Patient reports 6 year history of episodes of diarrhea with abdominal pain lasting up to two weeks in duration. Inter-episode duration was variable, as long as 5 months. Present history of diarrhea began with onset of midsemester examinations. Stress at home or school is often associated with attacks.
Patient reports no weight loss or appearance of blood per rectum.
Physical examination and laboratory values unremarkable. Introduction and Definition. IBS is also one of the most common reasons for clinic visits to primary care physicians. Comparison of QOL impacts on IBS patients show similar changes as occur with clinical depression and greater impact than on those patients with type II diabetes. Thus, IBS represents an important possible consideration for the patient with pain and diarrhea.