Non-bloody Diarrhea in Medicine / Internal Medicine — 16yo Child | Gastroenterology | SMLE Q#10958

SMLE Question #10958

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-433

Last updated: February 2026
A 16-year-old boy has 4 months of intermittent abdominal bloating and crampy periumbilical pain with non-bloody diarrhea. Symptoms occur soon after drinking milk or eating ice cream and improve when he avoids dairy products. He has lost 4 kg and appears mildly pale; abdominal examination shows mild distension without tenderness. What is the most common underlying cause to consider first?

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