Prevalence and Characteristics of Irritable Bowel Syndrome Among Women With Chronic Pelvic Pain
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Thirty-five percent of women with chronic pelvic pain had irritable bowel syndrome, which was associated with older age, muscular back pain, depression, multiple pain sites, and history of adult physical abuse.
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Abstract
OBJECTIVE: We sought to evaluate whether there are unique characteristics associated with irritable bowel syndrome (IBS) within a population that has chronic pelvic pain. METHODS: This cross-sectional study of new referral patients attending a pelvic pain clinic between 1993 and 2000 (N = 987) evaluated characteristics associated with IBS at entry to the clinic. The characteristics that we evaluated included demographic characteristics, clinical diagnoses, history of abuse, depression, pain, and prior abdominal surgeries. RESULTS: Thirty-five percent of chronic pelvic pain patients had IBS defined by Rome I criteria. Age 40 years or older (odds ratio [OR] = 1.98, 95% confidence interval [CI]: 1.27, 3.11), muscular back pain (OR = 5.37, 95% CI: 0.98, 29.29), Symptom Checklist-90 global index score in top quartile (OR = 1.77, 95% CI: 1.09, 2.86), depression (OR = 1.93, 95% CI: 1.24, 3.01), 6 or more pain sites (OR = 1.67, 95% CI: 1.01, 2.78), and history of adult physical abuse (OR = 1.51, 95% CI: 1.01, 2.26) were associated with IBS in the final reduced multivariable model. CONCLUSION: Specific characteristics distinguish women with IBS suggesting that IBS and chronic pelvic pain are not simply manifestations of the same disorder. Our findings could help physicians attempt to effectively treat women with IBS and chronic pelvic pain. Physicians could diagnose and treat IBS in conjunction with treatment for chronic pelvic pain.
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- Chronic Pelvic Pain: Role of Imaging in the Diagnosis and Management 2023
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- Can Botulinum Toxin A Play A Role In Treatment Of Chronic Pelvic Pain Syndrome In Female Patients?-Clinical and Animal Evidence. 2020
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- ASSESSMENT OF CHRONIC PELVİC PAIN AND QUALITY OF LIFE AMONG WOMEN OF CHILDBEARING AGE 2016
- Chronic Pelvic Pain in Women 2015
- Chronic pelvic pain in Spanish women: prevalence and associated risk factors. A cross-sectional study 2014
- Noncyclic Chronic Pelvic Pain Therapies for Women: Comparative Effectiveness 2012
- High prevalence of chronic pelvic pain in women in Ribeirão Preto, Brazil and direct association with abdominal surgery 2011
- Could chronic pelvic pain be a functional somatic syndrome? 2011
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- Irritable Bowel Syndrome and Chronic Pelvic Pain 2010
- Optimal management of chronic cyclical pelvic pain: an evidence-based and pragmatic approach 2010
- Etiological Diagnosis of Chronic Pelvic Pain in Patients Submitted to Laparoscopic Surgery 2008
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- Treatment utilization for endometriosis symptoms: a cross-sectional survey study of lifetime experience 2007
- Physical therapy in the management of women with chronic pelvic pain 2007
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- Pelvic pain in women and men: recent findings 2005
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- IBS Is Common Among Women with Chronic Pelvic Pain 2004
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