Description

KF is a 45-year-old female presents today for stomach pain starting at least 10 years ago. She states that she also feels bloated at times, passing a lot of gas. The pain is all over, primarily in the lower abdomen, gets worse with rich foods and improves with bowel movements. She has also goes between periods of constipation and diarrhea. Denies any painful or bloody stools. Medical history includes headaches, hot flashes, c-section, and tibia fracture requiring surgery. Physical exam shows mild tenderness of bilateral lower abdomen to deep palpation. Denies any radiating pain, chest pressure or tightness, or difficulty breathing.