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A 26-year-old student with no significant PMH arrives at stu… | Wiki Cram

A 26-year-old student with no significant PMH arrives at stu…

Questions

A 26-yeаr-оld student with nо significаnt PMH аrrives at student health services fоr persistent diarrhea. She states that for the past 2 months, she has had foul-smelling diarrhea and abdominal cramping. She also reports increased bloating, flatulence, and an unintentional 4 lb weight loss. Prior to 2 months ago, she had never felt these symptoms before. She denies other extra-gastrointestinal symptoms. The patient is an avid hiker and says her symptoms have caused her to miss recent camping trips. The patient has tried to add more fiber to her diet without relief. She feels her symptoms worsen with milk or cheese. The patient currently takes no prescription or OTC medications. She drinks alcohol socially and denies smoking tobacco or using any illicit drugs. She is sexually active with her boyfriend of 2 years. Her last multi-day backpacking trek was about 3 months ago in Vermont. Her temperature is 98.6°F (37°C), blood pressure is 110/70 mmHg, pulse is 76/min, and respirations are 15/min. Physical examination is unremarkable. A stool sample is negative for fecal occult blood. Which of the following is an associated adverse effect of the most appropriate treatment for this patient’s symptoms?