How Dr. Rishi Diagnoses Irritable Bowel Syndrome Mixed?
Dr. Chadha uses a step-by-step approach:
Reviews Your Health and Symptoms
He discusses your bowel habits, diet, stress levels, and family history to understand your pattern of constipation, diarrhea, pain and bloating.
Physical Examination
Checks your abdomen for tenderness, distension, and any signs that might point to other conditions.
Rome IV Criteria
Applies the standardized symptom-based guidelines to confirm a diagnosis of IBS-M.
Diagnostic Tests (as needed)
- Blood Tests: Rules out celiac disease, thyroid disorders, anemia, and markers of inflammation.
- Stool Tests: Screens for infections, parasites, and assesses gut microbiome balance.
- Colonoscopy or Imaging: Performed if you're over 45, have warning signs, or to exclude serious conditions.
Frequently Asked Questions
What is the ICD-10 code for IBS-M?
The ICD-10 code for Irritable Bowel Syndrome Mixed is K58.3.
How is IBS-M different from other types?
IBS-M causes both constipation and diarrhea. IBS-C is mostly constipation, while IBS-D is mostly diarrhea.
Can stress trigger IBS-M?
Yes. Stress affects your gut and can make IBS-M symptoms worse.
Is there a test to confirm IBS-M?
There is no single test. Dr. Chadha uses your symptom history, Rome IV criteria, and lab results to make a diagnosis.
What diet works best for IBS-M?
A low-FODMAP diet combined with soluble fiber often helps manage symptoms.
Will I need a colonoscopy?
A colonoscopy is recommended only if you're over 45 or have warning signs such as blood in your stool or unexplained weight loss.
Do probiotics help?
Yes. Certain probiotic strains can support gut health and reduce IBS-M symptoms.
Can IBS-M be cured?
IBS-M is a chronic condition, but with proper diet, lifestyle changes, and treatment, symptoms can be well managed.
How fast does treatment work?
Most patients notice improvement within 2�4 weeks, though long-term management may take longer.
Is exercise good for IBS-M?
Yes. Gentle activities like walking, yoga, or light stretching can help improve gut motility and reduce stress.