16th July 2020

A 27-year-old female comes in with a 6 month history of intermittent, alternating diarrhoea and constipation

A 27-year-old female comes in with a 6 month history of intermittent, alternating diarrhoea and constipation. She is bloated which is relieved upon defecation. She has lost 6kg in the past month which she attributes to the diarrhoea as she has not changed her diet. She feels nauseas after eating. She has anxiety and frequently gets migraines. She takes the progesterone only pill. Her father has Ulcerative Colitis. She does not smoke or drink alcohol. 

Which of the following symptoms is a red flag that should trigger referral?

Which is the SINGLE most appropriate option from the list below? Select ONE option only.