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    Many Patients Have Dual Gastric Woes

    Some Indigestion or Irritable Bowel Sufferers Likely to Have Both Ailments

    WebMD Health News

    Oct. 14, 2003 (Baltimore) -- It's a double whammy.

    Doctors report that nearly three-fourths of people who suffer from irritable bowel syndrome also have indigestion.

    Indigestion, also known as dyspepsia, is a disorder with no specific cause characterized by mid-abdominal pain, bloating, and difficulty in digesting. Indigestion usually accompanies meals and can be confused with the symptoms of an ulcer. It brings a ton of misery, preventing people from working, even keeping social engagements. It accounts for a large majority of physical complaints seen in a general practitioner's office.

    Irritable bowel syndrome, or IBS, also causes gas, bloating, and abdominal pain. But in the case of IBS, the bowel is affected, which is also called the large intestine. About 1 in 10 Americans suffer from chronic IBS, even more from indigestion.

    The new research, presented this week at the 68th Annual Scientific Meeting of the American College of Gastroenterology, looks at the association between these two disorders.

    It has been suggested that indigestion and irritable bowel syndrome represent the same disease entity -- the so-called irritable gut, according to study presenter Ashok K. Tuteja, MD, of the department of gastroenterology at the University of Utah in Salt Lake City.

    As a result, he and colleagues undertook a study to determine how common each syndrome is and how much the two overlap.

    The researchers surveyed 723 people who filled out questionnaires asking about their gastrointestinal symptoms. Nearly 15% reported symptoms of indigestion, 8.9% had IBS symptoms, and 6.2% reported both indigestion and IBS.

    Of the patients with IBS, 70% also had functional indigestion, and of subjects with indigestion, 43% also had IBS, the study showed.

    "This was much greater overlap than we expected and much more than could be attributed to chance," Tuteja says.

    The people who reported symptoms of both disorders or symptoms of IBS alone were much more likely to consult a doctor about their problems than those with indigestion alone, the study showed. Thirty-three percent of those with both indigestion and IBS symptoms went to the doctor in the previous year, compared with only 4% of patients with indigestion alone and 25% with IBS alone.

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