C. had many risk factors for IBS that included genetics, lifestyle choices, age, and gender. As a result, the diagnosis was fitting after the organic disease had been ruled out of the differentials. Without necessary lifestyle changes and commitment to control her disease, she could potentially progress to experiencing more pain and reduced quality of …show more content…
These conditions could potentially co-exist and should be excluded from, the possibilities of contributing factors. Thyroid studies would reveal any thyroid concern. The patient's initial diagnostic colonoscopy five years ago was negative for Crohn's. According to Buttaro et al. (2013) symptoms associated with diverticulitis "usually" occurs in "older" patients (p. 649). Although, new acute bowel disease would need to be considered for this patient on an ongoing basis. Her mother was diagnosed with inflammatory bowel disease at a young age, and the patient would benefit from continual management and monitoring for the presence of new organic bowel disease. Due to the findings from the history and physical exam, the primary diagnosis was