|
|
 |
IBS Glossary > Rome Criteria for Diagnosis
Rome Criteria for Irritable Bowel Syndrome Diagnosis
IBS is a physical - not psychological - disorder that affects mainly the bowel, and is characterized by lower abdominal pain or discomfort, diarrhea, constipation (or alternating diarrhea/constipation), gas, bloating, and nausea.
IBS is not a disease, it's a functional disorder, and it's actually characterized as a brain-gut dysfunction.
|
|
|
|
Because IBS is not a disease, diagnosis depends in part on determing whether or not your symptoms match those that have been medically established as definitive of Irritable Bowel Syndrome.
The Rome III Criteria are the current standard for this definition.
The Rome diagnostic criteria of Irritable Bowel Syndrome always presumes the absence of a structural or biochemical explanation for the symptoms and is made only by a physician.
Irritable Bowel Syndrome can be diagnosed based on at least 12 weeks (which need not be consecutive) in the preceding 12 months, of abdominal discomfort or pain that has two out of three of these features:
1. Relieved with defecation; and/or
2. Onset associated with a change in frequency of stool; and/or
3. Onset associated with a change in form (appearance) of stool.
Symptoms that Cumulatively Support the Diagnosis of IBS:
1. Abnormal stool frequency (may be defined as greater than 3 bowel movements per day and less than 3 bowel movements per week);
2. Abnormal stool form (lumpy/hard or loose/watery stool);
3. Abnormal stool passage (straining, urgency, or feeling of incomplete evacuation);
4. Passage of mucus;
5. Bloating or feeling of abdominal distension.
Supportive Symptoms of IBS:
1. Fewer than three bowel movements a week
2. More than three bowel movements a day
3. Hard or lumpy stools
4. Loose (mushy) or watery stools
5. Straining during a bowel movement
6. Urgency (having to rush to have a bowel movement)
7. Feeling of incomplete bowel movement
8. Passing mucus (white material) during a bowel movement
9. Abdominal fullness, bloating, or swelling
Red Flag symptoms which are NOT typical of IBS:
Pain that often awakens/interferes with sleep
Diarrhea that often awakens/interferes with sleep
Blood in your stool (visible or occult)
Weight loss
Fever
Abnormal physical examination
Once you have a firm IBS diagnosis, take heart. While there is no cure yet, there are many ways to successfully manage - and prevent - all IBS symptoms. You can control your IBS, not vice versa.
You can choose IBS treatments that are symptom-specific from the chart below.
If you're confident that you've been properly diagnosed with IBS, there are several key IBS treatments for successfully managing symptoms: follow the explicit IBS diet guidelines and IBS safe recipes; learn stress management through hypnotherapy for IBS or yoga practice for IBS; inform yourself with the best-selling and best-reviewed IBS books available; find the most helpful IBS supplements for specific symptoms and overall digestive health; and come join the IBS community to ask questions on our expert-moderated (and very friendly!) IBS message boards.
|
|
|
|
|
|
