During the new type of coronavirus (Kovid-19) epidemic, it was stated that there was an increase in the symptoms of irritable bowel syndrome (IBS), a functional bowel disease.
During the April 19 World IBS Day and April 1-30 IBS Awareness Month, awareness activities are carried out on IBS, which is common in the society and negatively affects the quality of life.
President of the Turkish Gastroenterology Association Prof. Dr. Birol Ozer, said in a statement, that IBS patients with recurrent abdominal pain in at least one day a week the last 3 months, the incidence of the disease in Turkey and emphasized that around 10-20 per cent worldwide.
Pointing out that the disease is more common in women and in populations younger than 50 years old, Özer said:
“Only 15 percent of the patients apply for medical help. The annual loss of workforce is 3-4 days more than healthy individuals. IBS, a recurrent chronic disease, increases the anxiety of patients, ‘How will my life be like from now on, does it turn into another bad disease? ? ‘ IBS does not have a negative effect on survival, does not transform into another disease or cancer. and causes complaints by affecting the feeling of the patient. “
Özer listed genetic factors, personality traits, change in physiological response to stress, low-grade gastrointestinal inflammation, changes in microbiota, past intestinal infection sequelae as effective causes of the development of the disease, saying, “An increase in IBS symptoms has occurred in the Kovid-19 pandemic, which affects our world today. One of the possible reasons for this is that the new type of coronavirus affects the gastrointestinal system, the other is that the widespread stress experienced triggers the disease. ” made its evaluation.
Pointing out that IBS symptoms can be confused with inflammatory bowel diseases such as ulcerative colitis, Crohn’s disease, celiac disease and carbohydrate absorption disorders, Özer stated that the patient’s history and physical examination findings are important in the diagnosis of IBS, and since there are no specific tests for the disease, there is no need to perform tests other than basic blood tests. .
Prof. Dr. Birol Özer gave the following information about treatment in IBS:
“Listening to patients actively, informing and educating patients about the disease, setting realistic expectations for treatment, and managing disturbing symptoms are the basis of IBS treatment. Diet and exercise are the first recommended treatments for patients with mild complaints and not impaired quality of life. Legumes, cabbage, broccoli, etc. Foods that cause gas such as cauliflower should not be consumed. It has been shown that physical activity for minutes and 3-5 days a week reduces the complaints. It is intended to eliminate complaints such as mood, abdominal pain, anxiety, stress, gas and bloating.
“Failure to confront underlying psychiatric diseases makes treatment more difficult.”
Ege University Faculty of Medicine Gastroenterology Department Lecturer Prof. Dr. Serhat Bor stated that IBS, which is among the most common cases seen by gastroenterologists in daily practice, is the 4th most common diagnosis among family physicians, and pointed out that the search for occult blood in stool is a control examination that everyone should have, especially after the age of 45, whether they have complaints or not.
Boron explained the situations where advanced examination and colonoscopy should be done as follows:
“The onset of complaints after the age of 45 in a person who had no previous complaints, involuntary weight loss, complaints waking from deep sleep at night, colon cancer in the family, inflammatory bowel disease, celiac disease, anemia and rectal bleeding or bloody diarrhea.”
Stating that the disease should not be defined only psychologically, Bor shared the following:
“However, there is a very close relationship with the psychological state of the person. The complaints get worse in the presence of psychological problems and especially in the presence of unnecessary fear of cancer. Sometimes there are cases that constantly produce complaints when there is no illness on the ground, and these patients should directly consult psychiatrists. failure to confront makes treatment even more difficult. “