I am back! Irritable Bowel Syndrome for MRCP

Yes you are quite right, irritable bowel syndrome is always a diagnosis of exclusion. Always think of other diagnosis than irritable bowel diagnosis if your patient has either the following one,

1) Age more than 50 years

2) Weight loss

3) Per rectal bleeding

4) Anemia

There are two major criteria  either Rome or Manning criteria. Usually patients will have symptoms for at least 3 months. There are three types of IBS- constipated predominant, diarrhoe predominant or mixed type.

Patients usually have very non specific abdominal pain, pain and discomfort which is related to defecation and constipation or diarrhoe.