An 8-year-old boy is brought to your office with the complaint of abdominal pain. The pain is worse during the week and seems to be less prominent during the weekends and during the summer. The patient’s growth and development are normal. The physical examination is unremarkable. Laboratory screening, including stool for occult blood, complete blood count, urinalysis, and chemistry panel, yields normal results. Which of the following is the best next step in the care of this patient?

a. Perform an upper GI series

b. Perform CT of the abdomen

c. Administer a trial of H2 blockers

d. Observe the patient and reassure the patient and family

e. Recommend a lactose-free diet

the answer is below…

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