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AASCIT Communications | Volume 1, Issue 2 | Aug. 27, 2014 online | Page:56-61
Irritable Bowel Syndrome in Children; Is There an Association with Infantile Colic in Infants
Objectives: To determine whether irritable bowel syndrome is associated with impressing history of early infantile colic. Design: A retrospective case controlled study. Setting: Local tertiary hospital in Muhayel Aseer Abha district (Saudi Arabia), Rural area in Abo Hareez, Sharkia Governorate (Egypt) and Al Hussein University Hospital(Cairo, Egypt) from April, 2010 to June, 2012. Participants: Four hundred and fifty cases of irritable bowel syndrome (IBS) that meet the Rome III criteria and one hundred control, aged 7-17 years old. Main outcome Measures: Irritable bowel patients diagnosed on the basis of Rome III criteria for IBS. Complete stool analysis including Helicobacter pylori (H pylori) stool antigen test and occult blood in addition to urea breath test if necessary. Results: Of the total 450 irritable bowel syndrome cases, 195(43.3%) had reported infantile colic at age 0- 4 months compared to 7% in control group, and family history was evident in 179 (91.8%) of combined colic -irritable bowel cases and in 406 (90.2%) irritable bowel cases.H pylori was present in 41.7% of IBS cases compared to 8% in control. Conclusion: Our findings provide a new correlation between childhood irritable bowel syndrome and past history of infantile colic. Moreover, a significant association was found between irritable bowel syndrome and H pylori infection.
Abdelrazak Mansour Mohamed Ali, Assistant Professor of Pediatrics, Al Azhar University, Cairo, Egypt; Address, 9 Mahmoud Ali street, from Abdelsamea, Faisal, Giza, Cairo, Egypt.
Mohamed Abdelrahman Mohamed, Consultant of family medicine, Ministry of health, Egypt.
Helicobacter Pylori, Rome III Criteria, Infantile, Stool Antigen Test, Childhood
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Arcticle History
Submitted: Aug. 18, 2014
Accepted: Aug. 22, 2014
Published: Aug. 27, 2014
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