Category: Health News
Created: 9/24/2008
Last Editorial Review: 9/24/2008
Bleeding from the rectum.
Dr.Phil Hariram.
Unexpected weight loss.
The Manning Criteria: A patient has Irritable Bowel Syndrome if there is abdominal pain and at least two of the listed symptoms in the absence of any structural disease.
If you have symptoms of IBS and you have a family history of colon cancer or polyp.
Mucus with stools.
Loss of appetite (anorexia).
There is a higher incident of haemorrhoids (piles) in Irritable Bowel Syndrome and can cause bleeding from the rectum. Bleeding from the rectum is, however, a red flag symptom and can point to serious underlying disease. Check it out.
There were no clear guidelines as to what symptoms or combination of symptoms lead to a diagnosis of IBS until the Manning Criteria was established in 1978.
Irritable Bowel Syndrome falls under the category of Medically Unexplained Disorder or Disease (MUD). Also included in this category is Fibromyalgia Syndrome. Professor Carson at the Royal Edinburgh Hospital says MUD develops when the brains control of the body becomes faulty.
Abdominal pain eased after defecation.
Loose stools at onset of pain.
IBS is very likely if you have all three of the above.
Diarrhoea is when the bowels open three or more times a day. Constipation is when the bowels open three times or less in a week.
Feeling of incomplete emptying.
Manning et al. 1978.
Diagnosis of IBS
Rome 11 Criteria:
Irritable Bowel Syndrome is the diagnosis if there is abdominal pain or discomfort for a duration of 12 weeks or more in a year with two of the three features listed in the absence of structural or other explanation.
Today doctors use the Rome 11 Criteria.
Patients who suspect they have Irritable Bowel Syndrome must see their doctor if they have any of the listed symptoms.
Symptoms first appearing after the age of 50.
More frequent bowel movement at onset of pain.
Change in frequency of stools.
Change in form of stools.
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