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    Rome II Diagnostic Criteria for Irritable Bowel Syndrome (IBS)

    Official Rome II criteria for the diagnosis of irritable bowel syndrome.

    INSTRUCTIONS

    The Rome IV Criteria are now recommended as an update to these criteria (May 2016).
    When to Use
    Pearls/Pitfalls
    Why Use

    Patients being evaluated for possible IBS.

    The Rome II Criteria, developed through a literature review and consensus process, defined the diagnosis of Irritable Bowel Syndrome (IBS) until the Rome III and subsequently Rome IV Criteria refined them. There remains no objective reference (i.e., ‘gold standard’) for the diagnosis.

    The symptoms that define IBS are generally subjective and self-reported, making a classification system helpful. Moreover, there is some evidence to support the notion that patients who meet formal Rome criteria are more likely to respond to some therapies.

    Patient must have at least 12 weeks of abdominal discomfort or pain, which need not be consecutive, in the preceding 12 months with at least 2 of following 3 features:

    Diagnostic Result:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights
    Dr. Douglas Drossman

    About the Creator

    Douglas Drossman, MD, is professor emeritus of medicine and psychiatry at the University of North Carolina School of Medicine. He is founder, President Emeritus and Chief of Operations of the Rome Foundation. He is also the founder of the Drossman Center for the Education and Practice of Biopsychosocial Care and Drossman Consulting, LLC. Dr. Drossman has written over 500 articles and book chapters, has published two books, a GI procedure manual and a textbook of functional GI disorders (Rome I-IV), and serves on six editorial and advisory boards.

    To view Dr. Douglas Drossman's publications, visit PubMed

    Are you Dr. Douglas Drossman? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    About the Creator
    Dr. Douglas Drossman
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