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Diagnosis of Irritable Bowel Syndrome.

Diagnosis of Irritable Bowel Syndrome is made  when no physical abnormality is found
to explain symptoms.           



  

Ginger.IBS

Diagnosis of IBS.

Irritable Bowel Syndrome belongs to long list of unexplained conditions of the gut. Frustrated experts grouped them together and called them functional.
If you have IBS, then your pain, diarrhoea and/or constipation, and bloating are functional. In other words, your symptoms cannot be explained by current medical tests.
Irritable Bowel Syndrome is included in the category MUD (no kidding) Medically Unexplained Disease or Disorder. Included in this category is fibromyalgia.
The Manning Criteria was established in 1978 following a study of Irritable Bowel Syndrome symptoms.

A patient has a diagnosis of Irritable Bowel Syndrome if there is abdominal pain and at least two of the six listed below in the absence of any structural disease.                                                            
  •     Abdominal pain eased after defecation.
  •     More frequent bowel movement at onset of pain.
  •     Loose stools at onset of pain.            
  •     Abdominal distension.
  •     Mucus with stools.
  •     Feeling of incomplete emptying.
                                     Manning et al 1978.

 A team of Gastro-enterologist met in Rome and produced the definition and symptom criteria for Irritable Bowel Syndrome.
It is known today as the Rome II Criteria.
From these Criteria Irritable Bowel Syndrome is the diagnosis when there is duration of 12 weeks or more of abdominal pain or discomfort with two of the listed three features in the absence of structural or other explanation.
  •      Pain relief with defecation.
  •      Change in frequency of stools.
  •      Change in the form of stools.
The more symptoms, the easier the Diagnosis of Irritable Bowel Syndrome.
Abnormal stool frequency is more than 3 times a day (diarrhoea) and less than 3 a week (constipation)
Stool form is abnormal if it is lumpy or hard, or loose and watery.
Stool passage is abnormal if there is straining, urgency, or feeling of incomplete evacuation.
Passage of mucus as a rule is not common.
Bloating or feeling of distension of abdomen is a distressing symptom.

The Rome II Criteria was designed to help family doctors to reach a diagnossis of Irritable Bowel Syndrome confidently with few tests. This is particularly helpful in children with Irritable Bowel Syndrome and avoids them having embarrassing and unpleasant invasive investigations such as Sigmoidoscopy and Colonoscopy.

Dr. Phil Hariram.
Retired GP. Treated IBS patients for 27 years with support, drugs, hypnotherapy, alternative medication and acupuncture.




aloe vera ibs

Alternative Treatment for Irritable Bowel Syndrome.
 by Dr. Phil Hariram.
Conventional Medicine for Irritable Bowel Syndrome is unsatisfactory and fails most IBS patients. The knowledgeable patient, after diagnosis is made, tend to use alternative therapy for Irritable Bowel Syndrome and only return to their family doctor for  Read more...



irritablebowelsyndromeherbs

Treatment of Irritable Bowel Syndrome.

By Dr. Phil Hariram.
At present treatment of Irritable Bowel Syndrome is in the form of
       Patient Education.
       Dietary modification. Read more...
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Irritable Bowel Syndrome(IBS).