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Abdominal Symptoms in General Practice, a Case Control Study.

Paul R Bond1

  • 1General Practitioner, The Surgery, Coronation Road, Downend, Bristol.

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Summary
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A survey of 300 patients found that recurrent abdominal pain is linked to diagnosed irritable bowel syndrome, undiagnosed symptoms, and organic diseases. Controls were used to assess prescribing rates for certain medications.

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Area of Science:

  • Gastroenterology
  • General Practice
  • Epidemiology

Background:

  • Recurrent abdominal pain is a common patient complaint in general practice.
  • Identifying the cause of abdominal pain is crucial for effective management.
  • Previous studies have explored the prevalence of irritable bowel syndrome and other causes.

Purpose of the Study:

  • To survey general practice patients regarding recurrent abdominal pain and related symptoms.
  • To categorize patients with abdominal pain into distinct groups.
  • To compare consultation and medication prescribing rates between symptomatic and asymptomatic individuals.

Main Methods:

  • A survey was conducted among 300 general practice patients.
  • Patients were questioned about recurrent abdominal pain, discomfort, and associated symptoms.
  • Age-sex matched controls were selected from negative responders to assess consultation and prescribing rates.

Main Results:

  • Out of 300 patients, 7% had diagnosed irritable bowel syndrome.
  • Another 7% reported similar symptoms but had not sought medical help.
  • 9% had abdominal pain attributed to miscellaneous organic diseases.

Conclusions:

  • Recurrent abdominal pain in general practice has multiple etiologies, including diagnosed IBS, undiagnosed IBS-like symptoms, and organic diseases.
  • Further research is needed to understand the prescribing patterns of benzodiazepines and antidepressants in patients with abdominal pain.
  • The study highlights the importance of thorough assessment for patients presenting with recurrent abdominal pain.