scholarly journals CHRONIC PELVIC PAIN

2018 ◽  
Vol 25 (02) ◽  
pp. 173-179
Author(s):  
Syeda Rabia ◽  
Naeem Akhtar Qureshi ◽  
Afsha Shahid ◽  
Hira Afreen

Objectives: To determine the frequency and associated risk factors of chronicpelvic pain (CPP) in educated women under 30 years of age. Study Design: A cross sectionalstudy. Setting: North Naziabad and Gulshan e Iqbal towns of Karachi. Period: January to July2017. Method: Data was collected through convenient sampling. Informed verbal consentwas taken before data collection. A questioner was used to collect demographic and obstetricdata. Screening of Anxiety and depression was done using standard tool Hospital basedanxiety and depression scale (HADS).Result were analyzed on SPSS. Result: The mean ageof women were 25 years, SD = 4.31. The frequency of chronic pelvic pain was 29% (116).Gynecological cause was found in 68.9% (80). Irritable bowel syndrome was seen in 9% (36)women. Significant association of CPP was noted with Dysmenorrhoea (p-value=000,OR=.207), Dyspareunia (p-value = .000, OR = .166), Heavy menstrual flow (p-value = .033, OR= .333), married (p-value = .000, OR = .414), Vaginal discharge (p-value = .000, OR = .260),Anxiety (p-value = .000, OR = .300), depression (p-value = .002, OR = .452), Normal mentalstatus (p-value = .000, OR = 2.488), Irritable bowel syndrome (p-value = .000, OR = .169)and PMS (p-value = .000, OR = .438). Conclusion: Frequency of chronic pelvic pain is high inyoung educated women. Gynecological causes, irritable bowel syndrome and psychologicaldisorder are significantly associated with CPP. 

1991 ◽  
Vol 12 (sup1) ◽  
pp. 65-75 ◽  
Author(s):  
E. A. Walker ◽  
W. J. Katon ◽  
J. Jemelka ◽  
H. Alfrey ◽  
M. Bowers ◽  
...  

1996 ◽  
Vol 17 (1) ◽  
pp. 39-46 ◽  
Author(s):  
E. A. Walker ◽  
A. N. Gelfand ◽  
M. D. Gelfand ◽  
C. Green ◽  
Wj Katon

2005 ◽  
Vol 60 (7) ◽  
pp. 439-440
Author(s):  
Rachel E. Williams ◽  
Katherine E. Hartmann ◽  
Robert S. Sandler ◽  
William C. Miller ◽  
Lucy A. Savitz ◽  
...  

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4513
Author(s):  
Elodie Schneider ◽  
Jean-Marc Sabaté ◽  
Michel Bouchoucha ◽  
Serge Hercberg ◽  
Mathilde Touvier ◽  
...  

(1) Background: Specific foods, and more particularly, fermentable oligo-, di-, and mono-saccharides and polyols (FODMAPs) are often considered as triggers of digestive symptoms in Irritable Bowel Syndrome (IBS). Our aim was to study FODMAP consumption in controls and IBS participants in a large French population-based cohort; (2) Methods: Participants from the NutriNet-Santé cohort study completed the Rome IV and IBS-SSS questionnaire in a cross sectional study. Among them, 27,949 eligible participants had previously completed three 24-h recalls as well as anthropometrics, socio-demographical and lifestyle data. Total FODMAP intake (in g/day) was computed using a specific composition table. The association between FODMAPs and IBS was estimated through multivariable logistic regression models; (3) Results: Included participants were mainly women (75.4%) and the mean age was 43.4 ± 14.1 years. FODMAPs accounted for a mean daily intake of 19.4 ± 9.5 g/day. Overall 1295 participants (4.6%) were identified with an IBS. After adjusting for confounding factors, IBS participants had lower intakes in FODMAPs than non-IBS ones (aOR: 0.88, 95% CI: 0.82–0.95, p-value: 0.001). IBS severity was associated with more frequent low FODMAP intakes (<9 g/day); (4) Conclusions: Participants tended to consume 19 g of FODMAPs per day, but slightly less for IBS participants than for controls. In IBS participants, higher severity was associated with lower intakes.


Author(s):  
Rok Seon Choung ◽  
Linda M. Herrick ◽  
Giles Richard Locke ◽  
Alan R. Zinsmeister ◽  
Nicholas J. Talley

2019 ◽  
Vol 70 (10) ◽  
pp. 3634-3637
Author(s):  
Doina Georgescu ◽  
Mircea Stefan Iurciuc ◽  
Izabella Petre ◽  
Liviu Andrei Georgescu ◽  
Florin Szasz ◽  
...  

Irritable bowel syndrome (IBS) is characterized by a multitude of symptoms digestive and extra- digestive that need at some point a multidisciplinary approach. This study aimed at profiling IBS associated with chronic pelvic pain (CPP) in young females. A cross sectional observatory study on 40 consecutive young female patients (under 45 years) with IBS (Rome III) was performed. Patients were assigned in two groups, as matched pairs, based on the presence of chronic pelvic pain (CPP) symptoms: cystalgia, urinary urge and dyspareunia: CPP(+) vs. CPP(-) and undertook clinical examinations with special protocols related to migraine disability, fibromyalgia, temporo-mandibular joint dysfunction, as well as assessment of anxiety and severity of abdominal pain. Laboratory work-up (blood, urine and stool) as well as multiple exams: digestive endoscopy, abdominal and pelvic ultrasound//CT were performed. Results: CPP (+) group displayed higher CRP, TNF-alpha, gut dysbiosis (DB) and abdominal pain severity, as well as associated fibromyalgia, migraine and anxiety mood disorder. DB positively correlated with inflammatory markers and symptoms characterizing CPP. In conclusion, young female IBS patients with concurrent CPP symptoms often experienced other associated functional pain conditions like FM and migraine along with anxiety, more severe abdominal complaints as well as higher gut DB and consecutively subclinical pro-inflammatory status. Strong positive correlations of gut DB to inflammatory markers as well as to CPP symptoms give the relationship IBS-CPP a new perspective.


Author(s):  
Joyce Beatriz da Silva ◽  
Maria Beatriz Ferreira Gurian ◽  
Carla Barbosa Nonino ◽  
Omero Benedito Poli-Neto ◽  
Antonio Alberto Nogueira ◽  
...  

Abstract Objective To determine the average body composition (percentage of body fat), the anthropometric markers, and the intensity of clinical pain in women with a clinical diagnosis of chronic pelvic pain (CPP) secondary to endometriosis. Methods A case-control study performed with 91 women, 46 of whom with CPP secondary to endometriosis and 45 of whom with CPP secondary to other causes. They underwent an evaluation of the anthropometric parameters by means of the body mass index (BMI), the perimeters (waist, abdomen, hip), and the percentage of body fat (%BF), which were assessed on a body composition monitor by bioimpedance; the intensity of the clinical pain was evaluated using the visual analog scale (VAS), and the symptoms of anxiety and depression, using the hospital's anxiety and depression scale (HAD). Results The groups did not differ in terms of mean age, BMI, %BF or regarding the available waist-to-hip ratio (WHR). The mean intensity of the clinical pain by the VAS was of 7.2 ± 2.06 in the group with CPP secondary to endometriosis, and of 5.93 ± 2.64 in the group with CPP secondary to other causes (p = 0.03), revealing significant differences between the groups. Conclusion We concluded that, despite the difference in the pain score assessed between the two groups, there was no difference regarding body composition and anthropometry.


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