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Gender differences in irritable bowel symptoms

W G Thompson1

  • 1Division of Gastroenterology, Ottawa Civic Hospital, University of Ottawa, Canada.

European Journal of Gastroenterology & Hepatology
|March 1, 1997
PubMed
Summary
This summary is machine-generated.

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Men with irritable bowel syndrome (IBS) report fewer non-pain symptoms like mucus and distension. This may explain why diagnostic criteria are less reliable in men.

Area of Science:

  • Gastroenterology
  • Clinical Medicine
  • Epidemiology

Background:

  • Irritable bowel syndrome (IBS) diagnosis relies on criteria like Manning and Rome.
  • Previous data suggest reduced reliability of these criteria in men.
  • Gender-based differences in symptom reporting may influence diagnostic accuracy.

Purpose of the Study:

  • To investigate gender-specific prevalence of individual diagnostic criteria for IBS.
  • To identify specific symptoms that differ in reporting between males and females with IBS.

Main Methods:

  • A cohort of 156 IBS patients (26 males, 130 females) were surveyed.
  • Symptom data were collected based on Manning and Rome criteria.
  • Statistical analysis was performed to compare prevalence between genders.

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Main Results:

  • Pain-related Manning criteria were similarly prevalent in both genders.
  • Symptoms like mucus, incomplete evacuation, and distension were significantly less common in men.
  • Less frequent reporting of scybala was observed in males compared to females.

Conclusions:

  • While pain symptoms are similar, non-pain IBS symptoms are less prevalent in men.
  • These reporting differences may contribute to the lower clinical reliability of diagnostic criteria in males.
  • This could explain the apparent lower prevalence of IBS in men.