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 36-year female complaints of abdominal pain & constipation since 5 years. She has on & off rectal bleed when she tries to defecate forcefully. The most probable diagnosis is:
assistant
The correct answer is  The findings are consistent with irritable bowel syndrome. Crohn's disease would typically have perianal fistulae while ulcerative colitis has periods of acute disease and quiescent periods: the acute periods are severe and may lead to significant impairement.