Overlapping of Organic Disorders with Irritable Bowel Syndrome Among Teachers in Tabuk, Saudi Arabia Using Rome III Criteria
American Journal of Clinical and Experimental Medicine
Volume 5, Issue 1, January 2017, Pages: 1-4
Received: Nov. 28, 2016;
Accepted: Dec. 9, 2016;
Published: Jan. 13, 2017
Views 3629 Downloads 91
Abdulateef Elbadawi, Community Medicine Department, Faculty of Medicine, Tabuk University, Tabuk, Saudi Arabia
Hyder Mirghani, Medical Department, Faculty of Medicine, Tabuk University, Tabuk, Saudi Arabia
Talal Khalid Alanazi, Medical Interns, Faculty of Medicine, Tabuk University, Tabuk, Saudi Arabia
Abdulaziz Hamoud Alanazi, Medical Interns, Faculty of Medicine, Tabuk University, Tabuk, Saudi Arabia
Meshal Faleh Alenezi, Medical Interns, Faculty of Medicine, Tabuk University, Tabuk, Saudi Arabia
Irritable bowel syndrome (IBS) is the most commonly diagnosed gastrointestinal disorder leading to losing of work days, only 15% of patients seek medical advice. In this study, we aimed to investigate IBS among teachers in Tabuk. A cross-sectional study conducted among 362 teachers in Tabuk City during the period from January 2015 to June 2015, they were selected randomly from a total number of 25 schools, participants were invited to sign a written informed consent, then responded to a structured questionnaire based on socio-demographic data, and the Rome III criteria. The research was approved by the ethical committee of the University of Tabuk. The Statistical Package for Social Sciences was used for data analysis; the chi-square was used to compare categorical data. The result shows that IBS was evident in 14.1% of teachers, IBS patients were more likely to have travelling history, and flag signs (fever, bleeding per rectum, and loss of weight) P-value<0.05., no differences were found between teachers with IBS and those without the disease regarding age, sex, marital status, and family history of the disease P-value >0.05. In conclusion: irritable bowel syndrome is prevalent among teachers in Tabuk, Saudi Arabia, flag signs and history of travel are commoner among those who fulfill the Rome III criteria. Physicians may need more tests to rule out organic disorders; large multicenter studies are required to rule the associations of IBS with microscopic colitis and carcinoma of the colon.
Talal Khalid Alanazi,
Abdulaziz Hamoud Alanazi,
Meshal Faleh Alenezi,
Overlapping of Organic Disorders with Irritable Bowel Syndrome Among Teachers in Tabuk, Saudi Arabia Using Rome III Criteria, American Journal of Clinical and Experimental Medicine.
Vol. 5, No. 1,
2017, pp. 1-4.
American College of Gastroenterology Task Force on Irritable Bowel Syndrome, Brandt LJ, Chey WD, et al. An evidence-based position statement on the management of irritable bowel syndrome. Am J Gastroenterol 2009; 104 Suppl 1: S1.
Ford AC, Forman D, Bailey AG, et al. Irritable bowel syndrome: a 10-yr natural history of symptoms and factors that influence consultation behavior. Am J Gastroenterol 2008; 103: 1229.
Drossman DA, Li Z, Andruzzi E, et al. U.S. householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig Dis Sci 1993; 38:1569.
Lovell RM, Ford AC. Global prevalence of and risk factors for irritable bowel syndrome: a meta-analysis. ClinGastroenterol Hepatol. 2012;10(7):712–721. e4.
Xiong LS, Chen MH, Chen HX, Xu AG, Wang WA, Hu PJ. A population-based epidemiologic study of irritable bowel syndrome in South China: stratified randomized study by cluster sampling. Aliment PharmacolTher. 2004; 19; 1217-1224.
AlKhalifah MI, Al-Aql AM, Al-Mutairi MS, Alnuqaydan SA, Al-Wehaibi AS, AlJurayyed AM, Aldhuwyan AS, Al-Harbi KG, Alomar IN, Alayyaf SS, Zafar M. Prevalence of irritable bowel syndrome among Qassimschool teachers, and its impact on their performance and life duties. Saudi Med J. 2016 Jul;37(7):817. doi: 10.15537/smj.2016.7.15043.
Sandler RS, Everhart JE, Donowitz M, et al. The burden of selected digestive diseases in the United States. Gastroenterology 2002; 122:1500.
Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC. Functional bowel disorders. Gastroenterology. 2006 Apr. 130(5):1480-91.
Statement on the management of irritable Brandt LJ, Chey WD, Foxx-Orenstein AE, Schiller LR, Schoenfeld PS, Spiegel BM, et al. An evidence-based position bowel syndrome. Am J Gastroenterol. 2009 Jan. 104 Suppl 1: S1-35.
Lambert, R., O’Donnell, M., Kusherman, J., & McCarthy, C. J. (2006). Teacher stress and classroom structural characteristics in preschool settings. In R. Lambert & C. McCarthy (Eds.), Understanding teacher stress in an age of accountability (pp. 105-120). Greenwich, CT: Information Age.
McCarthy, C. J., Kissen, D., Yadley, L., Wood, T., & Lambert, R. (2006). The relationship of teachers’ preventive coping resources to burnout symptoms. In R. Lambert & C. McCarthy (Eds.), Understanding teacher stress in an age of accountability (pp. 179-196). Greenwich, CT: Information Age.
McCarthy, C. J., Lambert, R. G., O'Donnell, M., & Melendres, L. T. (2009). The relation of elementary teachers' experience, stress, and coping resources to burnout symptoms. Elementary School Journal, 109(3), 282-300.
Whitehead WE, Drossman DA. Validation of symptom-based diagnostic criteria for irritable bowel syndrome: a critical review. Am J Gastroenterol. 2010; 105(4):814–820. Quiz 813, 821.
Whitehead WE, Palsson OS, Feld AD, et al. Utility of red flag symptom exclusions in the diagnosis of irritable bowel syndrome. Aliment PharmacolTher. 2006;24(1):137–146.
Yakut K, et al. The effects of ırritable bowel syndrome quality of life in health care personnel and students. Available at: http://www.bayar.edu.tr. Accessed September 20, 2011.
LatifahAshaalan. Prevalence of Irritable Bowel Syndrome in adult Saudis according to Rome II Criteria. BCPS2011:23: pages 67-74.
Husain N, Chaudhry IB, Jafri F, Niaz SK, Tomenson B, Creed F. A population-based study of irritable bowel syndrome in a non-Western population. Neurogastroenterol Motil. 2008; 20(9):1022–1029.
Costanian C, Tamim H, Assaad S. Prevalence and factors associated with irritable bowel syndrome among university students in Lebanon: Findings from a cross-sectional study. World J Gastroenterol. 2015 Mar 28; 21(12): 3628–3635.
García Rodríguez LA, Ruigómez A, Wallander MA, Johansson S, Olbe L. Detection of colorectal tumor and inflammatory bowel disease during follow-up of patients with initial diagnosis of irritable bowel syndrome. Scand J Gastroenterol. 2000; 35(3):306–311.
Ishihara S, Yashima K, Kushiyama Y, et al. Prevalence of organic colonic lesions in patients meeting Rome III criteria for diagnosis of IBS: a prospective multi-center study utilizing colonoscopy. J Gastroenterol. 2012;47(10):1084–1090
Chey WD, Nojkov B, Rubenstein JH, Dobhan RR, Greenson JK, Cash BD. The yield of colonoscopy in patients with non-constipated irritable bowel syndrome: results from a prospective, controlled US trial. Am J Gastroenterol. 2010; 105(4):859–865.
Akhtar AJ, Shaheen MA, Zha J. Organic colonic lesions in patients with irritable bowel syndrome (IBS) Med SciMonit. 2006; 12(9): CR363–CR367.
Gu HX, Zhang YL, Zhi FC, Jiang B, Huang Y. Organic colonic lesions in 3,332 patients with suspected irritable bowel syndrome and lacking warning signs, a retrospective case–control study. Int J Colorectal Dis. 2011;26(7):935–940.
Black TP, Manolakis CS, Di Palma JA. “Red flag” evaluation yield in irritable bowel syndrome. J Gastrointestin Liver Dis. 2012;21(2):153–156.
Bradesi S, McRoberts JA, Peter A. Anton PA, Mayer EA. Inflammatory Bowel Disease and Irritable Bowel Syndrome: Separate or Unified?. CurrOpinGastroenterol. 2003; 19(4).
Kok-Ann Gwee. Disturbed Sleep and Disturbed Bowel Functions: Implications for Constipation in Healthy Individuals. J Neurogastroenterol Motil. 2011 Apr; 17(2): 108–109.