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International

International
consultations

with Dr. Jacques Duff are welcomed via SKYPE or Telephone. Please call the clinic on
+613 9848 9100
for an appointment.
Note that international appointments need to be pre-paid at time of booking.

IBS ROME III criteria

ROME III Functional Bowel Disorders

C1. Irritable Bowel Syndrome

Diagnostic criterion*

Recurrent abdominal pain or discomfort** at least 3 days/month in the last 3 months associated with two or more of the following:

  1. Improvement with defecation
  2. Onset associated with a change in frequency of stool
  3. Onset associated with a change in form (appearance) of stool

* Criterion fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis

** “Discomfort” means an uncomfortable sensation not described as pain.

In pathophysiology research and clinical trials, a pain/discomfort frequency of at least 2 days a week during screening evaluation is recommended for subject eligibility.

C2. Functional Bloating

Diagnostic criteria* Must include both of the following:

  1. Recurrent feeling of bloating or visible distension at least 3 days/month in the last 3 months
  2. Insufficient criteria for a diagnosis of functional dyspepsia, irritable bowel syndrome, or other functional GI disorder

* Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis

C3. Functional Constipation

Diagnostic criteria*

1. Must include two or more of the following:

a) Straining during at least 25% of defecations

b) Lumpy or hard stools in at least 25% of defecations

c) Sensation of incomplete evacuation for at least 25% of defecations

d) Sensation of anorectal obstruction/blockage for at least 25% of defecations

e) Manual maneuvers to facilitate at least 25% of defecations (e.g., digital evacuation, support of the pelvic floor)

f) Fewer than three defecations per week

2. Loose stools are rarely present without the use of laxatives

3. Insufficient criteria for irritable bowel syndrome

* Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis

C4. Functional Diarrhea

Diagnostic criterion*

Loose (mushy) or watery stools without pain occurring in at least 75% of stools

* Criterion fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis

C5. Unspecified Functional Bowel Disorder

Diagnostic criterion*

Bowel symptoms not attributable to an organic etiology that do not meet criteria for the previously defined categories

* Criterion fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis

D. Functional Abdominal Pain Syndrome

Diagnostic criteria* Must include all of the following:

  1. Continuous or nearly continuous abdominal pain.
  2. No or only occasional relationship of pain with physiological events (e.g., eating, defecation, or menses)
  3. Some loss of daily functioning
  4. The pain is not feigned (e.g., malingering)
  5. Insufficient symptoms to meet criteria for another functional gastrointestinal disorder that would explain the pain

* Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis