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How individuals with the irritable bowel syndrome describe their own symptoms before formal diagnosis
Karolinska Institute, Sweden.
Karolinska Institute, Sweden.
Sabbatsberg Hospital, Sweden.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Region Östergötland, Heart and Medicine Center, Department of Gastroentorology. Linköping University, Faculty of Medicine and Health Sciences.
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2015 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 120, no 4, 276-279 p.Article in journal (Refereed) PublishedText
Abstract [en]

Aim: To investigate how individuals fulfilling the Rome II criteria for irritable bowel syndrome (IBS) spontaneously described their symptoms. Method: From a general population, 1,244 randomly sampled adults were asked to describe their gastrointestinal symptoms (if any) verbally, in their own words, at a semi-structured interview. Their own descriptions were sorted into five symptom clusters. The participants independently completed a written questionnaire (the Rome II Modular Questionnaire (RMIIMQ)). Results: A total of 601 participants reported at least one gastrointestinal symptom, and 128 had IBS according to the RMIIMQ. After exclusion of organic causes, previously diagnosed IBS, or additional gastrointestinal diagnosis, 81 participants with IBS according to RMIIMQ remained. Five participants (6%) described symptoms included in the full definition of IBS, but none fulfilled the Rome II criteria completely. Abdominal pain or other IBS-related symptoms were reported by 64 (79%), and 12 (15%) did not report any IBS-like symptom. Conclusion: Previously undiagnosed individuals, who fulfil criteria for Rome II-IBS, often express their complaints in words that do not fit into the current diagnostic criteria.

Place, publisher, year, edition, pages
Taylor & Francis, 2015. Vol. 120, no 4, 276-279 p.
Keyword [en]
Diagnosis; digestive symptoms; irritable bowel syndrome (IBS); laymans wording; medical history-taking; questionnaires
National Category
Clinical Medicine
URN: urn:nbn:se:liu:diva-123836DOI: 10.3109/03009734.2015.1040529ISI: 000365684900007PubMedID: 25947550OAI: diva2:892859

Funding Agencies|Swedish Research Council; Ersta Hospital, Stockholm, Sweden; AstraZeneca RD, Sweden; Stockholm County Council; Karolinska Institutet, Stockholm, Sweden

Available from: 2016-01-11 Created: 2016-01-11 Last updated: 2016-01-18Bibliographically approved

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Walter, Susanna
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Division of Neuro and Inflammation ScienceDepartment of GastroentorologyFaculty of Medicine and Health Sciences
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