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HeatherAdministrator

Reged: 12/09/02
Posts: 7409
Loc: Seattle, WA
The menstrual cycle and its effect on inflammatory bowel disease and irritable bowel syndrome
      11/07/07 02:35 PM

Am J Gastroenterol. 1998 Oct;93(10):1867-72.

The menstrual cycle and its effect on inflammatory bowel disease and irritable bowel syndrome: a prevalence study.

Kane SV, Sable K, Hanauer SB.
Department of Medicine, University of Chicago, Illinois 60637, USA.

OBJECTIVE: Female patients with bowel disease commonly report worsening symptoms in relation to the menstrual cycle. Our aim was to determine the nature of gastrointestinal symptoms correlating with the menstrual cycle in women with inflammatory and irritable bowel disease.

METHODS: This was a retrospective study involving 49 women with ulcerative colitis (UC), 49 women with Crohn's disease (CD), 46 women with irritable bowel syndrome (IBS), and 90 healthy community controls. Participants were interviewed using a questionnaire including information regarding general health, medication history, pregnancy, as well as premenstrual and menstrual symptoms. Chi2 testing and logistic regression modeling were used to test for differences in frequencies between groups and for risk analysis.

RESULTS: Premenstrual symptoms were reported by 93% of all women but statistically more often by patients with CD (p < 0.01). CD patients were also more likely to report increased gastrointestinal symptoms during menstruation ( < 0.01), diarrhea being the symptom reported most often. All disease groups had a cyclical pattern to their bowel habits significantly more than controls (p=0.01). Cyclical symptoms included diarrhea, abdominal pain, and constipation. Logistic regression revealed an odds ratio (OR) of 1.1 (95% CI 0.9-1.2) for experiencing bowel symptoms during the premenstrual and menstrual phases and an OR of 2.0 (95% CI 1.2-3.2) for experiencing a cyclical pattern in bowel habit changes in women with bowel disease.

CONCLUSION: The prevalence of menstrually related symptoms is high, and appears to affect bowel patterns. The physiological and clinical effects of the menstrual cycle should be taken into consideration when assessing for disease activity.

PMID: 9772046 [PubMed - indexed for MEDLINE]

http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=9772046&ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlus

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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
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. * 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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