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IBS – Rome IV — RACP Paediatrics MCQ

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EasyGIIBS – Rome IVRACP Paediatrics

A 14-year-old has chronic abdominal pain associated with altered bowel habit (alternating loose and hard stools) for 6 months. Pain is related to defecation and changes in stool frequency. All screening investigations are normal. What is the Rome IV diagnosis?

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Correct answer: D — Rome IV – IBS

Chronic abdominal pain associated with altered bowel habit (changes in stool frequency and/or form) related to defecation, present for ≥2 months, with normal investigations meets Rome IV criteria for IBS. Management includes reassurance, dietary advice (consider FODMAP trial), psychological support (CBT, hypnotherapy), and pharmacotherapy if needed.

Reference: RCH Melbourne – 2023 – Functional GI CPG; RACP Paediatric Curriculum – GI