Spastik kolon ve kronik gastrit, hemoroid, idrar taşı

Objective: Approximately 10-20% of the general population has irritable bowel syndrome (IBS), and IBS patients usually suffer from chronic gastritis (CG), hemorrhoids (H), and urolithiasis (U). Material and Methods: We randomly chose consecutive patients with upper abdominal discomfort. All possible causes of IBS including celiac sprue, giardiasis, lactose intolerance, and cholelithiasis were investigated. U was diagnosed either by medical history or as a result of laboratory findings. Results: IBS patients (51) and patients without IBS (70) were studied. CG was diagnosed in 78.4% (40) of IBS cases, whereas this ratio was 50.0% (35) in cases without IBS (p&lt;0.001). Similarly, H was detected in 33.3% (17) of IBS cases, but it was only detected in 15.7% (11) of cases without IBS (p&lt;0.05). Additionally, U was detected in 17.6% (9) of IBS cases and in 5.7% (4) of cases without IBS (p&lt;0.05). Conclusion: Relationships between IBS and CG, H, and U are significant. IBS is a cascade of many physiologic events that is initiated by infection, inflammation, and psychological disturbances like many stresses, and this eventually terminates with gut dysfunction. Gastric acid is probably not involved in the etiology of IBS, but psychological factors also seem to be important in CG. The significant association between CG and IBS also support this hypothesis. Therefore, we believe CG is one of terminating points of the physiologic cascade of events in IBS. Bearing these associations in mind will be helpful during prevention, treatment, and follow up of these disorders, especially in internal medicine, urology, and general surgery polyclinics and primary health centers.Amaç: Toplum genelinde spastik kolon sıklığı %10-20'dir ve bu hastalarda kronik gastrit, hemoroid ve idrar taşının da sık görüldüğü tahmin edilmektedir. Gereç ve Yöntem: Üst karın şikayetleriyle ardı sıra başvuran hastalar çalışmaya alındı. Çöliyak hastalığı, giardiaz, laktoz intoleransı ve kolelitiyazı da içerecek şekilde tüm muhtemel sebepler araştırıldı. İdrar taşı tanısı hastanın tıbbi hikayesi veya mevcut laboratuvar bulgularıyla konuldu. Bulgular: Elli bir spastik kolon hastası ve 70 spastik kolonu olmayan hasta çalışıldı. Kronik gastrit, spastik kolona sahip hastaların %78.4' ünde tespit edilirken bu oran spastik kolonu olmayan grupta %50.0 olarak tespit edildi (p<0.001). Benzer şekilde, hemoroid oranı spastik kolon grubunda %33.3 iken, spastik kolonu olmayan grupta %15.7 olarak tespit edildi (p<0.05). Ayrıca, idrar taşı sıklığı spastik kolon grubunda %17.6 iken bu oran spastik kolonu olmayan grupta %5.7 olarak tespit edildi (p