Irritable bowel syndrome in primary care: Symptomatology in IBS

More than half of the responding patients reported having symptoms on a weekly or even daily basis during the previous year (Table 1). Seventy per cent reported having intermittent symptoms. Patients reported a median abdominal pain score of 2.00 (SD=1.85) on a scale of one to four in the active phase of their IBS. Symptom severity was reported as moderate to severe by the majority (63%) of the respondents, mild by 19%, and very severe by 10%. Almost half of the patients reported a history of abdominal complaints lasting more than 10 years, while only 6% noted that the symptoms had occurred within the last year. Bloating-predominant IBS was the most frequently reported subtype of IBS (43%) (Table 1).

There were no statistically significant differences between the ‘prevalent’, ‘incident’, and ‘latent’ patients with regards to the above items. Patients reported bloating (27%) and abdominal pain (27%) as their most bothersome symptoms, while complaints such as diarrhea (10%), constipation (14%), and related symptoms (straining (9%), urgency (1%), and feelings of incomplete evacuation (6%) were considered minor problems. Only one patient reported mucus as the most bothersome symptom. These observations were in line with the doctors’ views on symptomatology: almost all GPs considered abdominal pain and bloating as the most characteristic IBS symptoms (95% and 86%, respectively). You can finally shop for your efficient cialis professional sale with the best online pharmacy there could be, getting all the bonuses and special offers that every customer enjoys because of how moneysaving and secure it all can be.

TABLE 1 Symptomatology as reported by irritable bowel syndrome (IBS) patients (n=79)

n %
Frequency of IBS symptoms
Daily or more than once a week 31 44
Once a week 13 18
Once a month 12 17
A few times a year 15 21
Course of complaints during previous four weeks
Improvement 22 30
No change 39 53
Worsening 13 17
History of abdominal complaints
< 1 year 4 6
1-2 years 9 11
2-5 years 17 22
5-10 years 9 12
> 10 years 38 49
IBS subtype self-assessment
Pain predominant 13 17
Bloating predominant 33 43
Constipation predominant 15 20
Diarrhea predominant 7 9
Alternating defecation predominant 8 11
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