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Jenny, a 30 year old teacher, comes to see you at the end of your afternoon clinic. She tells you that she has had constipation and abdominal pain on and off for over a year. The discomfort is usually relieved by defecation. She also feels bloated and sometimes passes mucus when she opens her bowels. She has no significant past medical history and the only medication she takes is a combined oral contraceptive pill. Her weight is steady. You suspect Jenny has IBS-C.Which one of the following would be an appropriate part of your initial management of this patient?Refer Jenny for a flexible sigmoidoscopy or colonoscopyRefer Jenny urgently to a specialist gastroenterologistTest antibody serology for coeliac diseaseRequest a faecal calprotectin test

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