Please share with me all the pertinent scientific information which was presented during the FDA investigation of this medication. A 37 year-old married woman presents for the first time, having moved into the area four weeks ago. During the last 3 months, she has experienced more abdominal discomfort and bloating and increasingly erratic bowel habits despite using dicyclomine and fiber supplements. Her weight is stable and her appetite is good. Her physical examination is normal except for moderate abdominal tenderness.
Stools are hemoccult negative.
3.Explore factors which have exacerbated symptoms in the past and issues concerning her recent move. Office visit in 2 weeks. Office visit in 2 months. Please consider the listed possible options, but feel free to add your own. You are encouraged to discuss your proposed management.