Rome IV Diagnostic Criteria for Irritable Bowel Syndrome (IBS)
Official Rome IV criteria for the diagnosis of irritable bowel syndrome.
INSTRUCTIONS
Use in patients with symptoms suggestive of irritable bowel syndrome (IBS) such as chronic and recurrent abdominal pain and/or altered bowel habits for at least 6 months.
Patients with any of the following features must be evaluated clinically for other diagnoses even though IBS may be present:
- Signs or symptoms of gastrointestinal bleeding.
- Unexplained iron deficiency anemia.
- Unintentional weight loss.
- Palpable abdominal mass or lymphadenopathy on exam.
- Family history of colon cancer and have not had age-appropriate colon cancer screening.
- Onset of symptoms age ≥50 years and have not had age-appropriate colon cancer screening.
- Sudden or acute onset of new change in bowel habit.
When to Use
Pearls/Pitfalls
Why Use
Diagnostic Result:
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Evidence
Creator Insights
- Colleen Parker, MD
- Lin Chang, MD (Rome Foundation)
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