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A symptom-based approach to making a positive diagnosis of irritable bowel syndrome with constipation.
Int J Clin Pract 2006; 60(1):57-63IJ

Abstract

Irritable bowel syndrome (IBS) is a common gastrointestinal disorder. Characterised by abdominal pain or discomfort, bloating and altered bowel habit, IBS is a chronic recurring condition, typically affecting up to 15% of the Western population, IBS can be subclassified into IBS with constipation (IBS-C), IBS with diarrhoea (IBS-D), or IBS with alternating constipation or diarrhoea symptoms (IBS-A). Conventional clinical diagnosis focuses on excluding all potential organic causes of patient symptoms. However, a positive diagnosis of IBS may be established using published criteria such as the Manning and/or Rome criteria. While these methods are useful to identify patients with IBS who are suitable for enrollment into clinical trials, the criteria are relatively complex and not readily applicable to general practice. In this review we present an 'identify, eliminate, probe' algorithm that may be appropriate to establish a positive diagnosis of patients with IBS-C, as symptoms characteristic of patients in this IBS subgroup are least likely to be confused with symptoms reflecting serious organic disease.

Authors+Show Affiliations

Hospital Universitari Vall d'Hebron, Autonomous University of Barcelona, Barcelona, Spain. jrmalagelada@vhebron.net

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

16409429

Citation

Malagelada, J-R. "A Symptom-based Approach to Making a Positive Diagnosis of Irritable Bowel Syndrome With Constipation." International Journal of Clinical Practice, vol. 60, no. 1, 2006, pp. 57-63.
Malagelada JR. A symptom-based approach to making a positive diagnosis of irritable bowel syndrome with constipation. Int J Clin Pract. 2006;60(1):57-63.
Malagelada, J. R. (2006). A symptom-based approach to making a positive diagnosis of irritable bowel syndrome with constipation. International Journal of Clinical Practice, 60(1), pp. 57-63.
Malagelada JR. A Symptom-based Approach to Making a Positive Diagnosis of Irritable Bowel Syndrome With Constipation. Int J Clin Pract. 2006;60(1):57-63. PubMed PMID: 16409429.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A symptom-based approach to making a positive diagnosis of irritable bowel syndrome with constipation. A1 - Malagelada,J-R, PY - 2006/1/18/pubmed PY - 2006/2/16/medline PY - 2006/1/18/entrez SP - 57 EP - 63 JF - International journal of clinical practice JO - Int. J. Clin. Pract. VL - 60 IS - 1 N2 - Irritable bowel syndrome (IBS) is a common gastrointestinal disorder. Characterised by abdominal pain or discomfort, bloating and altered bowel habit, IBS is a chronic recurring condition, typically affecting up to 15% of the Western population, IBS can be subclassified into IBS with constipation (IBS-C), IBS with diarrhoea (IBS-D), or IBS with alternating constipation or diarrhoea symptoms (IBS-A). Conventional clinical diagnosis focuses on excluding all potential organic causes of patient symptoms. However, a positive diagnosis of IBS may be established using published criteria such as the Manning and/or Rome criteria. While these methods are useful to identify patients with IBS who are suitable for enrollment into clinical trials, the criteria are relatively complex and not readily applicable to general practice. In this review we present an 'identify, eliminate, probe' algorithm that may be appropriate to establish a positive diagnosis of patients with IBS-C, as symptoms characteristic of patients in this IBS subgroup are least likely to be confused with symptoms reflecting serious organic disease. SN - 1368-5031 UR - https://www.unboundmedicine.com/medline/citation/16409429/A_symptom_based_approach_to_making_a_positive_diagnosis_of_irritable_bowel_syndrome_with_constipation_ L2 - https://doi.org/10.1111/j.1368-5031.2005.00744.x DB - PRIME DP - Unbound Medicine ER -