How strictly do you follow the Rome V criteria when diagnosing a patient with IBS especially when diagnostic accuracy studies question its sensitivity?

Do you treat these patients as disorders of gut-brain interaction (DGBI) if they do not meet IBS criteria? Recent diagnostic accuracy study reports lower sensitivity than prior Rome criteria - PMID 42392123

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For patients without alarm symptoms who do not meet the criteria for IBS, do you diagnose them with a disorder of gut-brain interaction (DGBI)?

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