Factitious diarrhea is often associated with which of the following findings?

Factitious diarrhea is characterized by the deliberate production of diarrhea without any underlying organic cause, typically as a means to assume a sick role or to gain attention or sympathy from others. The key aspect of factitious diarrhea is that the symptoms are fabricated or exaggerated, leading to a presentation of diarrhea that cannot be explained by a physiological or pathological process.

This condition is often associated with specific psychiatric disorders, where the individual consciously or unconsciously seeks to portray themselves as having a medical condition. While there may be incidental findings such as weight loss or complications like hemorrhoids due to frequent bowel movements, the defining feature of factitious diarrhea is that the diarrhea occurs without any organic cause.

In contrast, elevated white blood cell count could suggest infection or inflammation, which would not be present in a case of purely factitious diarrhea, since there are no underlying medical issues being caused by the symptoms.

Therefore, the association of diarrhea purely resulting from fabricated symptoms is what makes the answer focused on diarrhea without organic causes the most accurate representation of this condition.