Irritable bowel syndrome differential diagnosis: Difference between revisions
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==Differentiating Irritable Bowel Syndrome from other Diseases== | ==Differentiating Irritable Bowel Syndrome from other Diseases== | ||
===American Gastroenterological Association Guidelines for Diagnosis of IBS=== | |||
The [[American Gastroenterological Association]] has published a set of guidelines for tests which physicians should perform prior to diagnosing [[Irritable Bowel Syndrome]].<ref name="YAWN_2001">{{cite journal |author=Yawn BP, Lydick E, Locke GR, Wollan PC, Bertram SL, Kurland MJ |title=Do published guidelines for evaluation of irritable bowel syndrome reflect practice? |journal=BMC gastroenterology|volume=1 |issue= |pages=11 |year=2001 |pmid=11701092 |doi=}}</ref> The following tests are meant to exclude other causes, such as [[infection]] and [[colon cancer]]. | |||
#History and physical examination | |||
#Diagnostic testing | |||
##[[Complete blood count|CBC]] | |||
##Chemistry panel | |||
##[[Erythrocyte sedimentation rate|Sedimentation rate]] | |||
##Stool for O & P | |||
##Stool for occult blood | |||
##Flexible [[sigmoidoscopy]] | |||
##IF > 50, [[colonoscopy]] or [[Lower gastrointestinal series|barium enema]] and [[sigmoidoscopy]] | |||
##For diarrhea predominant: | |||
###Small bowel radiograph | |||
###Lactose/dextrose H2 breathing test | |||
##For [[constipation]] predominant: | |||
###Fiber trial | |||
##For pain predominant: | |||
###Plain film of [[abdomen]] | |||
===Diseases with similar symptoms=== | ===Diseases with similar symptoms=== | ||
* [[Lactose intolerance]] | * [[Lactose intolerance]] | ||
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Differentiating Irritable Bowel Syndrome from other Diseases
American Gastroenterological Association Guidelines for Diagnosis of IBS
The American Gastroenterological Association has published a set of guidelines for tests which physicians should perform prior to diagnosing Irritable Bowel Syndrome.[1] The following tests are meant to exclude other causes, such as infection and colon cancer.
- History and physical examination
- Diagnostic testing
- CBC
- Chemistry panel
- Sedimentation rate
- Stool for O & P
- Stool for occult blood
- Flexible sigmoidoscopy
- IF > 50, colonoscopy or barium enema and sigmoidoscopy
- For diarrhea predominant:
- Small bowel radiograph
- Lactose/dextrose H2 breathing test
- For constipation predominant:
- Fiber trial
- For pain predominant:
- Plain film of abdomen
Diseases with similar symptoms
- Lactose intolerance
- Inflammatory bowel disease
- Celiac disease
- Thyroid disease
- Diverticulitis
- Endometriosis
- Gallstones
- Gastroesophageal reflux disease (GERD)[2]
References
- ↑ Yawn BP, Lydick E, Locke GR, Wollan PC, Bertram SL, Kurland MJ (2001). "Do published guidelines for evaluation of irritable bowel syndrome reflect practice?". BMC gastroenterology. 1: 11. PMID 11701092.
- ↑ http://health.msn.com/health-topics/articlepage.aspx?cp-documentid=100062082