How individuals with the irritable bowel syndrome describe their own symptoms before formal diagnosis

Herdis Molinder, Lars Agréus*, Lars Kjellström, Susanna Walter, Nicholas J. Talley, Anna Andreasson, Henry Nyhlin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


Aim: To investigate how individuals fulfilling the Rome II criteria for irritable bowel syndrome (IBS) spontaneously described their symptoms. Method: From a general population, 1,244 randomly sampled adults were asked to describe their gastrointestinal symptoms (if any) verbally, in their own words, at a semi-structured interview. Their own descriptions were sorted into five symptom clusters. The participants independently completed a written questionnaire (the Rome II Modular Questionnaire (RMIIMQ)). Results: A total of 601 participants reported at least one gastrointestinal symptom, and 128 had IBS according to the RMIIMQ. After exclusion of organic causes, previously diagnosed IBS, or additional gastrointestinal diagnosis, 81 participants with IBS according to RMIIMQ remained. Five participants (6%) described symptoms included in the full definition of IBS, but none fulfilled the Rome II criteria completely. Abdominal pain or other IBS-related symptoms were reported by 64 (79%), and 12 (15%) did not report any IBS-like symptom. Conclusion: Previously undiagnosed individuals, who fulfil criteria for Rome II-IBS, often express their complaints in words that do not fit into the current diagnostic criteria.

Original languageEnglish
Pages (from-to)276-279
Number of pages4
JournalUpsala Journal of Medical Sciences
Issue number4
Publication statusPublished - 2 Oct 2015
Externally publishedYes


  • Diagnosis
  • digestive symptoms
  • irritable bowel syndrome (IBS)
  • layman's wording
  • medical history-taking
  • questionnaires


Dive into the research topics of 'How individuals with the irritable bowel syndrome describe their own symptoms before formal diagnosis'. Together they form a unique fingerprint.

Cite this