Get Answer: Year Female Presents Question Guide

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Original Question

A 35 year old female presents for a follow-up on her constipation. She was seen by you two weeks ago. Her lab evaluation and physical exam were unremarkable and you encouraged her to increase her exercise, water and fiber intake. She has done all that you recommended and is currently consuming the recommended 30 grams of fiber daily. She was re-evaluated last week and started docusate sodium, 100 mg tabs, every morning. However, she continues to pass small and hard stools. She experiences abdominal bloating, but denies any nausea, vomiting, chills, fever, abdominal pain, hematochezia, diarrhea or inability to pass gas. She denies any family history of thyroid issues, gastrointestinal disorders or cancer. Apart from the docusate sodium, she is taking no other medications. Which of the following is appropriate for this patient? Group of answer choices Docusate calcium, 240 mg capsule daily; follow up in three days or sooner if needed Wheat dextrin, 3 g packet each morning; follow up in three days or sooner if needed Polyethylene glycol 3350, 17 g packet each morning; follow up in three days or sooner if needed Psyllium, 6 g packet; two packets each morning; follow up in three days or sooner if needed

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