Altered Bowel Habits in Medicine / Internal Medicine — 25yo Woman | Gastroenterology | SMLE Q#18651
SMLE Question #18651
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-IBS-001
Last updated: February 2026
A 25-year-old woman has 1 year of intermittent crampy lower abdominal pain with altered bowel habits. Pain improves after defecation; episodes include several loose watery stools, mucus, and a sensation of incomplete evacuation. She denies fever, nocturnal symptoms, hematochezia, or unintentional weight loss. Abdominal examination is normal. What is the most appropriate test to establish the diagnosis?
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