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Irritable Bowel Syndrome (IBS) Message Board
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Old 02-06-2005, 09:07 AM   #1
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TexasCookie HB User
COuld this be IBS?

Ok here's what is going on, maybe someone can stop me frm freaking out. I get a terrible burning pain in the upper right side of my chest that is all the way through to my back. This will last for anywhere from thirty minutes to 2 hours and I usually have diarrhea within hours OR all day the next day. IS THIS IBS OR GERD? I also get heart palps that the cardiologist says are NOT dangerous and I seem to notice them more when constipated. Am I just nutz?
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Old 02-06-2005, 09:20 PM   #2
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Re: COuld this be IBS?

TexasCookie,

We can't give you an answer to your question. We're not doctors. Here is the Guidelines that doc's follow to dx IBS.

The Rome II Guidelines are the current standard for this definition.

The Rome II diagnostic criteria of Irritable Bowel Syndrome always presumes the absence of a structural or biochemical explanation for the symptoms and is made only by a physician.

Irritable Bowel Syndrome can be diagnosed based on at least 12 weeks (which need not be consecutive) in the preceding 12 months, of abdominal discomfort or pain that has two out of three of these features:

1. Relieved with defecation; and/or
2. Onset associated with a change in frequency of stool; and/or
3. Onset associated with a change in form (appearance) of stool.

Symptoms that Cumulatively Support the Diagnosis of IBS:
1. Abnormal stool frequency (may be defined as greater than 3 bowel movements per day and less than 3 bowel movements per week);

2. Abnormal stool form (lumpy/hard or loose/watery stool);

3. Abnormal stool passage (straining, urgency, or feeling of incomplete evacuation);

4. Passage of mucus;

5. Bloating or feeling of abdominal distension.

Supportive Symptoms of IBS:
1. Fewer than three bowel movements a week
2. More than three bowel movements a day
3. Hard or lumpy stools
4. Loose (mushy) or watery stools
5. Straining during a bowel movement
6. Urgency (having to rush to have a bowel movement)
7. Feeling of incomplete bowel movement
8. Passing mucus (white material) during a bowel movement
9. Abdominal fullness, bloating, or swelling

Red Flag symptoms which are NOT typical of IBS:
Pain that often awakens/interferes with sleep
Diarrhea that often awakens/interferes with sleep
Blood in your stool (visible or occult)
Weight loss
Fever
Abnormal physical examination

Once you have a firm IBS diagnosis, take heart. While there is no cure yet, there are many ways to successfully manage - and prevent - all IBS symptoms. You can control your IBS, not vice versa.

You really need to get to an appointment with a GI doc for testing. There are many things IBS minics and vica versa. So you really need to have those tests done.

Love,

Jamie

 
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