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February 2023
Volume 20, Issue 13

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From the Editor

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Awareness and Perception of Seasonal Influenza (Flu) among Medical and Non-Medical Students at Umm Al-Qura University in Makkah, Saudi Arabia: A Cross-Sectional Study
[Abstract]
[pdf]
Enas Alfalogy, Nahla Hariri, Hamsah S. Alqashqri, Yousra M. Alturki, Rawan M. Alzhrani, Sarah A. Alaboud
DOI: 10.5742/MEWFM.2023.95256016

Interfering Barriers to Postpartum Depression Screening among women in Saudi Arabia: A Phenomenological Study
[Abstract]
[pdf]
Hessa Abdulranhman Almutairi, Seham Mansour Alyousef, Diana Selvamony Lalithabai
DOI: 10.5742/MEWFM.2023.95256018

Screening the risk of eating disorders among adolescents in primary care centres in Makkah, Saudi Arabia
[Abstract]
[pdf]
Nahla Hariri
DOI: 10.5742/MEWFM.2023.95256020

A three-year audit of the effectiveness of family physician reminders on cervical screening uptake amongst non-responders in a UK family medicine setting
[Abstract]
[pdf]
Faizan Ahmad Awan, Abiya Ahmed
DOI: 10.5742/MEWFM.2023.95256021

Irritable gastrointestinal syndrome
[Abstract]
[pdf]
Mehmet Rami Helvaci, Yasemin Kayabasi, Ayse Ceylan, Guner Dede,
Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742/MEWFM.2023.95256024

Self-management behaviours and glycemic control in diabetic patients. A cross sectional study
[Abstract]
[pdf]
Rasha Moussa, Safa S. Mahmud, Lina Okar, Maya Aldeeb, Mohamad Rezek,
Ahmed Shawesh, Tarif Kalash, Muna Aseel
DOI: 10.5742/MEWFM.2023.95256025

Population and Community Studies

Knowledge and attitude toward epilepsy and seizure first aid among school teachers in Al-Kharj City, Saudi Arabia
[Abstract]
[pdf]
Daifallah Mohammed Almalki, Mamdouh Ali Kotb, Turki Mathkar Bin Saqyan,
Sultan Mohammed Alkahtani, Abdulmajeed Mohammed Alshaikhi, Lafi Fahhad Alanazi
DOI: 10.5742/MEWFM.2023.95256027

Cockroach Allergy: Is It Common in Jeddah City? A retrospective study
[Abstract]
[pdf]
Moufag Mohammed Saeed Tayeb
DOI: 10.5742/MEWFM.2023.95256028

Sun-protective Behaviours among patients with Cutaneous Hyperpigmentation in Saudi Arabia: A Cross Sectional Study
[Abstract]
[pdf]
Manar A Alotaibi, Norah Meshal Al Dera, Reema.F.Muqrin, Mohammed Almashali
DOI: 10.5742/MEWFM.2023.95256031

Quality of Life among the Parents of Saudi Arabian children with Autistic Spectrum Disorder, Riyadh, KSA
[Abstract]
[pdf]
A Alhazmi, A Alduraibi, M Alhemaid, A Albreakan, R Alshaqha
DOI: 10.5742/MEWFM.2023.95256038

Regional Covid

Diabetic Care Challenges during COVID-19 Pandemic:
Primary Healthcare Physicians' Perspective

[Abstract]
[pdf]
Abdullah M. Al-Shahrani
DOI: 10.5742/MEWFM.2023.95256032

The Effect of Online Learning on the Psychological State of Medical Students during Covid-19 at a public Saudi University
[Abstract]
[pdf]
Khalid A. Bin Abdulrahman, Hamad Nasir Alhamlan, Yazeed Mohammed Alqraini,
Yousef Ibrahim Alhoshan, Abdulrahman Hassan Shuraym, Faisal Abdulaziz Alkanhal
DOI: 10.5742/MEWFM.2023.95256040

Case Report

Symmetrical Posterior Lower Limb Bruising in A Qatar 2022 FIFA World Cup Fan - A Case Report

[Abstract]
[pdf]
Faizan Ahmad Awan, Saqib Talat Bhatti
DOI: 10.5742/MEWFM.2023.95256034

Education and Training

Medical students' syndrome among medical students in Riyadh, Saudi Arabia
[Abstract]
[pdf]
Khalid A. Bin Abdulrahman, Rayan A. Bahmaid, Danah M. Alrajhi, Basma A. Alturki,
Faisal A. Alhazani, Faisal T. Alayed
DOI: 10.5742/MEWFM.2023.95256035

Review

The application of integrated MRI CSF flowmetry in the diagnosis and treatment of CSF dynamic changes in hydrocephalus patients: a systematic review
[Abstract]
[pdf]
Awara Mohialdeen Rahman, Ari Sami Hussain Nadhim, Shahla Mohammed Saeed K
DOI: 10.5742/MEWFM.2023.95256037

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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Advertising Enquiries -
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

 

 

   
February 2023- Volume 21, Issue 1

Irritable gastrointestinal syndrome

(1) Specialist of Internal Medicine, MD
(2) Manager of Writing and Statistics
(3) Ministry of Health of Turkey, MD
(4) Middle-East Academy for Medicine of Aging, MD
(5) medi-WORLD International

Corresponding author:

Mehmet Rami Helvaci, MD
07400, ALANYA, TurkeyPhone: 00-90-506-4708759
Email: mramihelvaci@hotmail.com

Received: December 2022 Accepted: January 2023; Published: February 1, 2023. Citation: Helvaci RM et al. : Irritable gastrointestinal syndrome. World Family Medicine. February 2023; 21(1): 55-63 DOI: 10.5742/MEWFM.2023.95256024

Abstract


Background: Recurrent upper abdominal discomfort may be the cause of nearly half of the applications to the Internal Medicine Clinics, and irritable bowel syndrome (IBS) and chronic gastritis (CG) may be the most commonly diagnosed disorders in such cases.

Method: Consecutive patients with the IBS and age and sex-matched controls were included.

Results: The study included 936 patients with the IBS (592 females) and 346 control cases, totally. Mean age of the patients was 41.0 years, and 63.2% of them were female. Although gastric sample biopsies were taken just in suspected cases, CG was diagnosed nearly in all of the patients with the IBS (80.4% versus 15.0%, p<0.001). Similarly, prevalences of antidepressants use (46.4% versus 16.1%, p<0.001), smoking (35.2% versus 20.8%, p<0.001), hemorrhoids (37.1% versus 7.2%, p<0.001), and urolithiasis (22.0% versus 9.5%, p<0.001) were all higher in the IBS patients, significantly. Beside that the mean values of fasting plasma glucose (FPG) (111.9 versus 105.4 mg/dL, p= 0.002) and plasma triglycerides (167.0 versus 147.3 mg/dL, p= 0.013) were also higher in the IBS patients, significantly.

Conclusion: Because FPG and triglycerides are well-known acute phase reactants in the body, IBS and CG may be low-grade inflammatory processes initiated with anxiety, depression, infection, inflammation, trauma, and cancer fear-like stresses of the body, and eventually terminate with smoking, antidepressants use, hemorrhoids, and urolithiasis. Because of the highly significant association of the IBS and CG, they may actually be the two sides of the same paper, and should be called as the irritable gastrointestinal syndrome.

Key words: Irritable bowel syndrome, chronic gastritis, depression, smoking, acute phase reactant, fasting plasma glucose, triglycerides






 


 

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