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All Boards >> Irritable Bowel Syndrome Research Library

HeatherAdministrator

Reged: 12/09/02
Posts: 7423
Loc: Seattle, WA
Overlapping Conditions in Women With Irritable Bowel Syndrome
04/24/05 03:58 PM

Overlapping Conditions in Women With Irritable Bowel Syndrome

Margaret Heitkemper; Monica Jarrett


Abstract

Irritable bowel syndrome is a common and often unpredictable disorder with an increased incidence among women. It is characterized by abdominal pain associated with constipation-diarrhea. Recent research, current theories about etiology and pathophysiology, diagnosis, management, and overlapping conditions such as interstitial cystitis and chronic pelvic pain are discussed.

Introduction
Irritable bowel syndrome (IBS) is one of the most common gastrointestinal disorders diagnosed in the United States. IBS is characterized by abdominal pain and alterations in bowel patterns (such as diarrhea, constipation). It is estimated that 10% to 17% of the general population are affected by varying degrees of symptoms. These symptoms account for absences from school, missed work, reduced productivity, diminished quality of life, as well as tremendous costs associated with treating this disorder.

In 2000, the direct and indirect costs of diagnosis and symptom management of IBS were estimated to be $1.66 billion, making it not only costly to the individual but also to the health care system (Levy et al., 2001; Sandler et al., 2002). Leong and colleagues (2003) found that the total health care expenditures per year for the individual with IBS were $4,527 as compared to $3,276 for an age and gender-matched control in 1998. Excess surgeries are among the undesirable health care events related to an IBS diagnosis (Feld et al., 2003). In addition to health care utilization, the impact of IBS has been measured in the poorer quality of life of patients as well as missed work/school and reduced productivity (Motzer, Hertig, Jarrett, & Heitkemper, 2003; Whitehead, Burnett, Cook, & Taub, 1996).

In most countries, including the United States, the prevalence of IBS is approximately 2 to 2.5 times greater in women than men (Camilleri & Choi, 1997). This imbalance has prompted clinicians and investigators to examine factors that account for gender differences in IBS (for review see Chang & Heitkemper, 2002). Such studies have demonstrated that women with IBS are more likely to report a history of constipation whereas men are more likely to report diarrhea. In addition, women with IBS are more likely than men to report extra-intestinal disorders including migraine headaches, bladder discomfort, dyspaurenia, and chronic pelvic pain (Lee, Mayer, Schmulson, Chang, & Naliboff, 2001). The focus of this article is to explore current thinking related to the etiology and pathophysiology of IBS along with its relation to other pelvic organ conditions especially chronic pelvic pain (CPP) and interstitial cystitis (IC). Finally, diagnosis and management of IBS will be discussed.



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Section 1 of 6 Next Page: Etiology and Pathophysiology



Margaret Heitkemper, PhD, RN , is a Professor and Chairperson, Department of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA.

Monica Jarrett, PhD, RN , is an Associate Professor, Department of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA.


Urol Nurs. 2005; 25 (1): 25-31. 2005 Society of Urologic Nurses and Associates


To continue this article, click here http://www.medscape.com/viewarticle/499502

--------------------
Heather is the Administrator of the IBS Message Boards. Shes the author of Eating for IBS and The First Year: IBS, and the CEO of Heather's Tummy Care. Join her IBS Newsletter. Meet Heather on Facebook!

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Subject Posted by Posted on
* Gender / Hormones HeatherAdministrator 07/14/03 01:57 PM
. * Women, Hormones and IBS HeatherAdministrator 03/11/14 02:09 PM
. * Fennel is an effective herbal drug for menstrual pain HeatherAdministrator 08/27/13 11:29 AM
. * Constipation and Risk of Cardiovascular Disease among Postmenopausal Women HeatherAdministrator 08/03/11 03:58 PM
. * Differences in Gastrointestinal Symptoms According to Gender in Rome II Positive IBS and Dyspepsia HeatherAdministrator 03/11/10 01:51 PM
. * Gender-related differences in prepulse inhibition of startle in irritable bowel syndrome HeatherAdministrator 03/11/10 01:48 PM
. * No evidence of sex differences in heritability of irritable bowel syndrome HeatherAdministrator 03/31/08 11:36 AM
. * Acupuncture for the treatment of pain from a gender perspective. HeatherAdministrator 03/31/08 11:27 AM
. * The menstrual cycle and its effect on inflammatory bowel disease and irritable bowel syndrome HeatherAdministrator 11/07/07 02:35 PM
. * Irritable Bowel Syndrome Is More Common in Women Regardless of the Menstrual Phase HeatherAdministrator 11/07/07 02:31 PM
. * Pelvic floor dysfunction and IBS in patients with interstitial cystitis. HeatherAdministrator 10/10/07 12:33 PM
. * Women with IBS have abnormal pain modulation HeatherAdministrator 10/10/07 12:01 PM
. * Anxiety or Depression with IBS Affects More Women Than Men HeatherAdministrator 09/24/07 11:31 AM
. * Colonoscopies more difficult and painful for women and people with IBS HeatherAdministrator 09/24/07 11:22 AM
. * Role of gender and early childhood in constipation HeatherAdministrator 09/13/07 11:09 AM
. * Changes in Bowel Function: Pregnancy and the Puerperium HeatherAdministrator 03/01/07 01:39 PM
. * Drugs for gastrointestinal disorders in pregnant women. HeatherAdministrator 05/13/06 03:20 PM
. * Functional bowel disorders in patients with pelvic organ prolapse and incontinence HeatherAdministrator 12/08/05 12:10 PM
. * Sex specific alterations in autonomic function among patients with irritable bowel syndrome HeatherAdministrator 11/12/05 01:16 PM
. * Women With Interstitial Cystitis at Risk for Irritable Bowel Syndrome and Depression HeatherAdministrator 09/22/05 04:39 PM
. * Women and Men Perceive Pain Differently HeatherAdministrator 09/13/05 12:55 PM
. * Overlapping Conditions in Women With Irritable Bowel Syndrome HeatherAdministrator 04/24/05 03:58 PM
. * Bowel habit in irritable bowel syndrome in women: Defining an alternator HeatherAdministrator 04/10/05 06:18 PM
. * Recognition and treatment of irritable bowel syndrome among women with chronic pelvic pain HeatherAdministrator 03/28/05 12:18 PM
. * Irritable bowel syndrome, chronic pelvic inflammatory disease and endometriosis HeatherAdministrator 02/19/05 05:43 PM
. * A gene for diarrhoea-predominant IBS in women? HeatherAdministrator 11/28/04 02:21 PM
. * Autonomic Cardiovascular Responses Are Impaired in Women With Irritable Bowel Syndrome HeatherAdministrator 09/12/04 03:41 PM
. * Abdominal Bloating: Relation to Rectal Hypersensitivity and Menstrual Cycle HeatherAdministrator 06/27/04 01:55 PM
. * Catching Colon Cancer in Women Can Be Tough HeatherAdministrator 04/13/04 03:32 PM
. * Women More Sensitive to Pain Than Men HeatherAdministrator 04/13/04 03:31 PM
. * Gender Differences In Brain Response To IBS Pain HeatherAdministrator 11/18/03 03:32 PM
. * After Menopause, IBS Lessens in Women HeatherAdministrator 11/04/03 03:34 PM
. * Is hormone replacement therapy associated with an increased risk of irritable bowel syndrome? HeatherAdministrator 07/25/03 11:43 AM
. * Sleep disturbance influences gastrointestinal symptoms in women with irritable bowel syndrome. HeatherAdministrator 07/18/03 01:00 PM
. * Symptoms across the menstrual cycle in women with irritable bowel syndrome. HeatherAdministrator 07/18/03 12:58 PM
. * Does a physically active lifestyle improve symptoms in women with irritable bowel syndrome? HeatherAdministrator 07/18/03 12:54 PM
. * Relation between hysterectomy and the irritable bowel HeatherAdministrator 07/18/03 11:48 AM
. * Diagnosis and management of IBS, constipation, and diarrhea in pregnancy. HeatherAdministrator 07/18/03 11:47 AM
. * Physician perception of IBS management in women and men. HeatherAdministrator 07/15/03 06:38 PM
. * Gender issues in the management of IBD and IBS HeatherAdministrator 07/15/03 06:11 PM
. * Gender differences in gut transit HeatherAdministrator 07/15/03 06:07 PM
. * Bowel dysfunction in postmenopausal women. HeatherAdministrator 07/15/03 06:04 PM
. * Irritable Bowel Syndrome Worse During Periods HeatherAdministrator 07/14/03 03:25 PM
. * Sex-related differences in IBS patients: Central processing of visceral stimuli HeatherAdministrator 07/14/03 02:40 PM

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