Summary
SYMPTOMS from, the irritable bowel syndrome were by far the commonest cause for referral to the gastrcenterology clinic. The condition was virtually twice as common in females and most often presented in either the third or fourth decades. One-third of the patients had symptoms before 15 years of age. The pulse and blood pressure were essentially normal. Over half the patients asked had a cancerophobia, two-thirds had urinary symptoms and nine out of ten had gynaecological symptoms. Brisk knee jerks were found in a highly significantly greater proportion of patients than in controls. The findings support the view that the gastrointestinal manifestations of this condition are part of an overall response by the patient; in three quarters of the patients that response was obviously triggered by a stressful sifuation.
Similar content being viewed by others
References
Almy, T. P., Kern Jr., F., and Tulin, M. 1949. Alterations in colonic function in man under stress. II. Experimental production of sigmoid spasm in healthy persons. Gastroenterology 12, 425.
Apley, J. and Hale, Barbara. 1973. Children with recurrent abdominal pain: how do they grow up? Brit med. J. iii, 7.
Chaudhary, N. A. and Truelove, S. C. 1962. The irritable colon syndrome. A study of the clinical features, predisposing causes and prognosis in 130 cases. Quart. J. Med. 31, 307.
Connell, A. M., Jones, F. Avery and Rowlands, E. N. 1965. Motility of the pelvic colon. Part IV. Abdominal pain associated with colonic hypermotility after meals. Gut, 6, 105.
Fielding, J. F. 1977. The irritable bowel syndrome; clinical spectrum. Clinies in Gastroenterology, Vol. 6, No. 3, in press.
Hawkins, C. F. and Cockel, R., 1971. The prognosis and risk of missing malignant disease in patients with unexplained and functional diarrhcea. Gut, 12, 208.
Keeling, P. W. N. and Fielding, J. F. 1975. The irritable bowel syndrome: a review of 50 consecutive cases. J. Irish. Coll. Phys. Surg. 4, 91.
Kirsner, J. B. and Palmer, W. L. 1958. The irritable colon. Gastroenterology, 34, 491.
Schuster, M. V. 1973. The irritable bowel syndrome. New Eng. J. Med. 288, 796(C).
Smits, B. J. 1974. The irritable bowel syndrome. Practitioner, 213, 37.
Swynerton, B. F. and Truelove, S. C. 1952. Carcinoma of the stomach. Brit. med. J. i, 287.
Wright, J. T. and Das, A. K., 1969. Excretion of 4-hydroxy-3 methoxy mandelic acid in cases of ulcerative colitis and diarrhcea of narvous origin. Gut, 10, 628.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Fielding, J.F. A year in out-patients with the irritable bowel syndrome. Ir J Med Sci 146, 162–166 (1977). https://doi.org/10.1007/BF03030953
Issue Date:
DOI: https://doi.org/10.1007/BF03030953