A 32-year-old man with a known diagnosis of IBS-M presents with severe abdominal pain and vomiting. His abdomen is distended, and bowel sounds are diminished on examination. How would you manage this patient?
While this patient has a known diagnosis of IBS-M, his presentation of severe abdominal pain, vomiting, distention, and diminished bowel sounds suggest an acute abdominal condition, such as bowel obstruction. This is a medical emergency and requires immediate evaluation, including abdominal imaging, typically with a CT scan, and surgical consultation.