Question

A 29-year-old woman has intermittent abdominal pain, bloating and diarrhoea. She reports weight loss and nocturnal symptoms. Examination reveals mild tenderness but no masses. What is the most appropriate next step?

Accepted Answer

Arrange coeliac serology and inflammatory markers with urgent referral if abnormal

Answer

Diagnose irritable bowel syndrome and reassure

Answer

Start long-term antispasmodics without investigation

Answer

Treat empirically with loperamide for 6 months

Answer

No investigations are necessary in young patients

Practice question

A 29-year-old woman has intermittent abdominal pain, bloating and diarrhoea. She reports weight loss and nocturnal symptoms. Examination reveals mild tenderness but no masses. What is the most appropriate next step?