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Faecal incontinence is not rare in irritable bowel syndrome
  1. Christopher J Black1,2,
  2. Alexander C Ford1,2
  1. 1 Leeds Gastroenterology Institute, St James's University Hospital, Leeds, West Yorkshire, UK
  2. 2 Leeds Institute of Medical Research at St James’s, University of Leeds, Leeds, UK
  1. Correspondence to Alexander C Ford, Leeds Gastroenterology Institute, St James's University Hospital, Leeds LS9 7TF, UK; alexf12399{at}

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We read the article by Munsch et al concerning missed opportunities for diagnosing microscopic colitis (MC) with interest.1 As the authors of the article mention, there is considerable overlap and diagnostic confusion between MC and irritable bowel syndrome (IBS). This is an area of interest to us, and one our group has published on previously.2 We agree entirely with the majority of points made in the article. However, we would like to take issue with the authors’ suggestion that faecal incontinence is rare in people with IBS, and can be used to distinguish between …

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  • Contributors CJB and ACF contributed equally to the manuscript and approved the final draft for submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.