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A 29-year-old woman presents with a six-month history of bloating and alternating constipation and diarrhoea. She has no weight loss, rectal bleeding, or nocturnal symptoms. Blood tests: Hb 132 g/L, ESR 8 mm/hr, CRP 3 mg/L.
Which test is most appropriate before confirming a diagnosis of IBS?

Colonoscopy

CT abdomen/pelvis

Faecal calprotectin

MRI small bowel

Flexible sigmoidoscopy

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