Irritable bowel syndrome differential diagnosis: Difference between revisions
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Revision as of 13:24, 20 June 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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