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Celiac Disease Patients Have Higher Rates of Irritable Bowel-like Symptoms

Celiac.com 02/25/2013 - Patients with celiac disease often report symptoms compatible with irritable bowel syndrome (IBS). However, there haven't been any systematic studies regarding how adherence to a gluten-free diet might affect rates of irritable bowel syndrome-type symptoms in patients with celiac disease.

Photo: CC--mag3737To better answer that question, a research team conducted a meta-analysis of celiac disease patients to determine rates of irritable bowel syndrome-type symptoms, and how those symptoms relate to a gluten-free diet.

The research team included A. Sainsbury, D.S. Sanders, and A.C. Ford, of the Leeds Gastroenterology Institute at St James's University Hospital in Leeds, United Kingdom.

For their analysis, the team searched MEDLINE, EMBASE, and EMBASE Classic to identify cross-sectional surveys or case-control studies reporting prevalence of IBS-type symptoms in adult patients (≥16 years old) with established celiac disease.

The team used case or control status and adherence to a gluten-free diet to determine the number of individuals with IBS symptoms.

The team analyzed data from 7 studies with 3383 participants.
They then calculated pooled prevalence and odds ratios (ORs), with 95% confidence intervals (CIs).

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They found that pooled prevalence of IBS-type symptoms in all patients with celiac disease was 38.0% (95% CI, 27.0%-50.0%).

People with celiac disease had higher pooled odds ratios for IBS-type symptoms than did control subjects (5.60; 95% CI, 3.23-9.70).

In patients who did not follow a strict gluten-free diet, the pooled odds ratios for IBS-type symptoms, compared with those who were strictly adherent, was 2.69 (95% CI, 0.75-9.56).

Patients who did not adhere to the gluten-free diet had higher odds ratios for IBS-type symptoms compared with controls (12.42; 95% CI, 6.84-11.75).

Such patients also had higher odds ratios compared with that observed for celiac disease patients who followed a strict gluten-free diet or controls (4.28; 95% CI, 1.56-11.75).

The results show that patients with celiac disease suffer IBS-type symptoms more frequently than control subjects, and that following a strict gluten-free diet might help to reduce those symptoms.

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3 Responses:

 
dappy
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said this on
04 Mar 2013 7:18:03 AM PST
Before diagnosis, I was told I had IBS. I was afraid to leave the house due to uncontrolled diarrhea. However, even after having celiac disease confirmed first with blood work and then with a genetics test, and going completely gluten-free, it persisted. Only after finally starting a probiotic, Align, did it finally get back under control.

 
Ann Mitchell
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said this on
04 Mar 2013 5:01:34 PM PST
I am gluten-sensitive and have bad constipation. Taking digestive enzymes to cure this, hopefully. At the moment, have to do laxatives to make me "go".

 
Susan
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said this on
03 Jul 2013 12:59:57 PM PST
I was diagnosed with IBS years ago and had to take Bentyl to stop the attacks. NO ONE suggested that I might be gluten intolerant.

On my own research, I learned about gluten intolerance. I decided to go gluten-free for 3 weeks to see if I had any positive results. Here were my results:

IBS disappeared
Arthritis pain lessened
Some relief of fatigue, tho, with thyroid disease and lupus and fibromyalgia, there is a long way to go.

After going back on gluten products for only 3 days, arthritis pain increased to full-blown
IBS symptoms returned, back to Bentyl

Gluten intolerance is REAL. A gluten-free diet eliminated IBS completely... though, now I sometimes have constipation... which is easier to deal with and less painful.




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