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    Rome Self Help Questionnaire

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    ebookdr
    This questionnaire assesses symptoms to diagnose irritable bowel syndrome (IBS). It asks about the frequency and nature of abdominal pain and bowel habits over the past 3 months. IBS is diagnosed if a person experiences abdominal pain or discomfort at least 3 days per month associated with changes in stool frequency or appearance. The questionnaire distinguishes between IBS subtypes based on stool consistency.

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    Rome Self Help Questionnaire

    Uploaded by

    ebookdr
    85 views2 pages
    This questionnaire assesses symptoms to diagnose irritable bowel syndrome (IBS). It asks about the frequency and nature of abdominal pain and bowel habits over the past 3 months. IBS is diagnosed if a person experiences abdominal pain or discomfort at least 3 days per month associated with changes in stool frequency or appearance. The questionnaire distinguishes between IBS subtypes based on stool consistency.

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    Rome Self Help Questionnaire

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    This questionnaire assesses symptoms to diagnose irritable bowel syndrome (IBS). It asks about the frequency and nature of abdominal pain and bowel habits over the past 3 months. IBS is diagnosed if a person experiences abdominal pain or discomfort at least 3 days per month associated with changes in stool frequency or appearance. The questionnaire distinguishes between IBS subtypes based on stool consistency.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    85 views2 pages

    Rome Self Help Questionnaire

    Uploaded by

    ebookdr
    This questionnaire assesses symptoms to diagnose irritable bowel syndrome (IBS). It asks about the frequency and nature of abdominal pain and bowel habits over the past 3 months. IBS is diagnosed if a person experiences abdominal pain or discomfort at least 3 days per month associated with changes in stool frequency or appearance. The questionnaire distinguishes between IBS subtypes based on stool consistency.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Rome Self Help Questionnaire

    1. In the last 3 months, how often did 0 Never Never = Skip remaining
    you have discomfort or pain anywhere 1 Less than one day a month questions
    in your abdomen? 2 One day a month
    3 Two to three days a month
    4 One day a week
    5 More than one day a week
    6 Every day
    2. For women: Did this discomfort or pain 0 No
    occur only during your menstrual 1 Yes
    bleeding and not at other times?
    2 Does not apply because I have
    had the change in life
    (menopause) or I am a male
    3. Have you had this discomfort or
    pain 6 months or longer? 0 No
    1 Yes
    4. How often did this discomfort or pain get 0 Never or rarely
    better or stop after you had a bowel
    movement?
    1 Sometimes
    2 Often
    3 Most of the time
    4 Always
    5. When this discomfort or pain started, did 0 Never or rarely
    you have more frequent bowel 1 Sometimes
    movements? 2 Often
    3 Most of the time
    4 Always
    6. When this discomfort or pain started, did 0 Never or rarely
    you have less frequent bowel 1 Sometimes
    movements? 2 Often
    3 Most of the time
    4 Always
    7. When this discomfort or pain started, 0 Never or rarely
    were your stools (bowel movements) 1 Sometimes
    looser? 2 Often
    3 Most of the time
    4 Always
    8. When this discomfort or pain started, 0 Never or rarely
    how often did you have harder stools? 1 Sometimes
    2 Often
    3 Most of the time
    4 Always
    9. In the last 3 months, how often did you 0 Never or rarely 0 Never or rarely
    have hard or lumpy stools? 1 Sometimes 1 About 25% of the time
    2 Often Or 2 About 50% of the time
    3 Most of the time 3 About 75% of the time
    4 Always 4 Always, 100% of the time

    10. In the last 3 months, how often did 0 Never or rarely 0 Never or rarely
    you have loose, mushy or watery 1 Sometimes 1 About 25% of the time
    stools? 2 Often 2 About 50% of the time
    Or
    3 Most of the time 3 About 75% of the time
    4 Always 4 Always, 100% of the time
    C1. Irritable Bowel Syndrome

    Diagnostic Criteria*
    Recurrent abdominal pain or discomfort** at least 3 days/month in last 3 months associated with
    two or more of criteria #1 - #3 below:
    Pain or discomfort at least 2-3 days/month (question 1>2)
    For women, does pain occur only during menstrual bleeding? (Question 2=0 or 2)
    1. Improvement with defecation
    Pain or discomfort gets better after BM at least sometimes (question 4>0)
    2. Onset associated with a change in frequency of stool
    Onset of pain or discomfort associated with more stools at least sometimes
    (question 5>0), OR
    Onset of pain or discomfort associated with fewer stools at least sometimes
    (question 6>0)
    3. Onset associated with a change in form (appearance) of stool
    Onset of pain or discomfort associated with looser stools at least sometimes
    (question 7>0), OR
    Onset of pain or discomfort associated with harder stools at least sometimes
    (question 8>0)
    * Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis
    Yes. (Question 3=1)
    **”Discomfort” means an uncomfortable sensation not described as pain.
    In pathophysiology research and clinical trials, a pain/discomfort frequency of at
    least two days a week is recommended for subject eligibility.
    Pain or discomfort more than one day per week (question 1>4)

    Criteria for IBS-C (question 9>0) and (question 10=0)

    Criteria for IBS-D (question 9=0) and (question 10>0)

    Criteria for IBS-M (question 9>0) and (question 10>0)

    Criteria for IBS-U (question 9=0) and (question 10=0)

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