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[Irritable bowel syndrome in adolescence]
Nihon Rinsho. Japanese Journal of Clinical Medicine
|November 1, 1992
Summary
Adolescent irritable bowel syndrome (IBS) patients often experience a dominant "gas" pattern with abdominal pain and bowel dysfunction. Mental tension and school stress contribute to IBS symptoms and school maladjustment in teenagers.
Area of Science:
- Gastroenterology
- Psychosomatic Medicine
- Pediatric Health
Context:
- Irritable bowel syndrome (IBS) is a prevalent functional gastrointestinal disorder.
- Adolescent patients present unique challenges in diagnosis and management.
- Takano Hospital, a coloproctology center, observed 70 adolescent IBS patients over six years.
Purpose:
- To investigate the clinical patterns and associated factors of irritable bowel syndrome in adolescents.
- To understand the relationship between IBS symptoms, mental tension, and school environment.
- To identify the prevalence of school maladjustment among adolescent IBS patients.
Summary:
- The dominant clinical pattern observed was 'gas' (51.4%), characterized by flatus, fullness, abdominal pain, and altered bowel habits.
- Diarrheal patterns (20.0%) and recurrent abdominal pain (7.1%) were also noted.
- Symptoms are linked to mental tension and stress related to the classroom and school attendance.
- A significant majority (67.1%) experienced school maladjustment, including absenteeism and withdrawal.
Impact:
- Highlights the significant impact of IBS on adolescent quality of life and school performance.
- Underscores the importance of psychosomatic assessment in pediatric IBS cases.
- Suggests a need for integrated approaches addressing both gastrointestinal and psychological well-being in schools.