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Defecation symptoms in primary health care patients with irritable bowel syndrome
Linköping University, Department of Biomedical and Clinical Sciences, Division of Inflammation and Infection. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Mag- tarmmedicinska kliniken.ORCID iD: 0000-0003-0836-3140
Linköping University, Department of Biomedical and Clinical Sciences, Division of Inflammation and Infection. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Mag- tarmmedicinska kliniken.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Inflammation and Infection. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Primary Care Center, Primary Health Care Center Mantorp. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Rehabilitation Medicine.
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2024 (English)In: Scandinavian Journal of Gastroenterology, ISSN 0036-5521, E-ISSN 1502-7708, Vol. 59, no 1, p. 16-24Article in journal (Refereed) Published
Abstract [en]

Background: The objectives of the present study were to (a) measure the prevalence of defecation symptoms in IBS, (b) investigate the relationship between stool consistency and defecation symptoms in IBS, and (c) investigate the association of defecation symptoms with health-related quality of life (HRQL) and self-reported stress in patients with IBS cared for in a primary health care setting. Methods: Ten primary health care centres joined the study. 282 patients with IBS as well as 372 non-IBS controls filled in gastrointestinal symptom diaries prospectively for two weeks as well as the Perceived Stress Scale-14 (PSS14) and the EuroQol barometer to measure perceived stress and HRQL, respectively. Results: Incomplete evacuation was present in 51% vs. 21% of the stools among the IBS patients and the non-IBS controls, respectively. The need to strain during defecation was existing in 41% vs. 33% of the stools for the IBS patients and the non-IBS controls, respectively. Urgency was experienced in 37% of the stools in the IBS patients compared with 18% of the stools in the non-IBS controls. Patients with IBS experienced in a significant higher degree of overlapping symptoms per stool (p < 0.001 to p = 0.007). The occurrence of all defecation symptoms in the same patient was related to decreased HRQL, and increased stress (p = 0.001 to p < 0.001). Conclusions: An overlap between IBS and symptoms from the anorectal region related to defecation was found in a primary health care population. Defecation symptoms are very common in primary care IBS-patients, it co-occurs with increased self-perceived stress, and decreased HRQL.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD , 2024. Vol. 59, no 1, p. 16-24
Keywords [en]
Gut-brain interaction; irritable bowel syndrome; defecation; straining; urgency; incomplete evacuation; psychological stress; quality of life; primary health care
National Category
Gastroenterology and Hepatology
Identifiers
URN: urn:nbn:se:liu:diva-197411DOI: 10.1080/00365521.2023.2248538ISI: 001131855600016PubMedID: 37612888Scopus ID: 2-s2.0-85168705514OAI: oai:DiVA.org:liu-197411DiVA, id: diva2:1794354
Note

Funding Agencies|FORSS (Medical Research Council of Southeast Sweden) [FORSS-188561, FORSS-229601, FORSS-307031]

Available from: 2023-09-05 Created: 2023-09-05 Last updated: 2025-01-24

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Sjödahl, JennyIngemansson, AnnaBureychak, TetyanaNorlin, Anna-KarinOlsen Faresjö, ÅshildWalter, Susanna
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Division of Inflammation and InfectionFaculty of Medicine and Health SciencesMag- tarmmedicinska klinikenDivision of Prevention, Rehabilitation and Community MedicinePrimary Health Care Center MantorpDepartment of Rehabilitation MedicineDivision of Society and HealthDivision of Diagnostics and Specialist Medicine
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