
Postprandial urgency is common, as is alternation between constipation and diarrhea. Symptoms not consistent with IBS should alert the clinician to the possibility of an organic pathology. Inconsistent symptoms include the following:
Onset in middle or older age
Acute symptoms (IBS is defined by chronicity)
Progressive symptoms
Nocturnal symptoms
Anorexia or weight loss
Fever
Rectal bleeding
Painless diarrhea
Steatorrhea
Gluten intolerance
For more on the presentation of IBS, read here.
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Cite this: Jamie Shalkow, Jenifer K. Lehrer. Fast Five Quiz: How Much Do You Know About Irritable Bowel Syndrome? - Medscape - Apr 27, 2015.
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