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Prevalence of Irritable Bowel Syndrome.No one knows the true incidence of Irritable Bowel Syndrome. |
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Prevalence
of IBS.
It
is very difficult to evaluate precisely the prevalence of Irritable
Bowel Syndrome globally or specifically in one country. The problem
is
mainly because the symptoms of IBS occur in every one of us at some
time or other. We have all had abdominal cramps and diarrhoea in the
past. Constipation and bloating is also not uncommon. When these
symptoms become frequent, then IBS
is considered. The prevalence will
depend on the criteria employed.
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In addition some IBS sufferers do not see a doctor and some only see a doctor when they fear a serious underlying illness or their symptoms are troublesome and uncontrolled.
It is estimated that globally there is an incidence of one in five or 20% of the population has Irritable Bowel Syndrome. If you use the Rome 11 Criteria, ie three months a year of abdominal pains, altered bowel habit and form, this figure is probably less. There may also be a large subgroup that falls below these Criteria and have short lived symptoms.
Although the first actual account of Irritable Bowel Syndrome was in 1962, it is not a syndrome of present day living. It has been described in the 19Th century but the presentation has altered since. The past cases had copious rectal mucous discharge. Today it is not a common symptom of IBS.
International Studies have shown that IBS is a worldwide problem. In addition to USA and Europe, studies have shown high prevalence in Africa and Asia. It is also recognised that only a fraction of people with IBS seen a doctor.
There is a significant gender difference. IBS is twice as common in women as men. In Gastroenterology Clinics, the difference is even greater. According to Thompson and Heaton, 86% of IBS patients seen in General Practice are women. Experts suggested that women are more likely to consult a doctor. In addition cultural influence and co-morbidity can affect doctor visits.
Irritable Bowel Syndrome is chronic condition and varies from one individual to another. Some have remission for variable periods. Others can have unrelenting and unpredictable symptoms.
Surveys of populations show that some have lost symptoms while others have acquired symptoms but the underlying factor that remains constant was the percentage of the population suffering from IBS was unaltered. It also consistently contributes as high as 50% of the gastroenterologist workload and 2% of family doctors’ visits.
A study in Malaysia showed the overall prevalence of 15.8%. There were significantly more women than men, and 77.4% had constipation-predominant IBS. Medical help was sought by only a minority.
A Greek Study suggested there is an increased prevalence of IBS (41.3%) in patients with bronchial Asthma.
A study in 2004 concluded that the quality of life was significantly reduced in patients with IBS and there were substantial burden of Healthcare Services even though 50% of IBS patients were self-medicating.
One study concluded that people with Irritable Bowel Syndrome had 40-80% higher prevalence odds of migraine, Fibromyalgia and depression. The prevalence of IBS and Fibromyalgia was 81% (Rome 11 Criteria) and the co-existence of IBS and depression in Fibromyalgia was 34%.
Overall prevalence of Irritable Bowel Syndrome in a urological clinic in one study was 31.2%. IBS symptoms were more common in those presenting with loin pain (Male 41%. Female 50%), dysuria (Male 44%. Female 46%), frequency/urgency (Male 32%. Female 44%). The overall male to female prevalence was 24% to 44%.
A study in Pakistan showed that IBS was common in young adult population. The prevalence in schools was higher in non-medical students but medical students were more likely to seek help from Healthcare.
Dr.Phil Hariram.
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Symptoms
of Irritable Bowel Syndrome. By Dr. Phil Hariram. The most important symptom of IBS is abdominal Pain: More frequent in the lower abdomen but can be in the upper abdomen. The intensity of the pain can be from just a twinge to a severe agonising and at times terrifying pain. It is usually eased after defaecation.Read more... |
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Treatment of Irritable Bowel Syndrome.By Dr. Phil Hariram.At present treatment of Irritable Bowel Syndrome is in the form of Patient Education. Dietary modification. Read more.... |
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Copyright www.healingibs.com. A website for
Irritable Bowel Syndrome(IBS).
Copyright www.healingibs.com. A website for
Irritable Bowel Syndrome(IBS).