Clinical Crossroads Section Editor: Margaret A. Winker, MD, Deputy Editor.
Author Affiliation: Dr Lembo is Instructor in Medicine at Harvard Medical School, and Director, Gastrointestinal Motility Center, Beth Israel Deaconess Medical Center, Boston, Mass.
DR REYNOLDS: Mrs G is a 54-year-old woman with abdominal pain and discomfort associated with constipation. Her bowel difficulties began in early childhood when she did not feel comfortable moving her bowels in public restrooms. Her symptoms diminished during her teenage years but began again in her 20s; over the past several years her constipation has become more problematic.
Lembo AJ. A 54-Year-Old Woman With Constipation-Predominant Irritable Bowel Syndrome. JAMA. 2006;295(8):925-933. doi:10.1001/jama.295.8.925