Ambulatory

Question:

A 29 year old woman presents to your office complaining of constant lower abdominal/pelvic pain that has been present over the last two months. She had an episode of similar pain 3 years ago while she was separated from her husband. She describes a combination of constipation and diarrhea along with bloating. You suspect irritable bowel disease (IBS). You should treat her with:

	psychiatric counseling
	increased ingestion of dietary fiber
	stool softeners
	increased daily exercise
	none of the above