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KMID : 0812020030090010047
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Korean Journal of Neurogastroenterology and Motility
2003 Volume.9 No. 1 p.47 ~ p.52
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Relationship between Bowel Symptom Changes and Dysmenorrhea in Irritable Bowel Syndrome in Women
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Abstract
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Background/Aims: This study was performed to evaluate the relationship between bowel symptom changes and dysmenorrhea in initable bowel syndrome (IBS) according to the menstrual cycle. Methods: Two hundred thirty-seven female medical students filled up questionnaires including change of bowel symptom, dysmenor hea and perimenstrual symptom. Seventeen volunteered to keep diaries concerning their bowel habits and menstruation for two menstrual cycles. Results: One hundred and sixty-three (68.8%) reported that their bowel habit was changed according to menstrual cycle, Ninety-three (39.2%) fit the Rome II criteria of IBS. The number of subjects who reported changed bowel habit during the menstruation period was more in the BS group than in the non-IBS group (84/93 vs. 83/144, p<0.005). The severity of dysmenorrhea was not different between IBS and non-IBS groups. The menstrual distress score during the menstruation period was significantly higher in the IBS group than in the non-IBS group. In 17 volunteers (12 IBS, 5 non-IBS), stool consistency and frequency were not significantly different between the menstruation and non-menstruation periods, regardless of their LBS status. The mean score of abdominal pain was higher in the menstruation than in the non-menstruation period only in the IBS group. Conclusions: IBS women have more bowel symptosis during their menstruation period than non-IBS women. Its mechanism should be further clarified. (The Korean Journal of Gastrointestinal Motility 2003;9:47-52)
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