The Con Argument

Research output: Contribution to journalEditorialpeer-review

5 Scopus citations


Some claim that symptom-based Rome criteria are diagnostic and enhance clinical practice and choice of therapy for patients presenting with gastrointestinal symptoms. This overview focuses on lower gastrointestinal symptoms: constipation, diarrhea, pain, and bloating. The main con arguments for using such criteria for diagnosis are insufficient specificity, overlap of symptom-based categories or disorders, insufficient and therefore nonspecific characterization of pain in the criteria, inability to differentiate the "mimics" of irritable bowel syndrome (IBS) with constipation (IBS-C) and IBS with diarrhea (IBS-D), and inability to optimize treatment for IBS with mixed or alternating bowel function (IBS-M) or bloating in the absence of objective measurements.

Original languageEnglish (US)
Pages (from-to)129-132
Number of pages4
JournalClinical Gastroenterology and Hepatology
Issue number2
StatePublished - Feb 2010

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology


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