List clinical features.
IBS is characterized by chronic abdominal pain and changes in bowel habits
Abdominal pain
Frequency, intensity, and localization generally vary widely from patient to patient
Typically related to defecation
Altered bowel habits: diarrhea and/or constipation
Other gastrointestinal symptoms
Nausea, reflux, early satiety
Passing of mucus, abdominal bloating
Extraintestinal symptoms
Generalized somatic symptoms (e.g., pain or fatigue, as in fibromyalgia)
Disturbed sexual function
Dysmenorrhea
Increased urinary frequency and urgency
Physical examination: normal
What are the red flag symptoms?
Red flag symptoms: nighttime diarrhea and abdominal pain, fever, bloody stools, weight loss, and acute onset of symptoms!
Describe the classification of IBS.
IBS-D: diarrhea is the predominant symptom
IBS-C: constipation is the predominant symptom
IBS‑M: mixed diarrhea and constipation
IBS-U: criteria for IBS are met but bowel movements can't be categorized into the above subgroups
Last changed2 years ago