Evaluation of new onset constipation

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Mary Jane is a 58-year-old who is being seen by her primary physician for evaluation of new onset constipation. She states she has started to have problems passing stool. She has to strain and push to pass stool and she will sometimes notice blood in the stool. Mary Jane states she has tried MiraLAX which has made it easier to pass stool. She states she has lost about 15 pounds over the last 3 months, although she hasn't been trying to lose weight. What would be the most appropriate next step for Mary Jane?

Reference no: EM133816200

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