The 22-year-old patient informs the nurse she feels bloated and has diarrhea when she drinks milkshakes and eats ice cream.The nurse recognizes this as possible:

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Lactose intolerance results from lactase deficiency and can cause bloating, excessive gas or diarrhea after ingesting dairy products, such as milkshakes and ice cream.Wheat allergy or gluten intolerance (e.g., Celiac disease) can result in abdominal pain, distension, or diarrhea.Cholecystitis is biliary colic, which causes sudden pain in the RUQ that may radiate to the right or left scapula and builds over time, lasting 2 to 4 hours, after ingestion of fatty foods, alcohol, or caffeine.It is associated with nausea and vomiting and a positive Murphy's sign (sudden stop in inspiration with RUQ palpation).

The 22-Year-Old Patient Informs the Nurse She Feels Bloated and Has