBC- 5,2 • 109/l, ESR- 9 mm/h. Proctosigmoidoscopy causes pain due to spastic bowel condition, intestinal mucosa is not changed. In the lumen there is a lot of mucus. What is the most likely diagnosis?
  • Acute bowel ischemia 1%
  • Crohn’s disease 0%
  • Irritable bowel syndrome 86%
  • Malabsorption syndrome 5%
  • Non-specific ulcerative colitis 8%


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intermittent bowel movements,

Abdallah123, 3 days ago , 07:00:19

spastic pain in the abdomen after the psycho-emotional stress

Abdallah123, 3 days ago , 06:59:36