Alternating Loose Stools in Medicine / Internal Medicine — 28yo Man | Gastroenterology | SMLE Q#8193

SMLE Question #8193

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-433

Last updated: February 2026
A 28-year-old man has 4 months of intermittent crampy abdominal pain with alternating loose stools and constipation. Symptoms are not associated with specific foods. He has no rectal bleeding, nocturnal diarrhea, fever, or unintentional weight loss. Appetite is normal. Abdominal examination is normal. What is the most likely diagnosis?

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