scholarly journals Female Functional Constipation Is Associated with Overactive Bladder Symptoms and Urinary Incontinence

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Takahiro Maeda ◽  
Masuomi Tomita ◽  
Atsushi Nakazawa ◽  
Gen Sakai ◽  
Shinsuke Funakoshi ◽  
...  

This noninterventional cross-sectional study aims to assess the association between functional constipation (FC) and urinary symptoms in female patients with no treatment for urination and defecation. The Rome III criteria for evaluation of defecation, Overactive Bladder Symptom Score (OABSS) for evaluation of urinary symptoms, and clinical features were investigated in 145 female patients. Latent FC and moderate to severe overactive bladder (OAB) were defined on the basis of positivity for two or more of the Rome III criteria and an OABSS ≥ 6 with OABSS Q3 ≥ 2, respectively. In 60 latent FC patients, the OABSS was higher (5.0 versus 3.2, p=0.001), and concurrent moderate to severe OAB symptoms and OAB with urinary incontinence were more frequent than those in 85 nonlatent FC patients (33.3 versus 10.6%, p=0.001, and 31.7 versus 7.1%, p<0.001). Multivariate analysis demonstrated that moderate to severe OAB symptoms were a significant associated factor of latent FC (odds ratio (OR) = 4.125, p=0.005), while latent FC was the only associated factor of moderate to severe OAB and OAB with urinary incontinence (OR = 4.227, p=0.005 and OR = 4.753, p=0.004). In conclusion, moderate to severe OAB symptoms are correlated with FC. Moreover, FC is related to moderate to severe OAB symptoms and to OAB with urinary incontinence.

2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 82-83
Author(s):  
E Altamimi

Abstract Background Functional gastrointestinal disorders (FGIDs) are common in children worldwide. Multiple FGIDs might share some etiopathogenesis, which makes finding multiple disorders in a child a possibility. Aims Estimate the prevalence of FGIDs in Jordanian children prospectively, whether as a single or combined disorders. Methods A prospective, cross-sectional study was conducted in 6 cities in Jordan. Children between the ages of 4–18 were recruited. A validated Arabic language questionnaires based on Rome III criteria were filled by the participants if older than 10 years and by the parents if younger than 10 years. Results A total of 1587(79.35%) participants filled the questionnaires. 814 (51.29%) were younger than 10 years. FGIDs was diagnosed in 204 (25.03%) of younger children. In children between (11 and 18), 310 (40%) were diagnosed with FGIDs. In children (4–10 yrs.) who were diagnosed with FGIDs, 15.5 % had two disorders, while 3% had three or more disorders. The most common combination was aerophobia and functional constipation, comprising 22.58% of combined disorders. In children (11–18 yrs.) with FGIDs, 22.27% had two disorders and 7% had three or more disorders. Interestingly, the most common combination was aerophagia and functional constipation also, representing 34% of the combined cases. Conclusions Functional gastrointestinal disorders are common in Jordanian children. Multiple Functional gastrointestinal disorders may coexist. Diagnosis of one disorder should not prevent us from investigating other disorders. Funding Agencies None


2019 ◽  
Author(s):  
Amjad Al-Shdaifat ◽  
Anwar Al-Kassar ◽  
Asgeir Johannessen ◽  
Zaid Al-Dabbagh ◽  
Mohamed Al-Ethawi ◽  
...  

Abstract Background Irritable bowel syndrome (IBS) is one of the commonest diagnosed gastrointestinal disorders (GI) in primary care and gastroenterology practices. This study aimed to explore the prevalence of IBS, and identify associated factors, among university students in Jordan. Methods A cross-sectional study was conducted among students at the Hashemite University in Jordan. A validated, confidential, self-administered data collection questionnaire was used for the collection of personal and sociodemographic data, and the Rome III criteria were used to define IBS. Logistic regression analysis was done to identify factors associated with IBS. Results A total of 198 students participated in the study, of whom 163 had complete data and could be assessed by the Rome III criteria. The age range of the students was 18 to 35 years, and 91 (55.8%) were women. Overall, 26 (16.0%) of the respondents were diagnosed with IBS. Poor sleep (Adjusted Odds Ratio [AOR] 3.9; 95% confidence interval [CI] 1.5-10.4; p<0.01), being married (AOR 7.6; 95% CI 2.0-28.8; p<0.01) and a family history of IBS (AOR 2.9; 95% CI 1.1-7.7; p=0.03) were independently associated with IBS in multivariable analysis. Conclusion IBS was common among otherwise healthy university student in Jordan. Lifestyle factors such as poor sleep appeared to be associated with IBS symptoms.


2013 ◽  
Vol 108 (6) ◽  
pp. 972-980 ◽  
Author(s):  
Anne Line Engsbro ◽  
Luise Mølenberg Begtrup ◽  
Jens Kjeldsen ◽  
Pia Veldt Larsen ◽  
Ove Schaffalitzky de Muckadell ◽  
...  

Author(s):  
Shima Begum ◽  
Khondoker Mahmuda Akter Halim ◽  
Ratna Khatun ◽  
Sharmin Islam ◽  
A. B. M. Alauddin Chowdhury ◽  
...  

<p class="abstract"><strong>Background:</strong> Urinary incontinence is a frequent public health problem with negative social consequences, particularly for women. Women are much more susceptible to urinary incontinence than men. Female susceptibility is the result of anatomical, social, economic and cultural factors.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study was conducted to find out the factors related to urinary incontinence, distribution of types of incontinence among female patients and their health care seeking behavior and socio-demographic characteristics among 121 adult female patients who attended the outpatient department of Gynae and Obstetrics department and Urology department of Dhaka Medical College and Hospital during the period of January to June 2016. Data were collected through face to face interview.  </p><p class="abstract"><strong>Results:</strong> The mean age of the respondents was 43.42 years and the mean monthly income of the respondents was 17409.09 taka. Little above nine-tenths (91.7%) of the respondents were Muslim and the majority of the respondents (47.9%) were living in pacca house. More than seven-tenths (73.6%) of the respondents were married and over 35% of the respondents were illiterate. Among the respondents about 42.1% of them had pressure type of incontinence, followed by mixed incontinence (27.3%). Over 65% had some complication during delivery and little above six-tenths (61.2%) had gynecological problems.</p><p><strong>Conclusions:</strong> Female urinary incontinence is a frequent and a major embarrassing healthcare problem in Bangladesh. Patients who had complications during labor, having multipara, recurrent UTI, gynecological problem such as uterine prolapse, urethral injury, had high percentage of urinary incontinence. Patients with urinary incontinence should be encouraged to seek treatment early as the problem can be treated. </p>


2013 ◽  
Vol 53 (2) ◽  
pp. 104 ◽  
Author(s):  
Fahrul Azmi Tanjung ◽  
Supriatmo Supriatmo ◽  
Atan Baas Sinuhaji ◽  
Hakimi Hakimi

Background Functional constipation is often a consequence ofhabitual bowel elimination while sitting on common toilet seats.A considerable proportion of the population with n ormal bowelmovement frequency has difficulty emptying their bowels. Theprincipal cause of this problem may be the obstructive nature ofthe rectoanal angle and its relationship to the posture normallyused in defecation.Objective To assess the relationship between functional constipationwith the posture (sitting vs squatting) during defecationin children.Methods We conducted a cross-sectional study in November2010. Participants aged 12- 15 years were selected consecutivelyfrom a junior high school in Medan . Parents and children filledquestionnaires and were interviewed. Functional constipation wasassessed based on the Rome III criteria.Results Sixty-five students enrolled in the study. There was nostatistically significant diffe rences in subjects' characteristics.T here was a significant correlation between functional constipationwith posture during defecation in children (RR= 0.06, 95%CI0.02 to 0.25; P=0.0001). Functional constipation was more likelyoccured in children with sitting (12/20) th an squatting posture(4/45) during defecation.Conclusion We found th at posture in defecation is correlatedto functional con stipation in children.


2014 ◽  
Vol 54 (6) ◽  
pp. 344 ◽  
Author(s):  
Lara Fillekes ◽  
Ari Prayogo ◽  
Fatima Safira Alatas ◽  
Badriul Hegar

Background Irritable bowel syndrome (IBS) is a commonfunctional gastrointestinal disorder. Increasing prevalences havebeen reported in Asian adolescent populations, however, therehave been few reports on Indonesian adolescents.Objective To investigate the prevalence of IBS and associatedfactors among adolescents in Jakarta.Methods This cross-sectional study included senior high schoolstudents in a district of Jakarta. Students were asked to fillquestionnaires based on the Rome III criteria for IBS. They werethen divided into groups: those with IBS and those without IBS,for the purposes of comparison.Results Out of 232 adolescents (145 females and 87 males) withmean age of 16.06 (SD 0.91) years, 14 (6.0%) had IBS. Elevenout of 14 adolescents with IBS reported upper abdominal painas well as periumbilical/lower abdominal pain. Irritable bowelsyndrome was not associated with socioeconomic status, food anddrink habits, the use of antibiotics, or scolding as a parental formof discipline. However, a significant higher proportion in the useof corporal punishment was found in IBS adolescents comparedto the non-IBS (P=0.034). In addition, stress related to scolding,as a parental form of discipline was more likely to be found in theIBS group than in the non-IBS group (P=0.019).Conclusion The prevalence of IBS among adolescents in Jakartais 6%, which is lower compared to those of other Asian countries.Corporal punishment at home and stress related to scolding athome are found to be associated with IBS.


2018 ◽  
Vol 55 (suppl 1) ◽  
pp. 35-40 ◽  
Author(s):  
Glícia Estevam de ABREU ◽  
Eneida Regis DOURADO ◽  
Danielle de Novais ALVES ◽  
Milly Queiroz de ARAUJO ◽  
Natália Souza Paes MENDONÇA ◽  
...  

ABSTRACT BACKGROUND: An association between urinary disorders and functional constipation has been registered in children and adults, with functional constipation being a common complaint in individuals with overactive bladder. OBJECTIVE: To evaluate the prevalence of functional constipation, overactive bladder and its dry/wet subtypes in women and to determine which bowel symptoms predict overactive bladder. METHODS: A cross-sectional study of women randomly approached in public spaces. Exclusion criteria: neurological/anatomical abnormalities of the bowel or urinary tract. Constipation was defined as ≥2 positive symptoms of those listed in the Rome criteria. Urinary abnormalities (frequent urination, urgency, incontinence, nocturia) were defined by a score ≥2 in the respective item of the International Consultation on Incontinence Questionnaire - Overactive Bladder. Dry overactive bladder was defined as urgency without incontinence, while wet overactive bladder included incontinence. RESULTS: A total of 516 women with a mean age of 35.8±6 years were interviewed. Rates of functional constipation, overactive bladder, dry overactive bladder and wet overactive bladder were 34.1%, 15.3%, 8.9% and 6.4%, respectively. Functional constipation was associated with overactive bladder and dry overactive bladder, with functional constipation predicting dry overactive bladder (OR=2.47). Quality of life was poorer in constipated women compared to non-constipated and even worse in constipated women with wet overactive bladder (median 22.5; 95%CI: 17.25-35.25). Manual maneuvers were significantly associated with both overactive bladder subtypes. Independent predictive factors for overactive bladder were manual maneuvers (OR=2.21) and <3 defecations/week (OR=2.18), with the latter being the only predictive factor for dry overactive bladder (OR=3.0). CONCLUSION: Functional constipation is associated with overactive bladder and its dry subtype, particularly in the younger population. In addition, this association is responsible for lower quality of life scores, especially when urinary incontinence is present. The presence of manual maneuvers and less than three defecations per week should direct us to look for overactive bladder.


2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Gunvor S. Fosnes ◽  
Stian Lydersen ◽  
Per G. Farup

Introduction. Constipation is a common adverse drug reaction.Objective. Study associations between drugs and constipation in nursing home residents.Design. Cross-sectional study.Material and Methods. Nursing home residents above 60 years of age were included. Demographics, diet, physical activity, activity of daily living, nutritional status, use of drugs, and diseases were recorded. Constipation was defined as functional constipation or constipation-predominant IBS according to the Rome III criteria and/or regular use of laxatives. Drugs were classified according to the Anatomical-Therapeutic-Chemical Classification System (ATC), and anticholinergic effect was noted.Results. In all, 79 men and 188 women with a mean age of 85.4 (SD 7.1) years were included. The prevalence of constipation was 71.5%. Use of drugs in general, including polypharmacy, was not associated with constipation. Reduced activity of daily living (OR = 0.71, 95% CI : 0.60–0.84,P<0.001),other antidepressants(N06AX) (OR 3.08, 95% CI : 1.09–8.68,P=0.03), andbenzodiazepine derivatives(N05BA) (OR = 2.80, 95% CI : 1.12–7.04,P=0.03) were significantly associated with constipation; drugs with markedly anticholinergic effect (OR = 3.7, 95% CI : 0.78–17.53,P=0.10),natural opium alkaloid(N02AA) (OR = 5.01, 95% CI : 0.95–25.94,P=0.06), andpropionic acid derivatives(M01AE) (OR = 7.00, 95% CI : 0.75–65.08,P=0.09) showed a trend.Conclusion.In elderly with constipation, focus should be on specific groups of drugs and nonpharmacological factors, not on drugs in general.


2017 ◽  
Vol 54 (3) ◽  
pp. 197-200 ◽  
Author(s):  
Nooshin SADJADEI ◽  
Samaneh HOSSEINMARDY ◽  
Mehran HAKIMZADEH ◽  
Tahereh ZIAEI KAJBAF ◽  
Hazhir JAVAHERIZADEH

ABSTRACT BACKGROUND Celiac disease is a glutten induced enteropathy. Some authors recommended screening celiac in children with constipation. There are studies to evaluate celiac disease in children with constipation. But most of them included children regardless to treatment failure. OBJECTIVE The aim of this study was to evaluate frequency of elevated anti TTG in children with constipation after failure to improve during 6 week of appropriate treatment of constipation. METHODS In this cross sectional study, 550 children with prolonged constipation were included. Place of study was Pediatric Gastroenterology clinic of Abuzar children’s hospital. Prolonged constipation was defined as a constipation which failed to resolved after 6 weeks of appropriate treatment. Constipation was defined according to ROME III criteria. After parental agreement, 5 mL of blood was obtained. Serum anti TTG level was measure using ELISA method by Orientec kit. Anti TTG>10 was considered positive if IgA was normal. SPSS version 16.0 (Chicago, IL, USA) was used for data analysis. Chi square, t-test, and Mann Whitney test used for data analysis. RESULTS In this study 550 children (m=277, f=273) were included. Mean age of the cases was 6.8±2.9 year. Anti TTG antibody level was 5.8±2.8 unit/mL. Of these case, 42 (7.6%) had positive anti-TTG antibody. Celiac disease was confirmed in 40 cases after histopathology examination. CONCLUSION Anti-TTG was positive in 7.6% children with chronic constipation who failed to respond after 6 week of treatment. Another multicenter study with longer follow up period is recommended.


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