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Published on: June 4, 2017
Increased prevalence of gastrointestinal symptoms in patients with allergic disease
Nick Powell1, Benedict Huntley, Thomas Beech
1Department of Gastroenterology, Stevenage, Hertfordshire, UK. nick.powell@nhs.net
Insights
Adults with asthma or allergic rhinitis are more likely to experience gastrointestinal symptoms. This study found a significant association between allergic diseases and increased digestive issues in adults.
Area of Science:
- Gastroenterology
- Allergology
- Epidemiology
Background:
- Children with allergic diseases often have gastrointestinal symptoms.
- Previous studies noted GI abnormalities in allergic patients.
- The prevalence of GI symptoms in adults with allergies was unclear.
Purpose of the Study:
- To investigate the association between allergic diseases and lower gastrointestinal symptoms in adults.
- To determine if adult patients with asthma or allergic rhinitis experience increased GI symptoms.
Main Methods:
- A retrospective case-control study involving 7235 adult primary care patients.
- Irritable bowel syndrome diagnosis served as a marker for lower GI symptoms.
- Prevalence of GI symptoms in allergic patients was compared to controls.
Main Results:
- Gastrointestinal symptoms were significantly more common in adults with asthma (9.9%) compared to chronic disease patients (4.9%) and the general population (5.5%).
- Adults with allergic rhinitis also showed a higher prevalence of GI symptoms (7.9%) versus controls (4.9% and 5.5%).
- These findings were independent of age, sex, and asthma medication.
Conclusions:
- The study supports the hypothesis that lower gastrointestinal symptoms are more prevalent in adults with allergic diseases.
- Asthma and allergic rhinitis are associated with an increased risk of digestive complaints in adults.
Background:
Children with allergic diseases such as asthma and atopic dermatitis experience increased gastrointestinal symptoms. Further, physiological and histological abnormalities of the gastrointestinal tract in patients with allergic diseases have been reported. It is not certain whether adult patients experience increased gastrointestinal symptoms.
Methods:
A retrospective, case-control study of 7235 adult (> or =20 years old) primary care patients was conducted. A general practitioner diagnosis of irritable bowel syndrome was used to serve as a marker of lower gastrointestinal symptoms. The prevalence of lower gastrointestinal symptoms was calculated in patients with asthma or allergic rhinitis and compared with that in patients with other chronic diseases (insulin-dependent diabetes mellitus, osteoarthritis and rheumatoid arthritis) and with the remaining population.
Results:
Gastrointestinal symptoms were significantly more common in patients with asthma (9.9%) as compared with patients with chronic diseases (4.9%; odds ratio (OR) 2.13, 95% confidence interval (CI) 1.39 to 2.56; p<0.002) or the remaining non-asthmatic population (5.5%; OR 1.89, 95% CI 1.39 to 2.56; p<0.001). Gastrointestinal symptoms were also significantly more common in patients with allergic rhinitis (7.9%) as compared with patients with chronic diseases (4.9%; OR 1.66, 95% CI 1.02 to 2.7; p<0.05) and the remaining population (5.5%; OR 1.47, 95% CI 1.04 to 2.1; p<0.02). This phenomenon was independent of age, sex and inhaled asthma therapy in the case of patients with asthma.
Conclusions:
Our findings support the hypothesis that lower gastrointestinal symptoms are more common in patients with allergic diseases such as asthma and allergic rhinitis.
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