New Female General Outpatient review

**Problems** 1. Abdominal pain, bloating, and changes in bowel habits. **Past Medical History** 1. Irritable Bowel Syndrome (IBS) diagnosed 5 years ago. Appendectomy 10 years ago. **Endoscopy Summary** 1. Oct 2023, Colonoscopy, revealed mild inflammation in the sigmoid colon. **Radiology Summary** 1. Jul 2024, CT scan of abdomen and pelvis, unremarkable. **Current Medications** 1. Loperamide 2mg as needed for diarrhoea. **Previous Medications** 1. Mebeverine 135mg three times a day, stopped 6 months ago due to ineffectiveness. **On Going Plan** 1. Colonoscopy. 2. Loperamide 2mg as needed. 3. Increase fibre intake, avoid trigger foods. 4. Follow up in 3 months. I reviewed this woman in clinic today. She presented with a history of abdominal pain, bloating, and changes in bowel habits. She reports having 2-3 bowel movements per day, with loose stools. The pain is described as cramping in nature, located in the lower abdomen, and is exacerbated by eating and relieved by passing stool. She underwent a colonoscopy in October 2023, which revealed mild inflammation in the sigmoid colon. She also had a CT scan of her abdomen and pelvis in July 2024, which was unremarkable. I have recommended a colonoscopy. I have prescribed Loperamide 2mg as needed. I have advised her to increase her fibre intake and avoid trigger foods. I have recommended a follow-up appointment in 3 months.