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Need a pertinent comprehensive evidence-based management plan for irritable bowel disease of 

 

a 45 y/o female that presents with a 10-year history of intermittent chronic lower cramping like abdominal pain that is relieved when she has a bowel movement. She endorses episodes of diarrhea, constipation, and mucus in her stool. She states she works long hours at her job and most days skips meals. She denies any chest pain, worsening of pain with her periods, BRBPR, hematuria, abdominal trauma or increased pain when lifting. PE reveals positive findings of hyperactive bowel sounds and mild tenderness with deep palpation of the lower abdomen on both sides. Rectal exam was unremarkable.. 

 

If a specific component of the management plan is not warranted (i.e., no referrals are appropriate for the virtual patient) document that no intervention is warranted. Include the following components: 

diagnostic tests
medications: write a specific prescription for each medication, including over-the-counter medications
suggested consults/referrals
client education
follow-up, including time interval and specific symptomatology to prompt a sooner return
cite at least one relevant scholarly source APA
SCIENCE
HEALTH SCIENCE
NURSING
NR NR 667