Skip to main content
Gut logoLink to Gut
. 1989 Jul;30(7):996–998. doi: 10.1136/gut.30.7.996

Gynaecological consultation in patients with the irritable bowel syndrome.

A Prior 1, P J Whorwell 1
PMCID: PMC1434306  PMID: 2759494

Abstract

A 12 month follow up study to assess the impact of symptoms suggestive of irritable bowel syndrome in women presenting to gynaecology clinics with pelvic pain is reported. Of 71 women 37 (52%) had symptoms suggestive of irritable bowel syndrome at presentation. A firm gynaecological diagnosis was reached in only three (8%) women positive for irritable bowel syndrome compared with 15 (44%) without (p = 0.002). After 12 months 24 (65%) women with irritable bowel syndrome were still symptomatic compared with 11 (32%) without (p = 0.01). This study shows that women with irritable bowel syndrome frequently attend gynaecological clinics but rarely have gynaecological pathology and the prognosis is poor in terms of resolution of their pain.

Full text

PDF

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. CHAUDHARY N. A., TRUELOVE S. C. The irritable colon syndrome. A study of the clinical features, predisposing causes, and prognosis in 130 cases. Q J Med. 1962 Jul;31:307–322. [PubMed] [Google Scholar]
  2. Drossman D. A., Sandler R. S., McKee D. C., Lovitz A. J. Bowel patterns among subjects not seeking health care. Use of a questionnaire to identify a population with bowel dysfunction. Gastroenterology. 1982 Sep;83(3):529–534. [PubMed] [Google Scholar]
  3. Harvey R. F., Mauad E. C., Brown A. M. Prognosis in the irritable bowel syndrome: a 5-year prospective study. Lancet. 1987 Apr 25;1(8539):963–965. doi: 10.1016/s0140-6736(87)90304-7. [DOI] [PubMed] [Google Scholar]
  4. Hogston P. Irritable bowel syndrome as a cause of chronic pain in women attending a gynaecology clinic. Br Med J (Clin Res Ed) 1987 Apr 11;294(6577):934–935. doi: 10.1136/bmj.294.6577.934. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Kingham J. G., Dawson A. M. Origin of chronic right upper quadrant pain. Gut. 1985 Aug;26(8):783–788. doi: 10.1136/gut.26.8.783. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Moriarty K. J., Dawson A. M. Functional abdominal pain: further evidence that whole gut is affected. Br Med J (Clin Res Ed) 1982 Jun 5;284(6330):1670–1672. doi: 10.1136/bmj.284.6330.1670. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Thompson W. G. Gastrointestinal symptoms in the irritable bowel compared with peptic ulcer and inflammatory bowel disease. Gut. 1984 Oct;25(10):1089–1092. doi: 10.1136/gut.25.10.1089. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Thompson W. G., Heaton K. W. Functional bowel disorders in apparently healthy people. Gastroenterology. 1980 Aug;79(2):283–288. [PubMed] [Google Scholar]
  9. Thompson W. G. The irritable bowel. Gut. 1984 Mar;25(3):305–320. doi: 10.1136/gut.25.3.305. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Whorwell P. J., McCallum M., Creed F. H., Roberts C. T. Non-colonic features of irritable bowel syndrome. Gut. 1986 Jan;27(1):37–40. doi: 10.1136/gut.27.1.37. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES