Jordan  is a 35-year-old woman who presents with intermittent diarrhea with  cramping that is relieved by defecation. The diarrhea is not bloody or  accompanied by nausea and vomiting. Review of past medical history  includes some childhood stomach issues, HTN, and a recent  cholecystectomy. She works in the environmental department of a large  hotel. . She denies alcohol and cigarette.

Diagnosis: Irritable Bowel Syndrome (IBS)

I.      Discuss the epidemiology of IBS?

II.     What is your treatment goals for this patient?

III.    Discuss First line and second line drug therapy for IBS. Please include pharmacotherapeutic information.