Irritable bowel syndrome in women with chronic pelvic pain in a Northeast Brazilian city

Lessa, Lígia Maria Montenegro; Chein, Maria Bethânia da Costa; Silva, Diego Salvador Muniz da; Neto, Omero Benedicto Poli; Nogueira, Antônio Alberto; Coelho, Leidyane Silva Caldas; Brito, Luciane Maria Oliveira

doi:10.1590/s0100-72032013000200008

Cited by 10 publications

(7 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, the method of collection should ideally be performed in the same way for all individuals in the survey, which did not happen in two studies 37,43 . Overall, the articles that were carried out with the objective of quantifying the prevalence of chronic pain in Brazil have, according to this review, a moderate risk of bias [15][16][17][18][19][20][22][23][24][25][28][29][30]32,34,[36][37][38][39][40][41][42][44][45][46][47][48]49 . This review sough to evaluate the prevalence of mainly nociceptive musculoskeletal pain through the exclusion of studies of prevalence of clearly neuropathic pain 47 , such as cervical and lumbar radiculopathies, and conditions that are known to develop signs of nociplasty 48,49 , such as fibromyalgia.…”

Section: Discussionmentioning

confidence: 99%

“…Overall, the articles that were carried out with the objective of quantifying the prevalence of chronic pain in Brazil have, according to this review, a moderate risk of bias [15][16][17][18][19][20][22][23][24][25][28][29][30]32,34,[36][37][38][39][40][41][42][44][45][46][47][48]49 . This review sough to evaluate the prevalence of mainly nociceptive musculoskeletal pain through the exclusion of studies of prevalence of clearly neuropathic pain 47 , such as cervical and lumbar radiculopathies, and conditions that are known to develop signs of nociplasty 48,49 , such as fibromyalgia. Nevertheless, the update of the definition of pain mechanisms proposed by the IASP was only carried out in 2017 5 and many studies included in the present review date their publication and conduction from times before that publication, therefore, it cannot be stated with full certainty that the prevalence reported is only of musculoskeletal pain of nociceptive predominance.…”

Section: Discussionmentioning

confidence: 99%

“…Another relevant limiting point is in relation to the standardization of the time of pain presence for the consideration of CP in the included articles, since some articles presented a time of three months 15,23,24,28,33,34,39,40,44,45,47,49 and others a period of six months [16][17][18][19][20][21][22][25][26][27][29][30][31][32][35][36][37][38]41,42,43,45,46,48 .…”

Section: Study's Strengths and Limitationsmentioning

confidence: 99%

“…In some articles, the origin of the samples were from treatment centers 15,22,37 , hospitals 47 and institutions 19,24,26,29,35 , with a public already affected by comorbidities accompanied by pain [47][48][49] . These places may have been chosen probably because it was easy to reach the target sample, however, they can influence the results.…”

Section: Study's Strengths and Limitationsmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence of chronic pain in Brazil: systematic review

Aguiar¹,

Souza²,

Barbosa³

et al. 2021

Brazilian Journal of Pain

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES: Chronic pain is considered a worldwide public health problem, can lead to physical and emotional stress, in addition to high financial and social costs for the population. The aim of this study was to produce a systematic review to identify the prevalence of chronic pain in Brazil, considering its geographical regions and mechanisms subclassifications by the International Association for the Study of Pain (IASP). CONTENTS: A systematic review was carried out on the following databases: Scielo, Pubmed, Periódicos Capes, Science Direct and Virtual Health Library. 35 studies that investigated the prevalence of chronic pain in Brazil were included. The prevalence ranged from 23.02 to 76.17%, presenting a national average of 45.33% between studies, affecting more women. The Brazilian region with the highest prevalence among the included studies was the Midwest region (56.25%), however the region with the most studies and the largest population analyzed was the Southeast region (42.2%). Regarding the classifications of IASP mechanisms, possibly nociceptive pain had a prevalence of 36,70%, whereas neuropathic pain was 14,5% and nociplastic pain 12,5%. CONCLUSION: The present study observed a high prevalence of chronic pain in Brazil, being the majority in women. Regarding chronic pain mechanisms, the possibly nociceptive predominance was the most prevalent. As for the national geographic region, the highlight of the highest prevalence of chronic pain was for the Midwest region, however the region with the most studies and the largest population analyzed was the Southeast region.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study's Strengths and Limitationsmentioning

confidence: 99%

Section: Study's Strengths and Limitationsmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of chronic pain in Brazil: systematic review

Aguiar¹,

Souza²,

Barbosa³

et al. 2021

Brazilian Journal of Pain

View full text Add to dashboard Cite

show abstract

“…If this mechanism is altered for a dysfunction of the diaphragm, abnormalities in the pelvic area (chronic pelvic pain) and in upper airways can be observed [ 8 - 9 ]. Patients with IBS are affected by chronic pelvic pain in 35%-80% of cases worldwide; in addition, collapsibility of the upper airways during sleeping is observed in 15%-44% of cases, as reported in a pilot study [ 12 - 13 ].…”

Section: Reviewmentioning

confidence: 94%

Symptomatology Correlations Between the Diaphragm and Irritable Bowel Syndrome

Bordoni

Bruno²

2018

Cureus

View full text Add to dashboard Cite

Irritable bowel syndrome (IBS) is one of the most debilitating and common gastrointestinal disorders; nevertheless, its pathophysiology is still unclear. It affects 11% of the world's population, and is characterized by alternating periods of pain and/or motility disorders with periods of remission and without any evidence of any structural and functional organic variation. It has been recently proposed that an altered contractile ability of the diaphragm muscle might adversely influence intestinal motility. The text reviews the diaphragm's functions, anatomy, and neurological links in correlation with the presence of chronic symptoms associated to IBS, like chronic low back pain, chronic pelvic pain, chronic headache, and temporomandibular joint dysfunction, vagus nerve inflammation, and depression and anxiety. The interplay between an individual's breath dynamic and intestinal behaviour is still an unaddressed point in the physiopathology of IBS, and the paucity of scientific studies should recommend further research to better understand the importance of breathing in this syndrome.

show abstract

Predictors of pelvic pain in a general urology clinic population

et al. 2023

View full text Add to dashboard Cite

ObjectivesTo assess the prevalence and predictors of chronic pelvic pain in a general urology population presenting for evaluation of unrelated non‐painful complaints.Generalized pelvic pain is estimated to afflict between 6% and 26% of women and is often multifactorial in aetiology. A paucity of prospective research exists to characterize chronic pelvic pain patterns and to understand related predictors.Materials and MethodsThis is a prospective, cross‐sectional survey‐based study of female patients presenting to a general urology clinic over a 10‐month period (7/2018–5/2019). Patients completed a 32‐item survey with questions pertaining to demographics, comorbidities and chronic pelvic pain characteristics. Comparison tests (chi‐squared, Fisher's exact) and stepwise multivariable logistic modelling were performed to assess for predictors of chronic pelvic pain.ResultsA total of 181 women completed the survey, with a mean age of 56 years. Overall, 75 (41%) women reported chronic pelvic pain. Those with chronic pelvic pain were younger compared to those without (52 vs 59 years, p = 0.001). Univariable logistic regression analysis identified BMI, depression, fibromyalgia, overactive bladder and any bowel symptoms as possible positive predictors of chronic pelvic pain. Final best‐fit multivariable model found overactive bladder, fibromyalgia and presence of bowel symptoms as independent positive predictors of chronic pelvic pain.ConclusionsOur study is one of the few studies that has prospectively analysed chronic pelvic pain and its predictors. The present study identified significant associations with overactive bladder, fibromyalgia and bowel symptoms. Further research is needed to better understand the aetiologies of chronic pelvic pain and the possible relationship with identified clinical predictors.

show abstract

Irritable bowel syndrome in women with chronic pelvic pain in a Northeast Brazilian city

Abstract: The data confirmed the literature, identified several aspects that were shared between the pathologies and supported the hypothesis that both pathologies can constitute the same syndrome.

Cited by 10 publications

References 19 publications

Prevalence of chronic pain in Brazil: systematic review

Prevalence of chronic pain in Brazil: systematic review

Symptomatology Correlations Between the Diaphragm and Irritable Bowel Syndrome

Predictors of pelvic pain in a general urology clinic population

Contact Info

Product

Resources

About