A letter to the editor is presented in response to the article "Will the History and Physical Examination Help Establish That Irritable Bowel Syndrome is Causing This Patient's Lower Gastrointestinal Tract System?" by A. C. Ford, N. J. Talley, S. J. Veldhuyzen Van Zanten, N. B. Valkil, D. L. Simel and P. Moayyedi in a previous issue.