Functional Gastrointestinal Disorders Qualified for Both Upper and Lower Abdominal Pains and Its Associated Factors among Adults in Urban Community of Jimma, Southwest Ethiopia

Background: The occurrence of multiple Functional Gastrointestinal Disorders (FGIDs) and their potentiation risk factors are varying substantially from region to region. Therefore, this study aims to detect multiple FGIDs qualified for both upper and lower abdominal pains and associated factors in the urban community of Jimma. Southwest Ethiopia. Methods A cross-sectional community based was used to select 865 adults in Jimma town aged ≥ 18 years. Structured questionnaires were used retrospectively to collect data on multiple FGIDs. A stepwise approach was employed to collect socio-demographic, behavioural, anthropometric, biomarkers and clinical measurements data. For screening multiple FGIDs symptoms among the study population, Rome III criteria was employed. Data was entered to Epi Data version 3.1 and export to SPSS version 27. Bivariate and multivariate logistic regression analyses were used to assess the association between explanatory variables and the outcome variable. The association was declared at p < 0.05 Results More than half of study participants, 52%, were males. The mean age of the study participants was 38.4 ± 13.5 years. The prevalence of unrecognized FGIDs qualified for both upper and lower abdominal pain was, 19.4%. However, the occurrences of FGIDs qualified for only upper abdominal pain(dyspepsia) and lower abdominal pain were 17.6% and 15.5% respectively. In the multivariable analysis, khat chewing [AOR (95% CI) 7.37(1.76–30.87)], alcohol conception [AOR (95% CI) 3.24(1.15–9.18), low-income wealth index [AOR (95% CI) 2.63(1.16–5.96)], using butter or ghee and margarine[AOR (95% CI) 6.79(2.82–16.37) ], sedentary life [AOR (95% CI) 12.28(3.19–48.40) ], less physical activity [AOR (95% CI) 4.44(1.43–13.75)], elevated LDL [AOR (95% CI) 4.26(1.61–11.29)],elevated TAG [AOR (95% CI) 5.44(2.78–8.10)],higher WC [AOR(95% CI) 6.91(2.78(1.08–7.14))], low HDL [AOR (95% CI) 5.89(2.22–15.00))] and being positive H- pylori stool antigen test [AOR(95% CI) 2.7(1.86–7.72) ] were positively associated with multiple FGIDs Conclusion Multiple FGIDs were exists unrecognizably among adults in southwest Ethiopia. khat chewing, alcohol conceptions, often high conception of butter or ghee and margarine, sedentary life, less physical activity, higher central obesity, dyslipidemia, and positive H- pylori stool antigen tests were found to be significantly associated with occurrence of multiple FGIDs qualified for both upper and lower abdominal symptoms in the community at this study area. Therefore, early screening and create awareness about factors positively associated with Multiple FGIDs recommendable at the study community.