Digestive Diseases and Sciences

, Volume 33, Issue 4, pp 414–416 | Cite as

Irritable bowel syndrome in Nigerians

  • M. A. Atoba
Original Articles


Twenty-six Nigerians with irritable bowel syndrome are reported. Twenty-three patients (88.46%) belong either to the middle or upper socioeconomic class; 16 patients (61.5%) had predominantly constipation. Six of the patients (23.1%) had their first symptoms before the age of 15 years. No sex preference is shown by this study. The most common symptoms are flatulence and abdominal pain, which is relieved by bowel motion, belching, and/or passage of flatus. Cow's milk, stress, and a local diet of beans are the most common aggravating factors, while another local high-fiber diet of cassava was found helpful in reducing the intensity and frequency of symptoms in some patients.

Key words

colonic diseases (functional) occurrence Nigerians therapy 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Drossman DA, Powell DW, Sessions JT: The irritable bowel syndrome. Gastroenterology 73:811–822, 1977PubMedGoogle Scholar
  2. 2.
    Manning AP, Thompson WG, Heaton KW, Morris AF: Towards positive diagnosis of the irritable bowel. Br Med J 2:653–654, 1978PubMedGoogle Scholar
  3. 3.
    Whitehead WE, Engel BT, Schuster MM: Irritable bowel syndrome. Physiological and psychological differences between diarrhea-predominant and constipation-predominant patients. Dig Dis Sci 25:404–413, 1980PubMedGoogle Scholar
  4. 4.
    Chaudhary NA, Truelove SC: The irritable colon syndrome. A study of the clinical features, predisposing causes and prognosis in 130 cases. Q J Med 31:307–322, 1962PubMedGoogle Scholar
  5. 5.
    Almy TP: Irritable bowel syndrome. Back to square one? Dig Dis Sci 25:401–403, 1980PubMedGoogle Scholar
  6. 6.
    Thompson WG: Defining the irritable bowel. Dig Dis Sci 26:281, 1981PubMedGoogle Scholar
  7. 7.
    Liss JL, Alpers D, Woodruff RA: The irritable colon syndrome and psychiatric illness. Dis Nerv Syst 34:151–157, 1973Google Scholar
  8. 8.
    Latimer PR, Capbell D, Latimer MR, Sarna SK, Daniel EE, Waterfall WE: Colonic motility in irritable bowel syndrome. Gastroenterology 76:1181, 1979Google Scholar
  9. 9.
    Osuntokun BO: The changing pattern of disease in developing countries. World Health Forum 6:310–313, 1985Google Scholar
  10. 10.
    Segal I, Walker AR: Irritable bowel syndrome in the black community. S Afr Med J 65:72–73, 1984 (letter)PubMedGoogle Scholar
  11. 11.
    Okorafor AE: Population and income distribution. Paper presented at the Niser/Battelle symposium on Population and Development Policy in Nigeria, Conference Centre, University of Ibadan, July 25–28, 1982Google Scholar
  12. 12.
    Burns TW: Colonic motility in the irritable bowel syndrome. Arch Intern Med 140:247–251, 1980PubMedGoogle Scholar
  13. 13.
    Hislop IG: Psychological significance of the irritable colon syndrome. Gut 12:452–457, 1971PubMedGoogle Scholar
  14. 14.
    Marducci F, Snape WJ Jr, Battle WM, London RL, Cohen S: Increased colonic motility during exposure to a stressful situation. Dig Dis Sci 30:40–44, 1985PubMedGoogle Scholar
  15. 15.
    Jones AV, Shorthouse M, Workman E, Hunter JO: Food intolerance and the irritable bowel. Lancet 2:633–634, 1983Google Scholar
  16. 16.
    Manning AP, Heaton KW, Harvey RF, Uglow P: Wheat fibre and irritable bowel syndrome. A controlled trial. Lancet 1:417–418, 1977Google Scholar
  17. 17.
    Fielding JF: Surgery and the irritable bowel: The singer as well as the song. Ir Med J 76:33–34, 1983PubMedGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1988

Authors and Affiliations

  • M. A. Atoba
    • 1
  1. 1.Gastroenterology Unit, Department of Medicine, College of MedicineUniversity College HospitalIbadanNigeria

Personalised recommendations