Ayurveda

What are Manning Criteria for Diagnosing Irritable Bowel Syndrome?

More than a disease,

irritable bowel syndrome (IBS)

can be a symptom of another disease. It is often confused for many other digestive system conditions. In diagnosis and differential diagnosis of irritable bowel syndrome, physicians consider several things. In 1978, researchers began to look more closely at IBS a serious disease, not just a small psychosomatic problem.

Diagnosis of IBS

is a process of exclusion. It is usually done by ruling out all other causes of symptoms such as infection or disease. But, sometimes this process is time consuming and costly. It is not a very convenient process for patients as well as for the physicians.

For the above reason, in 1978 Manning et al., created a questionnaire form for IBS sufferers. This was the first attempt at classifying the symptoms of IBS. It reports 4 common symptoms that are carefully evaluated for its diagnosis. This criteria was established to distinguish organic causes for symptoms from those of IBS.

The Manning Criteria are:

  1. Onset of pain linked to more frequent bowel movements
  2. Looser stools associated with onset of pain
  3. Pain relieved by passage of stool
  4. Noticeable abdominal bloating
  5. Sensation of incomplete evacuation more than 25% of the time
  6. Diarrhea with mucus more than 25% of the time

In 1992, the Rome criteria was established by another team of specialists, which further refines the Manning criteria. Further research was conducted in 1998 which led the Rome Working Team to propose changes in the diagnostic criteria for IBS after defining IBS. This helped improve clarity and reflect new research data for IBS.

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