Irritable bowel syndrome laboratory findings: Difference between revisions
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*This is due to lack of definitive [[Radiologic sign|radio logic]] or [[Medical laboratory|laboratory]] diagnostic tests in [[Irritable bowel syndrome|IBS]].There are no diagnostic laboratory findings associated with [disease name]. | *This is due to lack of definitive [[Radiologic sign|radio logic]] or [[Medical laboratory|laboratory]] diagnostic tests in [[Irritable bowel syndrome|IBS]].There are no diagnostic laboratory findings associated with [disease name]. | ||
The diagnosis of [[Irritable bowel syndrome|IBS]] relies on recognition of [[Gastrointestinal tract|gastrointestinal]] [[Symptom|symptoms]] that wax and wane for and are exacerbated by psycho social [[Stress (medicine)|stress]]. Diagnosis of [[Irritable bowel syndrome|IBS]] is based on on clinical [[Symptom|symptoms]] and elimination of other organic [[Gastrointestinal tract|gastrointestinal]] diseases. This is due to lack of definitive [[Radiologic sign|radio logic]] or [[Medical laboratory|laboratory]] diagnostic tests in [[Irritable bowel syndrome|IBS]].<ref name="pmid16678561">{{cite journal |vauthors=Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC |title=Functional bowel disorders |journal=Gastroenterology |volume=130 |issue=5 |pages=1480–91 |year=2006 |pmid=16678561 |doi=10.1053/j.gastro.2005.11.061 |url=}}</ref><ref name="pmid12454866">{{cite journal |vauthors=Drossman DA, Camilleri M, Mayer EA, Whitehead WE |title=AGA technical review on irritable bowel syndrome |journal=Gastroenterology |volume=123 |issue=6 |pages=2108–31 |year=2002 |pmid=12454866 |doi=10.1053/gast.2002.37095 |url=}}</ref><ref name="pmid17488783">{{cite journal |vauthors=Spiller R, Aziz Q, Creed F, Emmanuel A, Houghton L, Hungin P, Jones R, Kumar D, Rubin G, Trudgill N, Whorwell P |title=Guidelines on the irritable bowel syndrome: mechanisms and practical management |journal=Gut |volume=56 |issue=12 |pages=1770–98 |year=2007 |pmid=17488783 |pmc=2095723 |doi=10.1136/gut.2007.119446 |url=}}</ref><ref name="pmid12425586">{{cite journal |vauthors=Brandt LJ, Bjorkman D, Fennerty MB, Locke GR, Olden K, Peterson W, Quigley E, Schoenfeld P, Schuster M, Talley N |title=Systematic review on the management of irritable bowel syndrome in North America |journal=Am. J. Gastroenterol. |volume=97 |issue=11 Suppl |pages=S7–26 |year=2002 |pmid=12425586 |doi= |url=}}</ref><ref name="YAWN_2001">{{cite journal |author=Yawn BP, Lydick E, Locke GR, Wollan PC, Bertram SL, Kurland MJ|title=Do published guidelines for evaluation of irritable bowel syndrome reflect practice? |journal=BMC gastroenterology |volume=1|issue= |pages=11 |year=2001 |pmid=11701092 |doi=}}</ref>The hallmark of [[Irritable bowel syndrome|IBS]] is [[abdominal pain]]. A positive history of [[Stress (medicine)|stress]], [[anxiety]], [[depression]], [[Panic disorder|panic disorders]], gastrointestinal disorders such as [[Inflammatory bowel disease|IBD]] and acute [[Gastrointestinal tract|GI]] [[infection]] predispose individuals to [[Irritable bowel syndrome|IBS]]. The most common symptoms of [[Irritable bowel syndrome|IBS]] include presence of [[abdominal pain]] and alteration of [[Intestine|bowel]] habits. Less common symptoms of [[Irritable bowel syndrome|IBS]] include [[gas]], [[flatulence]] and upper [[Gastrointestinal tract|GI]] [[Symptom|symptoms]] such as [[heartburn]], [[Nausea and vomiting|nausea]], [[dyspepsia]] and [[Nausea and vomiting|vomiting]]. | |||
==History and Symptoms== | |||
*Clinical features of [[Irritable bowel syndrome|IBS]] include the presence of [[abdominal pain]] with alteration of [[Bowel|bowel habits]], without any systemic symptoms such as blood in stool, [[weight loss]] and [[fever]]. The onset of symptoms usually occurs during periods of [[Stress (medicine)|stress]] and [[anxiety]].<ref name="SCHMULSON_1999">{{cite journal |author=Schmulson MW, Chang L |title=Diagnostic approach to the patient with irritable bowel syndrome |journal=Am. J. Med. |volume=107 |issue=5A |pages=20S-26S |year=1999 |pmid=10588169 |doi=}}</ref><ref name="pmid25574104">{{cite journal| author=Jasper F, Egloff B, Roalfe A, Witthöft M| title=Latent structure of irritable bowel syndrome symptom severity. | journal=World J Gastroenterol | year= 2015 | volume= 21 | issue= 1 | pages= 292-300 | pmid=25574104 | doi=10.3748/wjg.v21.i1.292 | pmc=4284348 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25574104 }} </ref><ref name="pmid23731745">{{cite journal| author=van Tilburg MA, Palsson OS, Whitehead WE| title=Which psychological factors exacerbate irritable bowel syndrome? Development of a comprehensive model. | journal=J Psychosom Res | year= 2013 | volume= 74 | issue= 6 | pages= 486-92 | pmid=23731745 | doi=10.1016/j.jpsychores.2013.03.004 | pmc=3673027 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23731745 }} </ref> | |||
*The most common symptoms of [[Irritable bowel syndrome|IBS]] include [[abdominal pain]], altered [[Intestine|bowel]] habits, [[bloating]] and [[flatulence]].<ref name="TALLEY_2006">{{cite journal |author=Talley NJ |title=A unifying hypothesis for the functional gastrointestinal disorders: really multiple diseases or one irritable gut? |journal=Reviews in gastroenterological disorders|volume=6 |issue=2 |pages=72-8 |year=2006 |pmid=16699476 |doi=}}</ref><ref name="pmid23449495">{{cite journal |vauthors=Occhipinti K, Smith JW |title=Irritable bowel syndrome: a review and update |journal=Clin Colon Rectal Surg |volume=25 |issue=1 |pages=46–52 |year=2012 |pmid=23449495 |pmc=3348735 |doi=10.1055/s-0032-1301759 |url=}}</ref> | |||
OR | OR | ||
*An elevated/reduced concentration of serum/blood/urinary/CSF/other [lab test] is diagnostic of [disease name]. | *An elevated/reduced concentration of serum/blood/urinary/CSF/other [lab test] is diagnostic of [disease name]. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
An elevated/reduced concentration of serum/blood/urinary/CSF/other [lab test] is diagnostic of [disease name].
OR
Laboratory findings consistent with the diagnosis of [disease name] include [abnormal test 1], [abnormal test 2], and [abnormal test 3].
OR
[Test] is usually normal among patients with [disease name].
OR
Some patients with [disease name] may have elevated/reduced concentration of [test], which is usually suggestive of [progression/complication].
OR
There are no diagnostic laboratory findings associated with [disease name].
Laboratory Findings
- This is due to lack of definitive radio logic or laboratory diagnostic tests in IBS.There are no diagnostic laboratory findings associated with [disease name].
The diagnosis of IBS relies on recognition of gastrointestinal symptoms that wax and wane for and are exacerbated by psycho social stress. Diagnosis of IBS is based on on clinical symptoms and elimination of other organic gastrointestinal diseases. This is due to lack of definitive radio logic or laboratory diagnostic tests in IBS.[1][2][3][4][5]The hallmark of IBS is abdominal pain. A positive history of stress, anxiety, depression, panic disorders, gastrointestinal disorders such as IBD and acute GI infection predispose individuals to IBS. The most common symptoms of IBS include presence of abdominal pain and alteration of bowel habits. Less common symptoms of IBS include gas, flatulence and upper GI symptoms such as heartburn, nausea, dyspepsia and vomiting.
History and Symptoms
- Clinical features of IBS include the presence of abdominal pain with alteration of bowel habits, without any systemic symptoms such as blood in stool, weight loss and fever. The onset of symptoms usually occurs during periods of stress and anxiety.[6][7][8]
- The most common symptoms of IBS include abdominal pain, altered bowel habits, bloating and flatulence.[9][10]
OR
- An elevated/reduced concentration of serum/blood/urinary/CSF/other [lab test] is diagnostic of [disease name].
- [Test] is usually normal among patients with [disease name].
- Laboratory findings consistent with the diagnosis of [disease name] include:
- [Abnormal test 1]
- [Abnormal test 2]
- [Abnormal test 3]
- Some patients with [disease name] may have elevated/reduced concentration of [test], which is usually suggestive of [progression/complication].
References
- ↑ Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC (2006). "Functional bowel disorders". Gastroenterology. 130 (5): 1480–91. doi:10.1053/j.gastro.2005.11.061. PMID 16678561.
- ↑ Drossman DA, Camilleri M, Mayer EA, Whitehead WE (2002). "AGA technical review on irritable bowel syndrome". Gastroenterology. 123 (6): 2108–31. doi:10.1053/gast.2002.37095. PMID 12454866.
- ↑ Spiller R, Aziz Q, Creed F, Emmanuel A, Houghton L, Hungin P, Jones R, Kumar D, Rubin G, Trudgill N, Whorwell P (2007). "Guidelines on the irritable bowel syndrome: mechanisms and practical management". Gut. 56 (12): 1770–98. doi:10.1136/gut.2007.119446. PMC 2095723. PMID 17488783.
- ↑ Brandt LJ, Bjorkman D, Fennerty MB, Locke GR, Olden K, Peterson W, Quigley E, Schoenfeld P, Schuster M, Talley N (2002). "Systematic review on the management of irritable bowel syndrome in North America". Am. J. Gastroenterol. 97 (11 Suppl): S7–26. PMID 12425586.
- ↑ Yawn BP, Lydick E, Locke GR, Wollan PC, Bertram SL, Kurland MJ (2001). "Do published guidelines for evaluation of irritable bowel syndrome reflect practice?". BMC gastroenterology. 1: 11. PMID 11701092.
- ↑ Schmulson MW, Chang L (1999). "Diagnostic approach to the patient with irritable bowel syndrome". Am. J. Med. 107 (5A): 20S–26S. PMID 10588169.
- ↑ Jasper F, Egloff B, Roalfe A, Witthöft M (2015). "Latent structure of irritable bowel syndrome symptom severity". World J Gastroenterol. 21 (1): 292–300. doi:10.3748/wjg.v21.i1.292. PMC 4284348. PMID 25574104.
- ↑ van Tilburg MA, Palsson OS, Whitehead WE (2013). "Which psychological factors exacerbate irritable bowel syndrome? Development of a comprehensive model". J Psychosom Res. 74 (6): 486–92. doi:10.1016/j.jpsychores.2013.03.004. PMC 3673027. PMID 23731745.
- ↑ Talley NJ (2006). "A unifying hypothesis for the functional gastrointestinal disorders: really multiple diseases or one irritable gut?". Reviews in gastroenterological disorders. 6 (2): 72–8. PMID 16699476.
- ↑ Occhipinti K, Smith JW (2012). "Irritable bowel syndrome: a review and update". Clin Colon Rectal Surg. 25 (1): 46–52. doi:10.1055/s-0032-1301759. PMC 3348735. PMID 23449495.