system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 32-year-old female comes to the physician because of recurrent episodes of abdominal pain, bloating, and loose stools lasting several days to a couple weeks. She has had these episodes since she was 24 years old but they have worsened over the last 6 weeks. The site of the abdominal pain and the intensity of pain vary. She has around 3–4 bowel movements per day during these episodes. Menses are regular at 31 day intervals with moderate flow; she has moderate pain in her lower abdomen during menstruation. She moved from a different city 2 months ago to start a new demanding job. Her mother has been suffering from depression for 10 years. She does not smoke or drink alcohol. Her own medications include multivitamins and occasionally naproxen for pain. Temperature is 37.4°C (99.3°F), pulse is 88/min, and blood pressure is 110/82 mm Hg. Abdominal examination shows no abnormalities. Laboratory studies show:
Hemoglobin 14.1 g/dL
Leukocyte count 8100/mm3
Erythrocyte sedimentation rate 15 mm/h
Serum
Glucose 96 mg/dL
Creatinine 1.1 mg/dL
IgA anti-tissue transglutaminase antibody negative
Urinalysis shows no abnormalities. Further evaluation is most likely to show which of the following in this patient?"
assistant
Relief of abdominal pain after defecation