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Am J Gastroenterol. 2010 Feb 23.
Differences in Gastrointestinal Symptoms According to Gender in Rome II Positive IBS and Dyspepsia in a Latin American Population.
Schmulson M, Adeyemo M, Gutiérrez-Reyes G, Charúa-Guindic L, Farfán-Labonne B, Ostrosky-Solis F, Díaz-Anzaldúa A, Medina L, Chang L.
Laboratory of Liver, Pancreas and Motility (HIPAM), Department of Experimental Medicine-Faculty of Medicine, Universidad Nacional Autónoma de Mexico, Mexico City, Mexico.
OBJECTIVES:Irritable bowel syndrome (IBS), constipation, and bloating are more prevalent in women than men, but gender differences associated with dyspepsia are inconsistent.The aim of this study was to determine gender differences in the prevalence of symptoms diagnostic for functional gastrointestinal disorders (FGIDs) in subjects with IBS and dyspepsia, as well as in controls in Mexico.
METHODS:A database of 1,021 subjects (61% women) who completed the Rome II Modular Questionnaire (RIIMQ) in Spanish Mexico was analyzed. Gender differences in the frequency of all symptoms included in the RIIMQ between those fulfilling criteria for IBS (28.9%), dyspepsia (4.0%) and controls without any FGIDs (38.2%) were studied. Subjects fulfilling criteria only for other FGIDs were excluded.
RESULTS:There were higher proportions of women with IBS (67.8%) and dyspepsia (85.4%) compared with the control group (55.9%) (P<0.001). In IBS, women more frequently reported changes in the number of bowel movements (BMs) associated with the onset of abdominal discomfort/pain, fewer than three BMs/week and abdominal fullness/bloating/swelling than men. Men with IBS more frequently reported swallowing air to belch and abdominal pain that improved after a BM than women. In controls, burping and hard or lumpy stools were both more frequent in men.
CONCLUSIONS:In Mexico, gender differences in FGIDs exist, with both IBS and dyspepsia being more common in women than men. In IBS, symptoms related to constipation and bloating were more common in women, but the dyspepsia group was too small to draw any conclusions. Finally, this is the first study to report that belching is more common in men than women controls not fulfilling criteria for any FGID.
Am J Gastroenterol advance online publication, 23 February 2010; doi:10.1038/ajg.2010.58.
PMID: 20179693 [PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/20179693
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Constipation and Risk of Cardiovascular Disease among Postmenopausal Women
Elena Salmoirago-Blotcher, MDemail address
,
Sybil Crawford, PhD
,
Elizabeth Jackson, MD
,
Judith Ockene, PhD
,
Ira Ockene, MD
published online 10 June 2011.
Background
Constipation is common in Western societies, accounting for 2.5 million physician visits/year in the US. Because many factors predisposing to constipation also are risk factors for cardiovascular disease, we hypothesized that constipation may be associated with increased risk of cardiovascular events.
Methods
We conducted a secondary analysis in 93,676 women enrolled in the observational arm of the Women's Health Initiative. Constipation was evaluated at baseline by a self-administered questionnaire. Estimates of the risk of cardiovascular events (cumulative end point including mortality from coronary heart disease, myocardial infarction, angina, coronary revascularization, stroke, and transient ischemic attack) were derived from Cox proportional hazards models adjusted for demographics, risk factors, and other clinical variables (median follow-up 6.9 years).
Results
The analysis included 73,047 women. Constipation was associated with increased age, African American and Hispanic descent, smoking, diabetes, high cholesterol, family history of myocardial infarction, hypertension, obesity, lower physical activity levels, lower fiber intake, and depression. Women with moderate and severe constipation experienced more cardiovascular events (14.2 and 19.1 events/1000 person-years, respectively) compared with women with no constipation (9.6/1000 person-years). After adjustment for demographics, risk factors, dietary factors, medications, frailty, and other psychological variables, constipation was no longer associated with an increased risk of cardiovascular events except for the severe constipation group, which had a 23% higher risk of cardiovascular events.
Conclusion
In postmenopausal women, constipation is a marker for cardiovascular risk factors and increased cardiovascular risk. Because constipation is easily assessed, it may be a helpful tool to identify women with increased cardiovascular risk.
http://www.amjmed.com/article/PIIS0002934311002920/abstract?rss=yes
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Heather is the Administrator of the IBS Message Boards. She is 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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Ayu. 2012 Apr;33(2):311-3. doi: 10.4103/0974-8520.105259.
Effect of fennel on pain intensity in dysmenorrhoea: A placebo-controlled trial.
Omidvar S, Esmailzadeh S, Baradaran M, Basirat Z.
Source
Research Scholar, Maternal and Child Health, Babol University of Medical Sciences and Health Services, Iran.
Abstract
The aim of this study was to determine the clinical effect of Foeniculum vulgare on primary dysmenorrhoea. Sixty virgin girls with complaints of dysmenorrhoea were enrolled in this study, out of which 50 cases were completed the course of treatment and were divided in two groups (study and placebo) and were under treatment for two cycles. In study group a capsule of 30 mg fennel extract, four times a day for three days from start of their menstrual period and in placebo a capsule containing wheat flour in same dose was administered. Intensity of pain was reported by using a 10 - point linear analogue technique. In study group the mean age of menarche was 13.1 ± 0.1 and onset age of dysmenorrhoea was 14.5 ± 0.1 years. Both groups were relieved but there was significant difference between study and placebo group. Study group shown more effective results than placebo in pain relief (P`0.05). Based on the observations, it can be concluded that, fennel is an effective herbal drug for menstrual pain.
KEYWORDS:
Fennel, Foeniculum vulgare, pain, primary dysmenorrhoea
PMID:
23559811
[PubMed]
PMCID:
PMC3611645
http://www.ncbi.nlm.nih.gov/pubmed/23559811
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Heather is the Administrator of the IBS Message Boards. She is 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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Women, hormones, and IBS
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Heather is the Administrator of the IBS Message Boards. She is 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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ASA Releases Women's Pain Update To Raise Awareness
Pain management in women is often overlooked and ineffective for a variety of conditions ranging from back pain to postsurgery cancer pain, according to the American Society of Anesthesiologists (ASA). In response, the ASA has issued the Women's Pain Update, in the hopes of raising awareness of available treatment options, as well as the role a pain medicine specialist can play in treating chronic and acute pain.
The ASA conducted a literature review of peer-reviewed studies related to women and pain that were published in 2014. According to Donna-Ann Thomas, MD, a member of ASA's Committee on Pain Medicine, many women have been suffering in silence for years.
"I can't tell you the number of women I see who have been told they just have to live with the pain," said Dr. Thomas in a press release, regarding women who come to her with sciatica pain. "It's just heart breaking because many of these women have been suffering a long time. Women—especially older women—are less likely to speak up and seek treatment for their pain."
The ASA suggests that patients who plan on seeking treatment from a specialist find physicians who are certified in a pain medicine subspecialty by the American Board of Medical Specialties.
Key findings from the ASA study report included the following:
• Women who received a nerve block with regional anesthesia during breast cancer surgery reported less postsurgery pain nausea and vomiting, and less morphine use than women who had general anesthesia.
• Women reported more postsurgery pain than men for 30 different types of surgery, ranging from appendectomy to knee replacement.
• There are no sex differences in the amount of fibromyalgia pain reported, but men are more likely to avoid activity to avoid pain.
• One in seven women are prescribed opioids while pregnant.
• Music eases labor pains, yoga relieves back pain and rose oil eases menstrual pain.
—AN Staff
Based on a press release from the ASA.
Studies Reviewed by the ASA
Maeda A, Bateman BT, Clancy CR, et al. Opioid abuse and dependence during pregnancy: temporal trends and obstetrical outcomes. Anesthesiology. 2014;121(6):1158-1165.
Simavli S, Gumus I, Kaygusuz I, et al. Effect of music on labor pain relief, anxiety level and postpartum analgesic requirement: a randomized controlled clinical trial. Gynecol Obstet Invest. 2014;78(4):244-250.
Abdallah FW, Morgan PJ, Cil T, et al. Ultrasound-guided multilevel paravertebral blocks and total intravenous anesthesia improve the quality of recovery after ambulatory breast tumor resection. Anesthesiology. 2014;120(3):703-713.
Gerbershagen HJ, Pogatzki-Zahn E, Aduckathil S, et al. Procedure-specific risk factor analysis for the development of severe postoperative pain. Anesthesiology. 2014;120(5):1237-1245.
Sadeghi Aval Shahr H, Saadat M, et al. The effect of self-aromatherapy massage of the abdomen on the primary dysmenorrhoea. J Obstet Gynaecol. 2014 Sept 25. [Epub ahead of print]
Lee M, Moon W, Kim J. Effect of yoga on pain, brain-derived neurotrophic factor, and serotonin in premenopausal women with chronic low back pain. Evid Based Complement Alternat Med. 2014;2014:203173.
Racine M, Castarlenas E, de la Vega R, et al. Sex differences in psychological response to pain in patients with fibromyalgia syndrome. Clin J Pain. 2014 Oct 17. [Epub
http://www.anesthesiologynews.com/ViewArticle.aspx?d=Web%2bExclusives&d_id=175&i=January+2015&i_id=1138&a_id=29310
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Heather is the Administrator of the IBS Message Boards. She is 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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