Prevalence of Irritable Bowel Syndrome (IBS), Migraine and Co-Existing IBS-Migraine in Medical Students
Introduction: Irritable Bowel Syndrome (IBS) and migraine frequently co-exist. Stress is a major contributing factor for both. Our medical students are subjected to stress related to the implicit responsibility of courses. But the prevalence of IBS, migraine and co-existing migraine in medical s...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/8832/20900_CE[EK_OM]_F(GH)_PF1(SHAK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | Introduction: Irritable Bowel Syndrome (IBS) and migraine
frequently co-exist. Stress is a major contributing factor for
both. Our medical students are subjected to stress related to
the implicit responsibility of courses. But the prevalence of IBS,
migraine and co-existing migraine in medical students is not
known.
Aim: To estimate the prevalence of migraine, IBS and coexisting IBS and migraine among medical students. A CrossSectional Survey.
Materials and Methods: Self-reported questionnaire based
study, was conducted in which migraine was defined according
to International Headache Society (IHS) criteria while IBS by both
Asian criteria and Rome III criteria. Both preclinical (n=142) and
clinical students (n=151) of four medical colleges (government
and private) of Dhaka and Sylhet district participated in the
study.
Statistical Analysis: Student's t-test and chi-square test were
used to compare the distributions of continuous data and
categorical data respectively with significance level set at 0.05
or less.
Results: Among the 293 students (mean age 21.09 ± 2.24
years) volunteered in the study (Males= 177), 14 (4.8%, 11
males, 3 females, p = 0.175) met the criteria for IBS with
comparable prevalence among preclinical and clinical (4.2% vs.
5.3%, p = 0.787) students from both private and government
institutions (2.1% vs. 7.2%, p = 0.055). IBS-D was the most
prevalent subtype (n = 8, M = 6) and abdominal pain relieved
by defecation (n = 11), was the most prevalent symptom. Fifty
percent (n = 7) of IBS patients considered their bowel habit as
normal. Among the 221 (75.4%) students with headache, only
51 (17.4%, 20 males and 31 females, p = 0.001) were diagnosed
of migraine, with comparable prevalence among preclinical and
clinical students (16.2% vs. 18.5%, p = 0.645). Only 17 (33%)
subjects with migraine had accompanying aura. Common
triggers were stress (n = 43), lack of sleep (n = 42), and daily life
events. Twelve (23.5%) subjects with migraine had migraineassociated frequent disability. Only two female students with
IBS-D (14.3%) had concomitant IBS and migraine.
Conclusion: IBS and concomitant migraine - IBS prevalence
was found to be low in our medical students, but migraine
prevalence corresponds to other countries as well as in medical
students. |
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| ISSN: | 2249-782X 0973-709X |