IBS-D

Symptoms of irritable bowel syndrome

Dr Fermín Mearín-Manrique

Director of the Department of Gastroenterology, Institute of Functional and Motor Digestive Disorders, Barcelona, Spain

Symptoms in this patient point towards a diagnosis of irritable bowel syndrome (IBS)
IBS is characterised by the presence of recurring abdominal pain linked to changes in the pattern of bowel movements, be it constipation, diarrhoea, or both.1 In accordance with the Rome IV criteria there must be pain at least one day a week, associated with two or more of the following characteristics: defecation, change in frequency of bowel movements, change in stool consistency. Additionally, the criteria must have been met for at least the past three months, and the symptoms must have begun at least six months prior to the diagnosis.1

IBS commonly overlaps with other functional bowel disorders, such as functional constipation or diarrhoea.1 In fact, in the case that the patient presents with very mild, occasional pain, which only occurs during episodes of diarrhoea their symptoms would meet more of the criteria for functional diarrhoea than for...

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Job number: JB57410GBj(1) Date of Preparation: June 2020

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symptoms diagnosis irritable bowel syndrome ibs recurring abdominal pain bowel movements constipation diarrhoea rome iv criteria defecation change in frequency of bowel movements change in stool consistency functional bowel disorders diarrhoea dr fermín mearin-manrique

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