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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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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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