A 42-year-old woman went to the doctor complaining of frequent abdominal cramps, bloating, flatulence, and diarrhea. She had periodically experienced these symptoms for about 3 years and assumed she had a mild case of irritable bowel syndrome. However, recently it seemed to be much worse and she noticed she was fatigued and losing weight without making any change to her diet and exercise. She had been diagnosed with hyperparathyroidism about 4 years ago.
Could it be lactose intolerance? Celiac disease? Ulcerative colitis? Diverticulitis?
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