Cultural Context: Diagnosis of IBS

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Unfortunately diagnosing IBS is not straightforward. Symptoms are shared with different diagnosis’ such as Inflammatory Bowel Disease and there is no quantitative test for IBS specifically. This is mainly diagnosed by testing to rule out other possible diagnosis’. 

According to Maxwell, Mendall and Kumar (1997), attempts have been made to develop a criteria when diagnosing IBS. “The current standard definition of IBS was reached by consensus at an international working party of experts in Rome in 1989 and again in 1992 (Maxwell, Mendall and Kumar, 1997).” I have detailed the Rome criteria below due to it’s relevancy and recency. 
According to Maxwell, Mendall and Kumar (1997), “Application of the Rome criteria allows a positive diagnosis of IBS to be made with confidence.” Using the Rome criteria, it is possible to have an Inflammatory Bowel Disease alongside IBS, however because both diagnosis’ share similar symptoms, this factor needs to be taken into account (Maxwell, Mendall and Kumar, 1997). “When the index of suspicion is high that cancer or inflammatory-bowel disease is present, investigations are required to exclude these disorders (Maxwell, Mendall and Kumar, 1997).”

The most common investigations consist of blood tests, specific diets, stool samples and colonoscopy to rule out other diagnosis’.

Maxwell, P., Mendall, M. and Kumar, D., 1997. Irritable bowel syndrome. The Lancet, [online] 350(9092), pp.1691-1695. Available at: <http://www.sciencedirect.com/science/article/pii/S0140673697052768> [Accessed 31 December 2020].

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