Every decade or so, a global panel of gastroenterology experts rewrites the diagnostic rulebook for conditions like IBS and it's just been updated for the first time in ten years. In this episode, Sandra and Wagdy unpack what's actually changed in the ROME V update, and what it means for anyone who's ever been told "your tests are normal, there's nothing wrong."


This episode covers:

  • What the Rome criteria are, and how they moved GI diagnosis from a last resort to a positive process.
  • Why "functional" is being dropped, and what the new language actually means for patients.
  • The IBS criteria changes — and the new diagnoses added for the first time.
  • Why research criteria and clinical criteria are now separate, and who that change is really for.
  • Why the patient-provider relationship is now considered part of the treatment itself.

For years, a quarter of people with real, disruptive gut symptoms didn't meet the criteria for any diagnosis at all, despite worse quality of life, higher anxiety and more time spent in doctors' offices than people with no symptoms whatsoever. This episode is about the update that's finally designed to catch them. If you've ever been told your tests are normal and left with more questions than answers, this one's for you.

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Sandra Mikhail

Wagdy Mikhail 


For more information visit nutritition-az.com

Grab a copy of Sandra’s book and don’t forget to post a review!  The Gut Chronicles: An uncensored journey into the world of digestive health and illness. 


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