European Journal of Epidemiology

, Volume 10, Issue 5, pp 559–566 | Cite as

Epidemiology of abdominal symptoms in a random population: Prevalence, incidence, and natural history

  • Lise Kay
  • Torben Jørgensen
  • Kirsten Hougaard Jensen


The study presents results from a five-year follow-up on abdominal symptoms in an age and sex stratified random sample of 4,581 Danes. Abdominal pain occurred significantly more often among women (prevalence: 49%, incidence: 21%) compared to men (prevalence: 38%, incidence: 15%). Five years later the pain had disappeared in 43% of the men and 31% of the women (p=0.003). Distension, borborygmi, and altering consistency of stools occurred with a prevalence of approximately 50% and an incidence of approximately 30%, significantly more often among women compared to men. Five years later these symptoms had disappeared in about 20%. Prevalence of both heartburn and acid regurgitation were significantly higher among men (38%) than women (30%), whereas no sex difference was observed regarding incidence of these symptoms (16%). Approximately 30% of subjects who had experienced heartburn or acid regurgitation did not do so five years later. In conclusion, abdominal symptoms occur frequently and recurrently in the general population. This information is of importance to doctors when they evaluate patients with abdominal complaints, but no obvious organic etiology.

Key words

Abdominal symptoms Irritable bowel syndrome Upper dyspepsia 


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  1. 1.
    Harvey R, Salih SY, Read AE. Organic and functional disorders in 2000 gastroenterology outpatients. Lancet 1983 (i): 632–633.Google Scholar
  2. 2.
    Kruis W, Theime CH, Weinziert M, Schusser P, Holl J, Paulus W. A diagnostic score for the irritable bowel syndrome. Gastroenterology 1984; 87: 1–7.Google Scholar
  3. 3.
    Manning AP, Thompson WG, Heaton KW, Morris AF. Towards a positive diagnosis of the irritable bowel. Br Med J 1978; 2: 653–654.Google Scholar
  4. 4.
    Mitchel CM, Drossman DA. Survey of the AGA membership relating to patients with functional gastrointestinal disorders. Gastroenterology 1987; 92: 1282–1284.Google Scholar
  5. 5.
    Switz DM. What the gastroenterologist does all day. Gastroenterology 1976; 70: 1048–1050.Google Scholar
  6. 6.
    Drossman DA, Sandier RS, McKee DC, Lowitz AJ. Bowel patterns among subjects not seeking health care. Gastroenterology 1982; 83: 529–534.Google Scholar
  7. 7.
    Jones RH, Lydeard SE, Hobbs FDR, Kenkre JE, Williams EI, Jones SJ, Repper HA, Caldow JL, Dunwoodie WMB, Bottemley JM. Dyspepsia in England and Scotland. Gut 1990; 31: 401–405.Google Scholar
  8. 8.
    Sandier RS, Drossman DA, Nathan HP, McKee DC. Symptom complains and health care seeking behaviour in subjects with bowel dysfunction. Gastroenterology 1984; 87: 314–318.Google Scholar
  9. 9.
    Talley NJ, Zinsmeister AR, Van Dyke C, Melton III LJ. Epidemiology of colonic symptoms and the irritable bowel syndrome. Gastroenterology 1991; 101: 927–934.Google Scholar
  10. 10.
    Thompson WG. Functional bowel disorders in apparently healthy people. Gastroenterology 1980; 79: 283–288.Google Scholar
  11. 11.
    Connell AM, Hilton C, Irvine G, Lennard-Jones JE, Misiewicz JJ. Variation of bowel habits in two population samples. Br Med J 1965; 2: 1065–1069.Google Scholar
  12. 12.
    Farrands PA, Hardcastle JD. Colorectal screening by a self-completion questionnaire. Gut 1984; 25: 445–447.Google Scholar
  13. 13.
    Jørgensen T. Abdominal symptoms and gallstone disease. An epidemiological investigation. Hepatology 1989; 6: 856–860.Google Scholar
  14. 14.
    Talley NJ, Weaver AL, Zinsmeister AR, Melton LJ. Onset and disappearance of gastrointestinal symptoms and functional gastrointestinal disorders. Am J Epidemiol 1992; 136: 165–177.Google Scholar
  15. 15.
    Whitehead WE, Crowell MD, Bosmajaian L, Zonderman A, Costa Jr. PT, Benjamin C, Robinson JC, Heller BR, Schuster MM. Existence of irritable bowel syndrome supported by factor analysis of symptoms in two community samples. Gastroenterology 1990; 98: 336–340.Google Scholar
  16. 16.
    Jørgensen T. Prevalence of gallstones in a Danish population. Am J Epidemiol 1987; 126: 912–921.Google Scholar
  17. 17.
    Jensen KH, Jørgensen T. Incidence of gallstones in a Danish population. Gastroenterology 1991; 100: 790–794.Google Scholar
  18. 18.
    Rothman KJ. Modern epidemiology. Little, Brown and Company. Boston, 1986Google Scholar
  19. 19.
    Heaton KW, O'Donnell LJD, Braddon FEM, Mountford RA, Huges AO, Cripps PJ. Symptoms of the irritable bowel syndrome in a British urban community: consulters and non-consulters. Gastroentrology 1992; 102: 1962–1967.Google Scholar
  20. 20.
    Everhart JE, Renault OF. Irritable bowel syndrome in office-based practice in the United States. Gastroenterology 1991; 100: 998–1005.Google Scholar
  21. 21.
    Fielding JF. The irritable bowel syndrome. Clin Gastroenterology 1977; 6: 607–622.Google Scholar
  22. 22.
    Sandier RS. Epidemiology of irritable bowel syndrome in the United States. Gastroentrology 1990; 99: 404–415.Google Scholar
  23. 23.
    Welch GW, Hillman LC, Pomare EW. Psychoneurotic symptomatology in the irritable bowel syndrome: A study of reporters and non-reporters. Br Med J 1985; 291: 1382–1384.Google Scholar
  24. 24.
    Bleijenberg G, Fennis JFM. Anamnestic and psychological features in diagnosis and prognosis of functional abdominal complaints: A prospective study. GUT 1989; 30: 1076–1081.Google Scholar
  25. 25.
    Holmes KM, Salter RH. Irritable bowel syndrome — a safe diagnosis? Br Med J 1982; 285: 1533–1534.Google Scholar
  26. 26.
    Svendsen JH, Munck LK, Andersen JR. Irritable bowel syndrome: prognosis and diagnostic safety. Scand J Gastroenterology 1985; 20; 415–418.Google Scholar
  27. 27.
    Thompson WG. Gastrointestinal symptoms in the irritable bowel compared with peptic ulcer and inflammatory bowel disease. Gut 1984; 25: 1089–1092.Google Scholar
  28. 28.
    Waller SL, Misiewicz JJ. Prognosis in the irritable bowel syndrome. Lancet 1969 (ii): 753–756.Google Scholar
  29. 29.
    Bulpitt CJ, Rowntree RK, Semmence A. A randomised controlled trial of the effects of screening for ulcer dyspepsia. J Epidemiol Community Health 1982; 36: 172–175.Google Scholar
  30. 30.
    Jones R, Lydeard S. Prevalence of symptoms of dyspepsia in the community. Br Med J 1989; 298: 30–32.Google Scholar
  31. 31.
    Bonnevie O. Outcome of non-ulcer dyspepsia. Scand J Gastroentrol 1982; 179 (suppl): 265–268.Google Scholar
  32. 32.
    Tibblin G. Introduction to the epidemiology of dyspepsia. Scand J Gastroentrol 1985; 109: 29–33.Google Scholar
  33. 33.
    Jennings D. The confusion between disease and illness in clinical medicine. CMAJ 1986; 135: 864–869.Google Scholar

Copyright information

© Kluwer Academic Publishers 1994

Authors and Affiliations

  • Lise Kay
    • 1
  • Torben Jørgensen
    • 1
  • Kirsten Hougaard Jensen
    • 1
  1. 1.The Glostrup Population Studies, Medical Department C, KAS GlostrupUniversity of CopenhagenDenmark

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