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Diego Barroso, a 39-year-old male client (DOB: 1/1/1985), presents to the clinic complaining of difficulty having a bowel movement for two months. His last bowel movement was four days ago, and Diego describes it as a "hard, pebble-like" stool with significant straining and pain. He has tried increasing his fluid intake and taking psyllium, polyethylene glycol, and magnesium oxide. The nurse practitioner (NP) conducts a physical exam, which is unremarkable. The NP considers what medications to prescribe to relieve constipation in this client.
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