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Functional Gastrointestinal Symptoms (Overlap with Somatic Symptom Disorder)
A 29-year-old man presents with recurrent abdominal pain and bloating for 18 months. Colonoscopy and labs are normal. He remains excessively preoccupied and distressed. Outline diagnosis and management steps.
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sfx_correct_minimal
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Dietary counseling, reassurance, avoid repeated endoscopies
SSRIs/SNRIs for anxiety, TCAs for pain modulation
CBT, gut-directed hypnotherapy
Consider somatic symptom disorder with predominant GI complaints (irritable bowel overlap)
Follow for comorbid anxiety, depression
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