PMID: 698649Sep 2, 1978Paper

Towards positive diagnosis of the irritable bowel

British Medical Journal
A P ManningA F Morris

Abstract

A questionnaire to establish the presence of 15 symptoms thought to be typical of the irritable bowel syndrome (IBS) was given to 109 unselected patients referred to gastroenterology or surgery clinics with abdominal pain or a change in bowel habit or both. Review of case records 17--26 months later established a definite diagnosis of IBS in 32 patients and of organic disease in 33. Four symptoms were significantly more common among patients with IBS--namely, distension, relief of pain with bowel movement, and looser and more frequent bowel movements with the onset of pain. Mucus and a sensation of incomplete evacuation were also common in these patients. The more of these symptoms that were present the more likely was it that the patient's pain or altered bowel habit, or both, was due to IBS. We conclude that a careful history can increase diagnostic confidence and reduce the amount of investigation in many patients with chronic abdominal pain.

References

Sep 17, 1977·Lancet·A FergusonM A Eastwood

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Citations

Jan 9, 2007·Inflammatory Bowel Diseases·David LimsuiWilliam J Sandborn
Dec 1, 1981·Digestive Diseases and Sciences·W G Thompson
Oct 1, 1993·Digestive Diseases and Sciences·G Goldsmith, J S Levin
Dec 1, 1991·Digestive Diseases and Sciences·S NaveauJ C Chaput
Mar 1, 1987·Digestive Diseases and Sciences·D S GreenbaumN A Halvorsen
Jul 1, 1982·Digestive Diseases and Sciences·W G ThompsonR C Nair
Jan 1, 1991·Digestive Diseases and Sciences·G TriadafilopoulosD L Goldenberg
Sep 1, 1993·Digestive Diseases and Sciences·G F Longstreth, G Wolde-Tsadik
Sep 1, 1993·Digestive Diseases and Sciences·A P WestonP B Miner
Feb 1, 1993·Digestive Diseases and Sciences·M CostantiniE Ancona
Mar 1, 1992·Digestive Diseases and Sciences·P BechiC Cortesini
Feb 1, 1992·Digestive Diseases and Sciences·N J Talley
Feb 1, 1992·Digestive Diseases and Sciences·G FrigerioG Minoli
Feb 1, 1992·Digestive Diseases and Sciences·J E KellowM Jones
Oct 1, 1983·Digestive Diseases and Sciences·U AcharyaC L Smith
Mar 1, 1981·Digestive Diseases and Sciences·W G Thompson
Apr 1, 1988·Digestive Diseases and Sciences·M A Atoba
Dec 30, 1989·Nederlands tijdschrift voor geneeskunde
Aug 1, 1989·Digestive Diseases and Sciences·L BarbaraM Wienbeck
Dec 1, 1990·Digestive Diseases and Sciences·C MansiG Celle
Jan 1, 1986·International Journal of Colorectal Disease·A T Axon
Jul 1, 1997·Diseases of the Colon and Rectum·S KörsgenM R Keighley
Jun 1, 1996·Diseases of the Colon and Rectum·F AgachanS D Wexner
May 1, 1995·Digestive Diseases and Sciences·I O OlubuyideA A Fasanmade
Apr 1, 1995·Digestive Diseases and Sciences·S NaveauJ C Chaput
Jun 1, 1995·Digestive Diseases and Sciences·J S GalatiE M Quigley
Aug 1, 1995·Digestive Diseases and Sciences·M J ZuckermanG G Gregory
Dec 1, 1995·Digestive Diseases and Sciences·E TaubW E Whitehead
Nov 24, 1999·Diseases of the Colon and Rectum·A GliaJ E Akerlund
Nov 24, 1999·Diseases of the Colon and Rectum·M BouchouchaM Arsac
Apr 1, 1986·Diseases of the Colon and Rectum·O F DentP H Chapuis
Nov 1, 1981·Diseases of the Colon and Rectum·N I McNeil, D S Rampton
Jun 25, 1999·Integrative Physiological and Behavioral Science : the Official Journal of the Pavlovian Society·J FentG Adám
Dec 1, 1994·Irish Journal of Medical Science·E Guthrie
Sep 21, 2012·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·D J StobaughE D Ehrenpreis
Mar 28, 2006·International Journal of Colorectal Disease·Delnaz RoshandelMohammad Reza Zali
Nov 15, 2006·International Journal of Colorectal Disease·David S SandersSteve Brown

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