Pattern of Irritable Bowel Syndrome and its Symptoms Characteristics: A Study from Tertiary Care Hospital in North India
Keywords: Body Mass Index (BMI), Irritable Bowel Syndrome, Out Patient Department (OPD).
AbstractIntroduction: Irritable bowel syndrome (IBS) is a bowel disorder in which chronic abdominal pain is associated with irregularity in the form of stool and passage in the absence of any organic cause. IBS is classified into various subtypes, including IBS-D (Diarrhea predominant), IBS-C (Constipation predominant) and IBS-M (mixed). Objective: The present study was planned to evaluate the pattern of IBS, its symptoms, characteristics epidemiological profile of patients of IBS from rural area in Haryana, attending a tertiary care hospital. Materials And Methods: After being selected as the study population, 100 consecutive patients aged 12 to 50 years presenting to the Out Patient Department (OPD) of Gastroenterology were asked about a detailed questionnaire. Results: The numbers of IBS-D patient were 68 (68%), IBS-M were 26 (26%), and IBS-C were 6 (6%). The number of male patients was 58 (58%), and the number of female patients was 42 (42%). 44% of patients with IBS had a normal body mass index (BMI), 3% were underweight, 42% were overweight, and 11% were obese. Among the obese patients, 72.7% had IBS-D,18.1% had IBS-M and 9% had IBS-C. Most patients in the study were farmers by occupation (38%). 36% patients in the study were educated upto secondary school, while only 28% were graduates and 8% were post graduates. We concluded that IBS-D was the most common subtype observed in our study population. Majority of individuals in this study had a BMI >25 kg/m2. Majority of patients in our study had a low level of education. Conclusion: Further studies which include a larger population are required which can elaborate the differences in clinical profile of patients with IBS in urban and rural population.
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