Ana Iov, 31 year old patient

Comes in the Emergency Department with a two-month history of alternating constipation and diarrhea without blood or mucus in the setting of a 10 lbs. weight loss, pains in her left hemiabdomen, fatigue, foggy brain. She has noticed that every thing she eats makes her feel bad.

Her and her husband were trying to conceive for a few year swith outa positive outcome. 

She is tired of feeling bad all the time.