Irritable bowel syndrome

Background

  1. psychosocial factors
  2. altered gut motility
  3. hypersensitive intestinal pain perseption

Evaluation

Criteria

  1. Three months of pain:
    1. relieved by defecation
    2. associated with change of stool freq
    3. related to a change in stool consistency
  2. AND, 2 or more of the following symptoms 25% of the time
    1. >3 bm per day or < 3 bm per week
    2. altered stool form
    3. altered stool passage
    4. passage of mucous
    5. bloating

Workup

  • Diagnosis of exclusion

Differential Diagnosis

Management

See Also

External Links

Patient Information

Irritable Bowel Syndrome (National Digestive Diseases Information Clearinghouse)

References

  1. Garsed K, Chernova J, Hastings M, et al. A randomised trial of ondansetron for the treatment of irritable bowel syndrome with diarrhoea. Gut. 2014;63:1617-1625.