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- Abdominal pain Hx
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- Irritable bowel syndrome plan
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Irritable bowel syndrome Hx
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Patient has recurrent abdominal pain (β₯1 day per week, on average, in the pre- vious 3 mo), with an onset β₯6 mo before diagnosis
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Abdominal pain is associated with at least two of the following three symptoms:
Pain related to defecation
Change in frequency of stool
Change in form (appearance) of stool
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Patient has none of the following warning signs:
Age β₯50 yr, no previous colon cancer screening, and presence of symptoms
Recent change in bowel habit
Evidence of overt GI bleeding (i.e., melena or hematochezia)
Nocturnal pain or passage of stools
Unintentional weight loss
Family history of colorectal cancer or inflammatory bowel disease
Palpable abdominal mass or lymphadenopathy
Evidence of iron-deficiency anemia on blood testing
Positive test for fecal occult blood
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