Fast Five Quiz: How Much Do You Know About Irritable Bowel Syndrome?

Jamie Shalkow, MD, FACS; Jenifer K. Lehrer, MD


March 15, 2016

The 2009 American College of Gastroenterologists (ACG) evidence-based position statement on the management of IBS does not recommend laboratory testing or diagnostic imaging in patients younger than 50 years with typical IBS symptoms and without "alarm features." Alarm features include the following symptoms and history:

  • Weight loss

  • Iron deficiency anemia

  • Family history of certain organic GI illnesses (eg, inflammatory bowel disease, celiac sprue, colorectal cancer)

Although rectal bleeding and nocturnal symptoms have also been considered alarm features, they are not specific for organic disease.

For more about the workup of IBS, read here.


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