FREQUENCY OF IRRITABLE BOWEL SYNDROME IN COLLEGE STUDENTS

Authors

  • Wasim Jafri
  • Javed Yakoob
  • Nadim Jafri
  • Muhammad Islam
  • Qazi Masroor Ali

Abstract

Background: This study was carried out to investigate the presence of irritable bowel syndrome(IBS) in college students and compare its distribution in the non-medical college and medicalcollege students. Methods: We collected data from 508 students by inviting them to fill out aquestionnaire based on Rome II criteria for the diagnosis of IBS from November 2001 to February2004. Two major cities Karachi and Bahawalpur were selected and it was coordinated by thesection of Gastroenterology, Department of Medicine, Aga Khan University Hospital and Quaide-Azam Medical College, Bahawalpur. Results: A total of 508 subjects with males 43 %(220/508) and female 57 % (288/508) mean age 22 ± 2.8 years responded to the questionnaire.The overall frequency of IBS among college students was 34 % (171/508).There were 41 %(107/263) non-medical college and 26 % (64/245) medical college students with IBS. Abdominalpain was present in 100 % (171/171) with altered frequency of stool in 58 % (100/171) (p< 0.001,OR 12.5, CI 7.9-20.0) of students with IBS. The medical advice was sought by 38 % (65/171) inIBS group with 46 % (30/65) non-medical college school and 54 % (35/65) medical student(p=0.001, OR 1.9, CI 1.3-2.8). Conclusion: IBS is common in younger adult population ofPakistan. Its prevalence is higher in non-medical college students but health care seeking behaviorwas more common in medical students.Key words: Irritable Bowel Syndrome students, youngs, health seeking behavior

References

Thompson WG. The functional gastrointestinal bowel

disorders. In: Drossman D, ed. The functional gastrointestinal

disorder. McLean VA: Degnon Associates;1994:117-34.

Thompson WG, Longstreth GF, Drossman DA, Heaton KW,

Irvine EJ, Muller-Lissner SA. Functional bowel disorders and

functional abdominal pain. Gut 1999; 45 Suppl 2: 1143-7.

Heaton KW, O’Donnell LJD, Braddon FEM Mountford RA,

Hugh AO, Cripps PJ. Symptoms of irritable bowel syndrome

in a British urban community: Consulters and non-consulters.

Gastroenterology 1992; 102: 1962-7.

Jones R, Lydeard S. Irritable bowel syndrome in the general

population. BMJ 1992; 304: 87-90.

Fielding JF. The irritable bowel syndrome. Part I: clinical

spectrum. Clin Gastroenterology 1977; 6: 607-22.

Danivat D, Tankeyoon M, Sriratanaban A. Prevalence of

irritable bowel syndrome in a non-Western population. BMJ

; 296: 1710-4.

Ho KY, Kang JK, Seow A. Prevalence of gastrointestinal

symptoms in a multiracial Asian population with particular

reference to reflux-type symptoms. Am J Gastroenterol 1998;

: 1816-22.

Kwan AC, Hu WH, Chan YK, Yeung YW, Lai TS, Yuen H.

Prevalence of irritable bowel syndrome in Hong Kong. J

Gastroenterol Hepatol 2002; 17: 1180-6.

Jafri W, Yakoob J, Jafri N, Maloni M, Hamid S, Shah HA, et

al. Irritable bowel syndrome in health care personnel in

Pakistan. J Pak Med Assoc 2003; 53: 405-7.

Jafri W, Yakoob J, Jafri N, Maloni M, Shah HA, Hamid S, et

al. Diagnosis of Irritable Bowel Syndrome in patients

evaluated for organic bowel pathology. J Coll Phys Surg Pak

;14:438-9.

Drossman DA, Thompson WG. The irritable bowel syndrome:

Review and a graduated multi-component treatment approach.

Ann Intern Med 1992;116:1009-16.

Mathur A, Tandon BN, Prakash OM. Irritable colon

syndrome. J Indian Med Assoc 1966;46:651-5.

Syed EU, Mehmud S, Atiq R. Clinical and demographic

characteristics of psychiatric inpatients admitted via

emergency and non-emergency routes at a university hospital

in Pakistan. J Pak Med Assoc 2002;52:456-9.

CONCLUSION

There is a high frequency of Irritable Bowel

Syndrome in non-medical college students but health

seeking behavior is more common in medical

students. However, the results of this study need to be

confirmed in a larger multi center study.

Shaikh BT, Kahloon A, Kazmil M, Khalid H, Nawaz K, Khan

NA, et al. Stress management in medical students. J Coll

Physicians Surg Pak 2004;14:306-9.

Talley NJ, Phillips SF, Bruce BK, Twomey CK, Zinmeister

AR, Melton LJ 3rd. Relation between personality

characteristics and symptoms in non-ulcer dyspepsia and IBS.

Gastroenterology1990;99:327-33.

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