Subtypes and Symptomatology of Irritable Bowel Syndrome in Children and Adolescents: A School-based Survey Using Rome III Criteria.
- Author:
Shaman RAJINDRAJITH
1
;
Niranga M DEVANARAYANA
Author Information
1. Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka. shamanr0@lycos.com
- Publication Type:Original Article
- Keywords:
Adolescent;
Child;
Gastrointestinal disorder;
Habits;
Irritable bowel syndrome
- MeSH:
Adolescent;
Aged;
Child;
Constipation;
Diarrhea;
Extremities;
Female;
Flatulence;
Headache;
Humans;
Irritable Bowel Syndrome;
Prevalence;
Rome;
Sri Lanka
- From:Journal of Neurogastroenterology and Motility
2012;18(3):298-304
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND/AIMS: This study was conducted with objectives of assessing subtypes of irritable bowel syndrome (IBS) in children aged 10-16 years, their symptomatology and gender differences. METHODS: For this survey, 107 children who fulfilled Rome III criteria for IBS and 1,610 healthy controls were recruited from 8 randomly selected schools, in 4 provinces in Sri Lanka. Data was collected using a previously validated, self administered questionnaire. RESULTS: Constipation predominant, diarrhea predominant and mixed type IBS were almost equally distributed (27%-28%), while unsubtyped IBS had a lower prevalence (17.8%). IBS was more common in girls (59.8% vs 40.2% in boys, P = 0.001). Bloating, flatulence, burping, headache and limb pain were significantly higher in affected children (P < 0.05). CONCLUSIONS: This study highlights the distribution of IBS subtypes among Sri Lankan children and adolescents and its female preponderance. This study also shows a higher prevalence of other intestinal-related and extraintestinal somatic symptoms among affected children.
