"Functional Bowel Disorder. Investigation in General Practice"

Launched by UNIVERSITY OF SOUTHERN DENMARK · Jun 29, 2010

Keywords

ClinConnect Summary

Background: Two opposing approaches can be distinguished in establishing the diagnosis of Irritable Bowel Syndrome (IBS): IBS as a "diagnosis of exclusion" versus IBS as a syndromic condition on its own. In Denmark we have no consensus on how to establish the diagnosis, but must often GPs approach IBS as a diagnosis of exclusion. Guidelines from the United Kingdom and the United States recommend the second approach, where the diagnosis is given as a positive diagnosis based on symptom-based IBS criteria. We lack research on this area carried out under controlled circumstances and in primary...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Fulfill ROME III criteria
• • age 18-50 years
• • signed informed content
• Exclusion Criteria:
• • Danger signals (fever, anaemia, weightloss, blod in stools, predisposition for CRC or IBD)
• • abnormal physical examination
• • comorbidity
• • abuse
• • lacking ability to talk and understand danish
• • pregnancy
• • Performed endoscopy within the last 3 years
• • For patients \> 40 years. Changed bowel habits, with duration \> 3 weeks, but \< 1 year
• • Age \< 18 years and \> 50 years