Factors associated with irritable bowel syndrome symptoms in hemodialysis patients

Abstract

This study examined potential risk factors for symptoms compatible with IBS in HD patients and identified an association with paracetamol use, post-dialysis potassium level and KDQOL-cognitive function score.

Functional bowel disorders and associated risk factors in hemodialysis patients in Turkey

“…It is known that high Hgb levels in HD patients increase the quality of life. In a study, there was a statistically significant relationship between Hgb levels and the symptoms of IBS in HD patients (17). In our study, there was no statistically significant difference between the group with and that without FBDs in terms of mean Hgb levels.…”

“…The reason for this may be that female steroids reduce the pain threshold by affecting visceral sensitivity or the serotonin synthesis differences in the central nervous system between genders (21). In a study performed in 196 HD patients by Fiderkiewicz et al (17) IBS was found in 27 (13.8%) patients. This rate was 18% in women and 11% in men, but this difference was not statistically significant.…”

“…Chronic GISs are frequently seen in patients with CKD (17) and are observed at rates as high as 70% (11). Although FBDs have no mortality risks, they are an important for public health because of the prevalence, negative impact on the quality of life, high cost, and failure of curative treatment (18).…”

“…Further studies should be conducted with a greater number of patients in many centers. Secondly, additional symptoms that are not present in the Rome criteria should also be questioned due to the high comorbidity in HD patients (17). Thirdly, the psychological status and the use of laxatives, which could affect GISs, were not evaluated.…”

Prevalence of gastrointestinal and psychosomatic symptoms among Asian patients undergoing regular hemodialysis

“…The Japanese study reported only on constipation and showed that constipation was more common among patients undergoing HD compared with continued ambulatory peritoneal dialysis . A summary of the published studies reporting on GI symptoms or GI syndromes in patients with ESRD is presented in Table …”