Patient's Query
Hi doctor,
I am a 26-year-old female. I think I took my vitamin D capsule a few days early. I had an alarm set for when to take it, but I think I turned it off the last time I took it. I am worried I took one the next after taking one.
I take 1.25 mg Vitamin D capsules once weekly; my only other medication is Lexapro once daily. I just want to know if I should go to urgent care or if it is normal.
Thanks.
Hi,
Welcome to icliniq.com.
Thank you for this detailed history. Based on the presentation, you have been experiencing chronic lower left quadrant abdominal pain with alternating constipation and diarrhea for the past four years, with constipation being the predominant baseline symptom. The constipation is accompanied by a persistent sensation of incomplete bowel emptying.
Diarrheal episodes occur during flare-ups, often triggered by large meals, spicy foods, or fast food, and are typically preceded by cramping and constipation, followed by diarrhea and relief of pain. The patient also reports that pain is generally worse in the mornings and improves after bowel movements. Additional findings include bloating with dairy, symptomatic relief with regular exercise, and no mention of alarm features such as unintentional weight loss, rectal bleeding, or anemia.
The clinical pattern is highly suggestive of a functional bowel disorder, most likely irritable bowel syndrome (IBS), with a constipation-predominant baseline (IBS-C) and intermittent diarrhea during flare-ups, consistent with the mixed type (IBS-M). Supporting features include the chronic nature of symptoms, their association with bowel movements, the absence of red-flag symptoms, and improvement with defecation.
Thank you.
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Answered byDr. Georges Hany Kozah
Medically reviewed byiCliniq medical review team
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