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Functional vs. Organic Distinction
- The traditional separation of "functional" and "organic" disorders is outdated and unhelpful.
- It leads to incomplete understanding and stigmatization of functional disorders like IBS.
Alarm Symptoms in IBS
- Look for "alarm symptoms" like weight loss, nocturnal bowel movements, or blood in stool.
- These symptoms warrant further workup beyond IBS and should not be ignored.
Chronic Diarrhea Workup
- When dealing with chronic diarrhea, especially in children, consider a stool calprotectant test.
- This can rule out inflammatory processes and reassure families, but avoid over-testing.