Recognition and treatment of irritable bowel syndrome among women with chronic pelvic pain

Rachel E. Williams; Katherine E. Hartmann; Robert S. Sandler; William C. Miller; Lucy A. Savitz; John F. Steege

doi:10.1016/j.ajog.2004.10.634

Recognition and treatment of irritable bowel syndrome among women with chronic pelvic pain

Rachel E. Williams, Katherine E. Hartmann, Robert S. Sandler, William C. Miller, Lucy A. Savitz, John F. Steege

Research output: Contribution to journal › Article › peer-review

50 Scopus citations

Abstract

Objective: We sought to describe irritable bowel syndrome (IBS) treatment among women with chronic pelvic pain. Study design: We performed a cross-sectional study of new chronic pelvic pain patients between 1993 and 2000 (n = 987). IBS was defined by Rome I criteria. IBS treatment was defined as lower gastrointestinal drugs or referral. Analyses were descriptive and multivariable. Results: IBS occurred in 35% of patients. In the highest quartile of pain, women with IBS were not more likely to have IBS treatment initiated. In the lowest three quarters of pain, women with IBS were 5.08 times more likely to have IBS treatment initiated. IBS was not diagnosed 40% of the time. IBS treatments were not recommended to 67% of patients with IBS. More than 35% of patients were prescribed narcotics. Conclusion: IBS is not consistently diagnosed and treated even in a pelvic pain clinic. Yet, treatment of IBS may reduce the overall abdominal pain of these patients.

Original language	English
Pages (from-to)	761-767
Number of pages	7
Journal	American Journal of Obstetrics and Gynecology
Volume	192
Issue number	3
DOIs	https://doi.org/10.1016/j.ajog.2004.10.634
State	Published - Mar 2005

Funding

This research was supported, in part, by an unrestricted educational grant from GlaxoSmithKline and by the Sunshine Lady Foundation.

Funders	Funder number
Sunshine Lady Foundation
GlaxoSmithKline

Keywords

Chronic pelvic pain
Diagnosis
Epidemiology
Irritable bowel syndrome
Treatment

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1016/j.ajog.2004.10.634

Cite this

@article{153cb891bcb9462eabe7cead6d51a7bb,

title = "Recognition and treatment of irritable bowel syndrome among women with chronic pelvic pain",

abstract = "Objective: We sought to describe irritable bowel syndrome (IBS) treatment among women with chronic pelvic pain. Study design: We performed a cross-sectional study of new chronic pelvic pain patients between 1993 and 2000 (n = 987). IBS was defined by Rome I criteria. IBS treatment was defined as lower gastrointestinal drugs or referral. Analyses were descriptive and multivariable. Results: IBS occurred in 35\% of patients. In the highest quartile of pain, women with IBS were not more likely to have IBS treatment initiated. In the lowest three quarters of pain, women with IBS were 5.08 times more likely to have IBS treatment initiated. IBS was not diagnosed 40\% of the time. IBS treatments were not recommended to 67\% of patients with IBS. More than 35\% of patients were prescribed narcotics. Conclusion: IBS is not consistently diagnosed and treated even in a pelvic pain clinic. Yet, treatment of IBS may reduce the overall abdominal pain of these patients.",

keywords = "Chronic pelvic pain, Diagnosis, Epidemiology, Irritable bowel syndrome, Treatment",

author = "Williams, \{Rachel E.\} and Hartmann, \{Katherine E.\} and Sandler, \{Robert S.\} and Miller, \{William C.\} and Savitz, \{Lucy A.\} and Steege, \{John F.\}",

year = "2005",

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doi = "10.1016/j.ajog.2004.10.634",

language = "English",

volume = "192",

pages = "761--767",

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AU - Williams, Rachel E.

AU - Hartmann, Katherine E.

AU - Sandler, Robert S.

AU - Miller, William C.

AU - Savitz, Lucy A.

AU - Steege, John F.

PY - 2005/3

Y1 - 2005/3

N2 - Objective: We sought to describe irritable bowel syndrome (IBS) treatment among women with chronic pelvic pain. Study design: We performed a cross-sectional study of new chronic pelvic pain patients between 1993 and 2000 (n = 987). IBS was defined by Rome I criteria. IBS treatment was defined as lower gastrointestinal drugs or referral. Analyses were descriptive and multivariable. Results: IBS occurred in 35% of patients. In the highest quartile of pain, women with IBS were not more likely to have IBS treatment initiated. In the lowest three quarters of pain, women with IBS were 5.08 times more likely to have IBS treatment initiated. IBS was not diagnosed 40% of the time. IBS treatments were not recommended to 67% of patients with IBS. More than 35% of patients were prescribed narcotics. Conclusion: IBS is not consistently diagnosed and treated even in a pelvic pain clinic. Yet, treatment of IBS may reduce the overall abdominal pain of these patients.

AB - Objective: We sought to describe irritable bowel syndrome (IBS) treatment among women with chronic pelvic pain. Study design: We performed a cross-sectional study of new chronic pelvic pain patients between 1993 and 2000 (n = 987). IBS was defined by Rome I criteria. IBS treatment was defined as lower gastrointestinal drugs or referral. Analyses were descriptive and multivariable. Results: IBS occurred in 35% of patients. In the highest quartile of pain, women with IBS were not more likely to have IBS treatment initiated. In the lowest three quarters of pain, women with IBS were 5.08 times more likely to have IBS treatment initiated. IBS was not diagnosed 40% of the time. IBS treatments were not recommended to 67% of patients with IBS. More than 35% of patients were prescribed narcotics. Conclusion: IBS is not consistently diagnosed and treated even in a pelvic pain clinic. Yet, treatment of IBS may reduce the overall abdominal pain of these patients.

KW - Chronic pelvic pain

KW - Diagnosis

KW - Epidemiology

KW - Irritable bowel syndrome

KW - Treatment

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Recognition and treatment of irritable bowel syndrome among women with chronic pelvic pain

Abstract

Funding

Keywords

ASJC Scopus subject areas

Access to Document

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