Yea, that is what! According to PD irritable bowel syndrome is the answer, and it seems reasonable. The only mystery is missed periods...

According to uptodate, the extraintestinal manifestations of Irritable bowel syndrome are:Extraintestinal symptoms — Patients with IBS often complain of a broad range of non-gastrointestinal symptoms. These include impaired sexual function, dysmenorrhea, dyspareunia, and increased urinary frequency and urgency [15]. They are also more likely to have hypertension, reactive airway disease, and rheumatologic syndromes, including fibromyalgia.

(Just for the sake of revision)

Enjoy...

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But what abt the period that she missed...?what connection to irritable bowel syndrome??????

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the answer is irritable bowel syndrome as this is dd for ectopic pregnacy and has peculiarity of three months symptoms

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Options:

a) appendicitis

b)crohn's disease

c)ectopic pregnancy

d) endometriosis

e) inevitable miscarriage

f) irritable bowel syndrome

g) missed abortion

h)normal pregnancy

i)renal colic

j) torsion of ovarian cyst

Q: An 18 year old student due to take her examinations, reports that she missed her period and that a pregnancy test is negative. She has worsening abdominal pain, which has been troublesome for 3 months. She is otherwise well.