Question

A 42-year-old with chronic diarrhea, weight loss, and nocturnal symptoms has alarm features. Colonoscopy is planned. Regarding IBS diagnosis, which is true?

Accepted Answer

Alarm features warrant evaluation; IBS is a diagnosis of exclusion when red flags present

Answer

IBS can be diagnosed even with bleeding

Answer

Celiac serology is never indicated

Answer

Imaging replaces colonoscopy

Answer

Empiric opioids are appropriate for diarrhea

Practice question

A 42-year-old with chronic diarrhea, weight loss, and nocturnal symptoms has alarm features. Colonoscopy is planned. Regarding IBS diagnosis, which is true?