Abdominal cramps and diarrhea with six stools

Reference no: EM133726575

Question

A 49 year old woman sees her healthcare provider because she has had abdominal cramps and diarrhea with six stools per day for the past month. She has a history of similar episodes of self-limited pain and diarrhea, which have occurred several times during the past 20 years. Each episode last about 2 weeks and resolves without treatment. Her stool is + for both blood and mucus. The pathological changes of her colon include diffuse and uninterrupted mucosal inflammation and superficial ulceration extending from the rectum to the ascending colon with mononuclear cell infiltrates in the lamina propria. What gastrointestinal disease process is most consistant with these clinical manifestations and pathological findings?

• Ulcerative colitis • Crohn's disease • Adenocarcinoma of the colon • Irritable bowel syndrome • Gluten-sensitive enteropathy

Reference no: EM133726575

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