The multidimensional clinical profile for disorders of gut-brain interaction

Abstract

Category A: Categorical Rome Diagnosis Rome IV criteria Patient meets Rome IV criteria for disorders of gut-brain interaction such as IBS, functional constipation, and functional dyspepsia. Category B: Clinical Modifiers Review patient's relevant medical history. Ask the patient about relevant clinical signs and symptoms. Other medical diagnosis or symptom contributing to illness (i.e., fecal incontinence, bloating, belching, daytime vs. nighttime symptoms, coexisting nausea, postprandial symptoms), co-morbid somatic syndromes, sleep disturbances, history of abdominal surgeries or recent viral infection, sociocultural factors Category C: Impact on Daily Activities Ask the patient, "Overall, how much do the symptoms currently interfere with life (work, school, social activities, self-care, concentration, and performance)?" None, Mild, Moderate, or Severe Category D: Psychosocial Modifiers Ask patient about existing psychiatric diagnoses by a mental health provider. Providers should ask about psychosocial stressors that may be relevant. Non-mental health providers can use DSM-5 criteria 75 or validated clinical questionnaires to make psychiatric diagnoses.