Diagnosing the patient with abdominal pain and altered bowel habits: Is it irritable bowel syndrome?

American Family Physician

Volumn 67, Issue 10, 2003, Pages 2157-2162

  Holten, Keith B ^a,c,d   Wetherington, Anthony ^a   Bankston, Laurie ^b  

^a UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE   (United States)

^b Clinton Memorial Hospital   (United States)

^c UNIVERSITY OF CINCINNATI   (United States)

^d Univ of Cincinnati Coll of Med ^*  (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL PAIN; ALGORITHM; ANEMIA; ARTICLE; CLINICAL EXAMINATION; DIET; DIFFERENTIAL DIAGNOSIS; FEVER; GASTROINTESTINAL HEMORRHAGE; HUMAN; IRRITABLE COLON; MENTAL STRESS; RISK FACTOR; SCREENING; WEIGHT REDUCTION;

ABDOMINAL PAIN; COLONIC DISEASES, FUNCTIONAL; CONSTIPATION; DIAGNOSIS, DIFFERENTIAL; DIAGNOSTIC TECHNIQUES, DIGESTIVE SYSTEM; DIARRHEA; HUMANS; SEVERITY OF ILLNESS INDEX;

EID: 0038178423     PISSN: 0002838X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (26)

1. Fass R, Longstreth GF, Pimentel M, Fullerton S, Russak SM, Chiou CF, et al. Evidence- and consensusbased practice guidelines for the diagnosis of irritable bowel syndrome. Arch Intern Med 2001; 161:2081-8.
2. Longstreth GF. Irritable bowel syndrome: diagnosis in the managed care era. Dig Dis Sci 1997;42: 1105-11.
3. Talley NJ, Gabriel SE, Harmsen WS, Zinsmeister AR, Evans RW. Medical costs in community subjects with irritable bowel syndrome. Gastroenterology 1995;109:1736-41.
4. Locke GR 3d, Zinsmeister AR, Talley NJ, Fett SL, Melton LJ. Risk factors for irritable bowel syndrome: role of analgesics and food sensitivities. Am J Gastroenterol 2000;95:157-65.
5. Locke GR 3d. The epidemiology of functional gastrointestinal disorders in North America. Gastroenterol Clin North Am 1996;25:1-19.
6. Maxwell PR, Mendall MA, Kumar D. Irritable bowel syndrome. Lancet 1997;350:1691-5.
7. Croffie JM, Fitzgerald JF, Chong SK. Recurrent abdominal pain in children: a retrospective study of outcome in a group referred to a pediatric gastroenterology practice. Clin Pediatr (Phila) 2000;39: 267-74.
8. Smith RP. Lower gastrointestinal disease in women. Obstet Gynecol Clin North Am 2001;28:351-61, viii.
9. Whitehead WE. Patient subgroups in irritable bowel syndrome that can be defined by symptom evaluation and physical examination. Am J Med 1999;107:33S-40S.
10. Dainese R, Galliani EA, De Lazzari F, Di Leo V, Naccarato R. Discrepancies between reported food intolerance and sensitization test findings in irritable bowel syndrome patients. Am J Gastroenterol 1999;94:1892-7.
11. Lee JG, Ellis K, Melynk C. Gastroenterologic disorders presenting as food intolerance. Immunol Allergy Clin North Am 1996;16:177-86.
12. Horwitz BJ, Fisher RS. The irritable bowel syndrome. N Engl J Med 2001;344:1846-50.
13. Wackerbauer R, Schmidt T, Widmer R, Pfeiffer A, Morfill G, Kaess H. Discrimination of irritable bowel syndrome by non-linear analysis of 24-h jejunal motility. Neurogastroenterol Motil 1998;10:331-7.
14. Evans PR, Bak YT, Shuter B, Hoschl R, Kellow JE. Gastroparesis and small bowel dysmotility in irritable bowel syndrome. Dig Dis Sci 1997;42:2087-93.
15. Mertz H, Naliboff B, Munakata J, Niazi N, Mayer EA. Altered rectal perception is a biological marker of patients with irritable bowel syndrome. Gastroenterology 1995;109:40-52.
16. Olden KW, Drossman DA. Psychologic and psychiatric aspects of gastrointestinal disease. Med Clin North Am 2000;84:1313-27.
17. Goldberg J, Davidson P. A biopsychosocial understanding of the irritable bowel syndrome: a review. Can J Psychiatry 1997;42:835-40.
18. Aaron LA, Burke MM, Buchwald D. Overlapping conditions among patients with chronic fatigue syndrome, fibromyalgia, and temporomandibular disorder. Arch Intern Med 2000;160:221-7.
19. Dalton CB, Drossman DA. Diagnosis and treatment of irritable bowel syndrome. Am Fam Physician 1997;55:875-80, 883-5.
20. Sanders DS, Carter MJ, Hurlstone DP, Pearce A, Ward AM, McAlindon ME, et al. Association of adult coeliac disease with irritable bowel syndrome: a case-control study in patients fulfilling ROME II criteria referred to secondary care. Lancet 2001;358:1504-8.
21. Bonis PA, Norton RA. The challenge of irritable bowel syndrome. Am Fam Physician 1996;53:1229-36.
22. Hammer J, Talley NJ. Diagnostic criteria for the irritable bowel syndrome. Am J Med 1999;107:5S-11S.
23. Thompson WG, Longstreth GF, Drossman DA, Heaton KW, Irvine EJ, Muller-Lissner SA. Functional bowel disorders and functional abdominal pain. Gut 1999;45 (suppl 2):43-7.
24. Francis CY, Duffy JN, Whorwell PJ, Martin DF. Does routine abdominal ultrasound enhance diagnostic accuracy in irritable bowel syndrome? Am J Gastroenterol 1996;91:1348-50.
25. Harris MS. Irritable bowel syndrome: a cost-effective approach for primary care physicians. Postgrad Med 1997;101:215-6, 219-20, 223-6.
26. Schmulson MW, Chang L. Diagnostic approach to the patient with irritable bowel syndrome. Am J Med 1999;107:20S-26S.