Rome_IV_IBS v.1
An evaluation tool for diagnosis of Irritable Bowel Syndrome (IBS) based on Rome IV criteria.
To provide diagnostic criteria dan evaluation of Irritable Bowel Syndrome (IBS).
As an evaluation tool for patient suspected of IBS. In order to fulfill the diagnostic criteria, the patient must have a predominant symptom of reccurent abdominal pain at least one day per week in the last 3 months which the onset occured since 6 months before diagnosis. The abdominal pain must be accompanied with at least two of the following criteria: - related to defecation (either increased or decreased pain), - associated with a change in stool frequency, - associated with a change in stool form (appearance). To further define the subtypes, additional evaluation of the stool form should be performed and intrepreted as such: - Constipation predominant IBS (IBS-C): more than one quarter (25%) of stools have Bristol stool form type 1 or 2, and less than a quarter, stool form 6 or 7. - Diarrhoea predominant IBS (IBS-D): more than one quarter (25%) of stools have Bristol stoolformtype 6 or 7, and less than a quarter, stool form 1 or 2. - IBS with mixed bowel habits (IBS-M): more than one quarter (25%) of stools have Bristol stool form type 1 or 2 and more than a quarter, stool form 6 or 7. - Non-classified IBS (IBS-U): IBS patients whose bowel habits cannot be classified in any of the above three categories.
Not to be used in the presence of these following conditions: - symptoms or signs of gastrointestinal bleeding - family history of colon cancer without prior age-appropriate colon cancer screening - presenting patient of ≥50 years without prior age-appropriate colon cancer screening - unexplained iron deficiency anemia - unintentional weight loss - palpable intraabdominal mass or lymphadenopathy - sudden or acute onset of change in bowel habit
1. Drossman DA. Functional Gastrointestinal Disorders: History, Pathophysiology, Clinical Features and Rome IV. Gastroenterology. 2016; 150(6):1262-1279. 2. Palsson OS, Whitehead WE, Van tilburg MA, et al. Rome IV Diagnostic Questionnaires and Tables for Investigators and Clinicians. Gastroenterology. 2016; 150(6):1481-1491. 3. Sebastián Domingo JJ. The new Rome criteria (IV) of functional digestive disorders in clinical practice. Medicina Clínica (English Edition). 2017;148(10):464–8.
EVALUATION.rome_iv_diagnostic_criteria_for_ibs.v0
