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ROME II Diagnostic Criteria for Irritable Bowel Syndrome (IBS)

Provides criteria for diagnosis of irritable bowel syndrome (IBS) within 3 month period.

The ROME III Criteria are now recommended as an update to these criteria (May 2016).
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:

Advice

The ROME Criteria are helpful in classifying patients and for determining potential therapies.

Management

We are unaware of validated management algorithms using the ROME Criteria.

Critical Actions

IBS is a ‘rule-out’ diagnosis, which is to say all other possibilities must be ruled out first.