Case Report
Volume 8 Issue 8 - 2021
Irritable Bowel Syndrome-Running from Pillar to Post with No Cure: A Case Study of a Retired Spinster’s Experience for Community at Large
Suresh Kishanrao*
Public Health Consultant Bengaluru and Visiting Professor, MPH, Karnataka State Rural Development and Panchayat Raj University (KSRDPRU) Gadag, Karnataka, India
*Corresponding Author: Suresh Kishanrao, Public Health Consultant Bengaluru and Visiting Professor, MPH, Karnataka State Rural Development and Panchayat Raj University (KSRDPRU) Gadag, Karnataka, India.
Received: May 20, 2021; Published: July 19, 2021




Abstract

Irritable bowel syndrome (IBS) is a disorder affecting commonly the large intestine, and manifests as stomach-ache, gaseous distension of the abdomen, often diarrhoea, and sometimes constipation. The diagnosis is generally made on presenting symptoms and excluding other known causes of such symptoms. Some people can win over their symptoms by diet alteration, lifestyle changes, and minimizing stress situations. Severe symptoms are treated with medication and counselling.

I present one such case of a professionally busy spinster lady complaining of pain in epigastric region of the abdomen, gaseous distension, frequent diarrhoea and constipation episodes and uneasiness starting in April 2020. The problem starts after she retires in 2018 from a remarkably busy schedule of heading a government Polytechnic after 30 odd years of services. Her work culture changes and gets more leisure time, not able to keep herself busy and being a spinster not much of family support. After multiple consultations in a northern district of Karnataka she lands in Bengaluru for detailed check-up and confirmation of diagnosis and treatment plan. Ruling out all-possible causes of the symptoms, through battery of investigations, endoscopy, Colonoscopy, CT Scan of abdomen and Pelvis, echocardiography, KFT, LFT, etc a final diagnosis of IBS is arrived at and under observation for over a month

 

Keywords: Dyspepsia; Non-ulcer dyspepsia (NUD); Irritable Bowel Syndrome (IBS)

References

  1. Irritable Bowel Syndrome (IBS): Diet, Medication and Alternative Therapies, By Sitaram Bhartiya Team, New Delhi (2020).
  2. Inter-personal communication by a long-standing experienced Gastroenterologist in Bengaluru.
  3. Makharia GK., et al. “Prevalence of irritable bowel syndrome: A community- based study from Northern India (2011).
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  6. Avinash Bhat., et al. “Celiac Disease in Adult South Indian Patients with Diarrhoea Dominant Irritable Bowel Syndrome (2020).
  7. Young Sun Kim., et al. “Sex-Gender Differences in Irritable Bowel Syndrome”. Journal of Neurogastroenterology and Motility4 (2018): 544-558.
  8. RokSeon Choung., et al. “Epidemiology of IBS”. Gastroenterology Clinics of North America 40 (2011): 1-10.
  9. Andrew Seng Boon Chua. Journal of Neuro-gastroenterology and Motility Society of Gastroenterology Task Force. Indian Journal of Gastroenterology 27 (2008): 22-28.
  10. Srivastava D., et al. “Associations between IL-1RA polymorphisms and small intestinal bacterial overgrowth among patients with irritable bowel syndrome from India”. Neurogastroenterology and Motility 26 (2014): 1408-1416.
  11. A Blasi., et al. “Non-ulcer dyspepsia”. Annali Italiani di Medicina Interna4-2 (1991): 470-475.
  12. A Lenhart., et al. “Postmenopausal women with irritable bowel syndrome (IBS) have more severe symptoms than premenopausal women with IBS”. Neurogastroenterology and Motility10 (2020).
Citation: Suresh Kishanrao. “Irritable Bowel Syndrome-Running from Pillar to Post with No Cure: A Case Study of a Retired Spinster’s Experience for Community at Large”. EC Gastroenterology and Digestive System 8.8 (2021): 27-33.

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