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AGA Guidelines for IBS testing



 It has been suggested that this article or section be merged into Irritable bowel syndrome. (Discuss)

The American Gastroenterological Association has published a set of guidelines for tests which physicians should perform prior to diagnosing Irritable Bowel Syndrome.[1] These tests are meant to exclude other causes, such as infection and colon cancer.

United States American Gastroenterological Association guidelines Diagnostic Guidelines for Diagnosis of IBS

  1. History and physical examination
  2. Diagnostic testing
    1. CBC
    2. Chemistry panel
    3. Sedimentation rate
    4. Stool for O & P
    5. Stool for occult blood
    6. Flexible sigmoidoscopy
    7. IF > 50, colonoscopy or barium enema and sigmoidoscopy
    8. For diarrhea predominant:
      1. Small bowel radiograph
      2. Lactose/dextrose H2 breathing test
    9. For constipation predominant:
      1. Fiber trial
    10. For pain predominant:
      1. Plain film of abdomen

References

  1. ^ Yawn BP, Lydick E, Locke GR, Wollan PC, Bertram SL, Kurland MJ (2001). "Do published guidelines for evaluation of irritable bowel syndrome reflect practice?". BMC gastroenterology 1: 11. PMID 11701092.
v • d • e
Digestive system - Gastroenterology (primarily K20-K93, 530-579)
EsophagusEsophagitis - GERD - Achalasia - Boerhaave syndrome - Nutcracker esophagus - Zenker's diverticulum - Mallory-Weiss syndrome - Barrett's esophagus
Stomach/
duodenum		Peptic (gastric/duodenal) ulcer - Gastritis - Gastroenteritis - Duodenitis - Dyspepsia - Pyloric stenosis - Achlorhydria - Gastroparesis - Gastroptosis - Portal hypertensive gastropathy
HerniaInguinal (Indirect, Direct) - Femoral - Umbilical - Incisional - Diaphragmatic - Hiatus
Noninfective enteritis and colitisIBD (Crohn's, Ulcerative colitis) - noninfective gastroenteritis
Other intestinalvascular (Abdominal angina, Mesenteric ischemia, Ischemic colitis, Angiodysplasia) - Ileus/Bowel obstruction (Intussusception, Volvulus) - Diverticulitis/Diverticulosis - IBS
other functional intestinal disorders (Constipation, Diarrhea, Megacolon/Toxic megacolon, Proctalgia fugax) - Anal fissure/Anal fistula - Anal abscess - Rectal prolapse - Proctitis (Radiation proctitis)
Liver/hepatitisAlcoholic liver disease - Liver failure (Acute liver failure) - Cirrhosis - PBC - NASH - Fatty liver - Peliosis hepatis - Portal hypertension - Hepatorenal syndrome
Accessory digestiveGallbladder (Gallstones, Choledocholithiasis, Cholecystitis, Cholesterolosis, Rokitansky-Aschoff sinuses)

Biliary tree (Cholangitis, Cholestasis/Mirizzi's syndrome, PSC, Biliary fistula, Ascending cholangitis)

Pancreas (Acute pancreatitis, Chronic pancreatitis, Pancreatic pseudocyst, Hereditary pancreatitis)
Other/generalAppendicitis - Peritonitis (Spontaneous bacterial peritonitis)

Malabsorption (celiac, Tropical sprue, Blind loop syndrome, Whipple's)

postprocedural: Gastric dumping syndrome - Postcholecystectomy syndrome

bleeding: Hematemesis - Melena - Gastrointestinal bleeding (Upper, Lower)
See also congenital
 
This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "AGA_Guidelines_for_IBS_testing". A list of authors is available in Wikipedia.
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