Mridul Chandra Das
Centre for Child Health, BLK Super Speciality Hospital
One should be alerted by these signs and look for alternative diagnoses, in previously diagnosed cases of IBS
- Recurrent unexplained fever
- Night time pain or diarrhea
- Stools that may be difficult to flush away
- Persistence of severe vomiting or diarrhea
- Recurrent or worsening rectal bleeding
- Joint pains
- History of weight loss and poor growth
- Family history of inflammatory bowel disease
- Unexplained pallor
- Delay in onset or progression of puberty
Such cases should be timely referred to a Pediatric gastroenterologist for further management.
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