Sometimes she notices blood in her stool. Select the most likely cause leading to her symptoms?

A 30yo lady complains of intermittent diarrhea, chronic abdominal and pelvic pain and

tenesmus. Sometimes she notices blood in her stool. Select the most likely cause leading to her

symptoms?

a. Inflammatory bowel disease

b. Diverticulosis

c. Irritable bowel disease

d. Adenomyosis

e. UTI

Ans. The key is A. Inflammatory bowel disease. [Tenesmus excludes diverticulitis, occasional blood in stool excludes irritable bowel disease. Features are not consistent with adenomyosis or UTI but suggestive of inflammatory bowel disease].