VARIATIONS IN CLINICAL PRESENTATION OF POST-INFECTIOUS AND NON POST-INFECTIOUS IRRITABLE BOWEL SYNDROME
*Dr. Syed Mumshad ul Hassan, Dr. Rabia Ayub, Dr. Muhammad Ahmad and Dr. Rao Muhammad Shargeel
ABSTRACT
Objective: To compare the post-infectious irritable bowel syndrome (PI-IBS) and none post-infectious irritable bowel syndrome (NPI-IBS) clinically and experimentally. Methods: From May 2016 to January 2018, eighty-nine patients with irritable bowel syndrome (IBS) were recruited in the internal department of the Jinnah hospital Lahore. The clinical data were collected for all the patients, and a blood sample was collected to detect the level of C-reactive protein (CRP) and intestinal fatty acid binding protein (IFABP), an investigation questionnaire of gastrointestinal symptom rating scale (GSRS) and self-rating anxiety scale (SAS) were carried out to evaluate the gastrointestinal function and anxiety status. Results: In the study, forty-eight patients were included in PI-IBS group and 41 in Non-PI-IBS group. There was no significant difference in age, gender and GSRS between the two groups (p>0.05). In PI-IBS group 70.8% patients presented with the primary symptom of diarrhea and 60.4% presented with a SAS scores over 50, but in Non-PI-IBS group, the values were only 19% (p
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