International Journal of Colorectal Disease

, Volume 16, Issue 4, pp 211–215

Fibromyalgia in patients with irritable bowel syndrome

An association with the severity of the intestinal disorder
  • Ennio Lubrano
  • Paola Iovino
  • Fabrizio Tremolaterra
  • Wendy J. Parsons
  • Carolina Ciacci
  • Gabriele Mazzacca
Original Article

DOI: 10.1007/s003840100299

Cite this article as:
Lubrano, E., Iovino, P., Tremolaterra, F. et al. Int J Colorectal Dis (2001) 16: 211. doi:10.1007/s003840100299

Abstract.

Fibromyalgia (FM) syndrome and irritable bowel syndrome (IBS) are functional disorders in which altered somatic and or visceral perception thresholds have been found. The aim of this study was to evaluate the prevalence of FM in a group of patients with IBS and the possible association of FM with patterns and severity of the intestinal disorder. One hundred thirty consecutive IBS patients were studied. The IBS was divided into four different patterns according to the predominant bowel symptom and into three levels of severity using a functional severity index. All patients underwent rheumatological evaluation for number of positive tender points, number of tender and swollen joints, markers of inflammation, and presence of headache and weakness. Moreover, patients' assessments of diffuse pain, mood and sleep disturbance, anxiety, and fatigue were also measured on a visual analogue scale. The diagnosis of FM was made based on American College of Rheumatology classification criteria. Nonparametric tests were used for statistical analysis. Fibromyalgia was found in 20% of IBS patients. No statistical association was found between the presence of FM and the type of IBS but a significant association was found between the presence of FM and severity of the intestinal disorder. The presence of FM in IBS patients seems to be associated only with the severity of IBS. This result confirms previous studies on the association between the two syndromes

Fibromyalgia Irritable bowel syndrome Illness severity index

Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  • Ennio Lubrano
    • 1
  • Paola Iovino
    • 2
  • Fabrizio Tremolaterra
    • 4
  • Wendy J. Parsons
    • 5
  • Carolina Ciacci
    • 4
  • Gabriele Mazzacca
    • 4
  1. 1.Physical Medicine and Rehabilitation Department, University Federico II, Naples, Italy
  2. 2.Endoscopic Unit, University Federico II, Naples, Italy
  3. 3.Via del Rione Sirignano 10, 80121 Naples, Italy
  4. 4.Gastroenterology Unit, University Federico II, Naples, Italy
  5. 5.Research and Development Department, Leeds General Infirmary, Leeds, UK