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Does a diagnosis of IBS-D require pain as one of the symptoms?  I have the usual symptoms of IBS-D but not bloating or pain.  What other diagnosis might the doctor consider if not IBS-D?

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Jeffrey Roberts

Well, yes. To consider IBS-D there is an abdominal pain component as well as a change in the stool.

>> diagnosis

There are many causes of diarrhea. There is even a diagnosis of functional diarrhea.

Were you given an IBS-D diagnosis and you are not sure that is correct?

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While a diagnosis of Irritable Bowel Syndrome with Diarrhea (IBS-D) often includes abdominal pain or discomfort, the absence of pain does not necessarily exclude the possibility of IBS. IBS is a functional gastrointestinal disorder characterized by a combination of symptoms, and individuals can present with varying degrees of pain or discomfort.

If you're experiencing the typical symptoms of IBS-D (such as diarrhea and changes in bowel habits) without significant pain or bloating, your doctor may still consider IBS as a possible diagnosis. However, it's crucial to explore other potential causes and rule out different conditions that may share similar symptoms. Some alternative diagnoses your doctor might consider include:

  1. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis may cause diarrhea without substantial pain in some cases. These conditions involve inflammation of the gastrointestinal tract.

  2. Microscopic Colitis: This is a type of inflammation in the colon that may not be visible during a regular colonoscopy. It can lead to chronic, watery diarrhea without significant abdominal pain.

  3. Celiac Disease: An autoimmune disorder triggered by gluten consumption, celiac disease can cause diarrhea among other symptoms. Pain may or may not be a prominent feature.

  4. Functional Diarrhea: Similar to IBS-D, functional diarrhea is diagnosed when there is chronic diarrhea without an identifiable structural or biochemical cause.

  5. Food Intolerances: Intolerance to certain foods or substances, such as lactose or fructose, can lead to diarrhea without necessarily causing much pain.

It's crucial to consult with your doctor for a comprehensive evaluation. They may recommend various tests, including blood tests, stool tests, imaging studies, or endoscopy, to rule out other conditions and arrive at an accurate diagnosis. Open communication with your healthcare provider will help ensure a thorough understanding of your symptoms and guide appropriate diagnostic and treatment plans.

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Jeffrey Roberts

Quote a "urology" website for a definition of IBS probably isn't the best source.

IBS by definition from the Rome Criteria requires abdominal pain. Trues, all of the other ailments which you mentioned are a possibility; however, abdominal pain as well as a change in the stool is the definition for IBS.

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