Abstract:This is the first study to evaluate the population prevalence of different IBS subtypes within a UK population. Although further investigations in IBS-D patients have led to alternative diagnoses, none were identified in the IBS-C population. The merits of investigating IBS-C patients should be questioned.
“…The most frequent sub-type of IBS in our study was IBS-M followed by IBS-C, and IBS-D. IBS-U was the least common form seen in our study. These findings are in accordance with the results of some European and North American studies 29,30 while they differ from several other studies. 31,32 It has been seen that the type of IBS is largely determined by the population under study and varies among different regions.…”
Background/AimsIrritable bowel syndrome (IBS) is a chronic psycho-physiological disorder. It is considered to be the most common functional gastrointestinal disorder, and about 50-90% of IBS patients have associated psychiatric co-morbidity. We aimed to study psychiatric co-morbidities in patients with IBS visiting a tertiary care center.
MethodsThis was a cross-sectional case-control study conducted over a duration of one and a half years from January 2014 to July 2015. Patients were selected from the out-patient department of gastroenterology. About 160 patients with IBS who fulfilled the inclusion criteria and who gave written informed consent were selected as study cases. The healthy attendants of cases were selected as controls. A total of 200 controls were selected. Rome-III criteria were used to diagnose IBS. For diagnosing psychiatric disorders, we used the Mini International Neuropsychiatric Interview Schedule Plus.
ResultsMean age of our cases and controls was 39.7 ± 11.4 and 37.7 ± 9.6 years, respectively. Females outnumbered males in our cases as well as their controls by a ratio of 2:1 approximately. Psychiatric disorders were seen in 84.4% of IBS patients as compared to 41.5% in controls. Major psychiatric disorders seen in our patients were generalized anxiety disorders (30.0%) and depression (28.0%).
ConclusionsThe majority of patients with IBS who present to a tertiary care center have co-morbid psychiatric disorders. We need to screen these patients for such co-morbidities and develop a holistic approach for better outcome in such cases.
“…The most frequent sub-type of IBS in our study was IBS-M followed by IBS-C, and IBS-D. IBS-U was the least common form seen in our study. These findings are in accordance with the results of some European and North American studies 29,30 while they differ from several other studies. 31,32 It has been seen that the type of IBS is largely determined by the population under study and varies among different regions.…”
Background/AimsIrritable bowel syndrome (IBS) is a chronic psycho-physiological disorder. It is considered to be the most common functional gastrointestinal disorder, and about 50-90% of IBS patients have associated psychiatric co-morbidity. We aimed to study psychiatric co-morbidities in patients with IBS visiting a tertiary care center.
MethodsThis was a cross-sectional case-control study conducted over a duration of one and a half years from January 2014 to July 2015. Patients were selected from the out-patient department of gastroenterology. About 160 patients with IBS who fulfilled the inclusion criteria and who gave written informed consent were selected as study cases. The healthy attendants of cases were selected as controls. A total of 200 controls were selected. Rome-III criteria were used to diagnose IBS. For diagnosing psychiatric disorders, we used the Mini International Neuropsychiatric Interview Schedule Plus.
ResultsMean age of our cases and controls was 39.7 ± 11.4 and 37.7 ± 9.6 years, respectively. Females outnumbered males in our cases as well as their controls by a ratio of 2:1 approximately. Psychiatric disorders were seen in 84.4% of IBS patients as compared to 41.5% in controls. Major psychiatric disorders seen in our patients were generalized anxiety disorders (30.0%) and depression (28.0%).
ConclusionsThe majority of patients with IBS who present to a tertiary care center have co-morbid psychiatric disorders. We need to screen these patients for such co-morbidities and develop a holistic approach for better outcome in such cases.
“…There are few comparable data in the literature; however, a recent report from Lin et al 13 (2013) evaluated the population prevalence of differing IBS subtypes within the UK and reported a total population prevalence of 6%, with the highest being IBS-M (2.7%). The prevalence of IBS-C was reported to be 0.7% (lower than the previous study of 1.35%) 13. Other groups have also reported inconsistencies in estimates of IBS-C.…”
Better diagnosing, through improved clinical coding and standardisation of diagnostic criteria, is required to more accurately assess the true burden and allow optimal management of IBS.
“…The prevalence of IBS has been estimated between 3% and 28%, with IBS-M more prevalent than IBS-C and IBS-D [Brummond et al 2015;Lin et al 2014;Locke et al 2000;Patel et al 2015;Rasmussen et al 2015;Rey de Castro et al 2015;Ringel et al 2009;Saito et al 2002;Su et al 2014]. IBS is also more prevalent in women compared with men [Lovell and Ford, 2012].…”
Irritable bowel syndrome is a functional bowel disorder with gastrointestinal symptoms (e.g. abdominal pain, straining, urgency, incomplete evacuation, nausea, and bloating) that occur alongside bowel function alterations (i.e.
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