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What is A 36-year female complaints of abdominal pain & constipation since 5 years. She has on & off rectal bleed when she tries to defecate forcefully. The most probable diagnosis is: and explain in detail?
The findings are consistent with irritable bowel syndrome. Crohn's disease would typically have perianal fistulae while ulcerative colitis has periods of acute disease and quiescent periods: the acute periods are severe and may lead to significant impairement.