Abstract
Symptoms of irritable bowel syndrome (IBS) using the Manning Criteria were sought by a questionnaire administered to 400 (male-female ratio 3:1) apparently healthy medical students. With a response rate of 84%, 230 (65.5%) reported more than six episodes of abdominal pain in the preceding year (1992–1993). Contrary to expectation, 100 (43.5%) reported symptoms consistent with the diagnosis of IBS. The one-year period prevalence of the syndrome was 30% overall, with prevalence figures of 24% for males and 48% for females (P<0.01). There was no difference in the type of diet (mainly high-fiber diets) consumed by subjects with and without IBS. About two thirds of the subjects with IBS had sought medical advice during the study period; the consultation behavior was influenced by factors such as the presence of other symptoms. This is the first detailed evidence in a random sample of an African population showing symptoms consistent with a diagnosis of IBS to be very common. It casts doubt on the assumption generated by other workers that IBS is rare among native Africans.
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Drossman DA, Sandler RS, Mckee Dc, Lovits AJ: Bowel patterns among subjects not seeking health care. Use of a questionnaire to identify a population with bowel dysfunction. Gastroenterol 83:529–534, 1982
Thompson, WG, Heaton KW: Functional bowel disorders in apparently healthy people. Gastroenterol 79:283–288, 1980
Olubuyide IO, Atoba MA, Ayoola EA: Diseases of the gastro-intestinal tract and the pancreas in tropical Africa—the Ibadan experience. Trop Gastroenterol 8:221–228, 1987
Atoba MA: Irritable bowel syndrome in Nigerians. Dig Dis Sci 33:414–416, 1988
Burkitt DP, Walker ARP, Painter NS: Effect of dietary fiber on stools and transit-times and its role in the causation of disease. Lancet 2:1408–1412, 1972
Olubuyide IO, Teniola SOO, Ayoola EA: Management of peptic ulcer diseases in the African. Nig Med Pract 15:169–172, 1988
Olubuyide IO: Non-ulcer dyspepsia and the dilemma posed to its management. Trop Gastroenterol 12:133–138, 1991
Manning AP, Thompson WG, Heaton KW, Morris AF: Towards positive diagnosis of the irritable bowel. Br Med J 2:653–654, 1978
Thompson WG: Gut Reactions: Understanding Symptoms of the Digestive Tract. London, Plenum Medical, 1989
Marducci F, Snape WJ Jr, Battle WN: Increased colonic motility during exposure to a stressful situation. Dig Dis Sci 30:40–44, 1985
Verbrugge IM: Gender and health: An update on hypothesis and evidence. J Health Soc Behav 26:156–182, 1985
Sandler RS, Drossman DA, Nathan HP, McKee DC: Symptom complaints and health care seeking behaviour in subjects with bowel dysfunction. Gastroenterology 87:314–318, 1984
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Olubuyide, I.O., Olawuyi, F. & Fasanmade, A.A. A study of irritable bowel syndrome diagnosed by manning criteria in an African population. Digest Dis Sci 40, 983–985 (1995). https://doi.org/10.1007/BF02064186
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DOI: https://doi.org/10.1007/BF02064186