Making a Confident Diagnosis of Irritable Bowel Syndrome

Ryan S Goldstein; Brooks D Cash

doi:10.1016/j.gtc.2021.03.004

Making a Confident Diagnosis of Irritable Bowel Syndrome

Gastroenterol Clin North Am. 2021 Sep;50(3):547-563. doi: 10.1016/j.gtc.2021.03.004. Epub 2021 Jun 25.

Authors

Ryan S Goldstein¹, Brooks D Cash²

Affiliations

¹ Gastroenterology, Hepatology and Nutrition, UT Health Science Center at Houston, 6431 Fannin Street, MSB 4.234, Houston, TX 77030, USA.
² Gastroenterology, Hepatology and Nutrition, UT Health Science Center at Houston, 6431 Fannin Street, MSB 4.234, Houston, TX 77030, USA. Electronic address: Brooks.D.Cash@uth.tmc.edu.

PMID: 34304787
DOI: 10.1016/j.gtc.2021.03.004

Abstract

Irritable bowel syndrome (IBS) is among the most common diagnoses made by medical providers and its symptoms are common causes for health care consultation. IBS is characterized by abdominal pain associated with abnormal stool consistency and/or frequency and is widely considered a diagnosis of exclusion, despite abundant evidence contradicting such an approach. A positive diagnosis is achieved through application of symptom-based clinical criteria, careful history and physical examination, evaluation for alarm sign/symptoms, and judicious use of diagnostic testing. This article reviews the symptom-based criteria for IBS and utility of diagnostic tests commonly included in the evaluation of IBS symptoms.

Keywords: Alarm symptoms; Diagnosis; Irritable bowel syndrome; Rome criteria.

Publication types

Review

MeSH terms

Abdominal Pain / diagnosis
Abdominal Pain / etiology
Diagnosis, Differential
Humans
Irritable Bowel Syndrome* / diagnosis
Referral and Consultation