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Towards positive diagnosis of the irritable bowel.

Abstract

A questionnaire to establish the presence of 15 symptoms thought to be typical of the irritable bowel syndrome (IBS) was given to 109 unselected patients referred to gastroenterology or surgery clinics with abdominal pain or a change in bowel habit or both. Review of case records 17--26 months later established a definite diagnosis of IBS in 32 patients and of organic disease in 33. Four symptoms were significantly more common among patients with IBS--namely, distension, relief of pain with bowel movement, and looser and more frequent bowel movements with the onset of pain. Mucus and a sensation of incomplete evacuation were also common in these patients. The more of these symptoms that were present the more likely was it that the patient's pain or altered bowel habit, or both, was due to IBS. We conclude that a careful history can increase diagnostic confidence and reduce the amount of investigation in many patients with chronic abdominal pain.

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  • Authors

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    Source

    British medical journal 2:6138 1978 Sep 02 pg 653-4

    MeSH

    Abdomen
    Colonic Diseases, Functional
    Defecation
    Humans
    Methods
    Pain
    Syndrome

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    698649

    Citation

    Manning, A P., et al. "Towards Positive Diagnosis of the Irritable Bowel." British Medical Journal, vol. 2, no. 6138, 1978, pp. 653-4.
    Manning AP, Thompson WG, Heaton KW, et al. Towards positive diagnosis of the irritable bowel. Br Med J. 1978;2(6138):653-4.
    Manning, A. P., Thompson, W. G., Heaton, K. W., & Morris, A. F. (1978). Towards positive diagnosis of the irritable bowel. British Medical Journal, 2(6138), pp. 653-4.
    Manning AP, et al. Towards Positive Diagnosis of the Irritable Bowel. Br Med J. 1978 Sep 2;2(6138):653-4. PubMed PMID: 698649.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Towards positive diagnosis of the irritable bowel. AU - Manning,A P, AU - Thompson,W G, AU - Heaton,K W, AU - Morris,A F, PY - 1978/9/2/pubmed PY - 1978/9/2/medline PY - 1978/9/2/entrez SP - 653 EP - 4 JF - British medical journal JO - Br Med J VL - 2 IS - 6138 N2 - A questionnaire to establish the presence of 15 symptoms thought to be typical of the irritable bowel syndrome (IBS) was given to 109 unselected patients referred to gastroenterology or surgery clinics with abdominal pain or a change in bowel habit or both. Review of case records 17--26 months later established a definite diagnosis of IBS in 32 patients and of organic disease in 33. Four symptoms were significantly more common among patients with IBS--namely, distension, relief of pain with bowel movement, and looser and more frequent bowel movements with the onset of pain. Mucus and a sensation of incomplete evacuation were also common in these patients. The more of these symptoms that were present the more likely was it that the patient's pain or altered bowel habit, or both, was due to IBS. We conclude that a careful history can increase diagnostic confidence and reduce the amount of investigation in many patients with chronic abdominal pain. SN - 0007-1447 UR - https://www.unboundmedicine.com/medline/citation/698649/full_citation L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/698649/ DB - PRIME DP - Unbound Medicine ER -