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PLAB02-068

A 32 year old female presents with a 6 month history of intermittent bloating and abdominal pain. She has noticed her stools are much looser (although only opens her bowels once a day). She denies any blood in her stools and finds her abdominal pain generally settles once she has opened her bowels. She further admits to drinking a lot black coffee in last few weeks to keep alert as she is trying to meet a work deadline. She had the Mirena coil inserted 2 years ago as she has always suffered with menorrhagia and she has completed her family.

What is the single most probable diagnosis in this case?

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