Tıp öğrencilerinin bağırsak alışkanlıkları ile kronik kabızlık arasındaki ilişki

Year 2023, Volume: 4 Issue: 3, 219 - 223, 28.06.2023

Selman Alkan , Murat Çakır , Alper Varman

https://doi.org/10.47582/jompac.1283740

Abstract

Giriş
Kabızlık, sindirim sisteminin en yaygın şikayetlerinden biridir. Genel popülasyonda kabızlık prevalansı yaklaşık% 15'tir. Bu çalışmanın amacı, tıp öğrencilerinde kabızlık sıklığını, dışkılama alışkanlıklarını ve ikisi arasındaki korelasyonu araştırmaktır.
Gereç ve yöntem
Çalışma 1 Ocak-1 Haziran 2019 tarihleri arasında anketlerle gerçekleştirilmiştir. Çalışma kapsamında bireylerin dışkılama alışkanlıkları ile kronik kabızlık arasındaki ilişki araştırılmıştır. Yaş, cinsiyet, kabızlık durumu, son üç ay içinde bağırsak alışkanlıklarındaki değişim, dışkılama sıklığı, günlük dışkılama zamanı, tuvalette geçirilen süre, tuvalette okuma ve kullanılan tuvalet türü ile ilgili veriler toplanmıştır.
Bulgular ve Sonuç
Çalışmaya 425 tıp öğrencisi dahil edilmiştir. Kabızlık bildiren öğrencilerin %2,86'sı tıp fakültesinde birinci sınıf lisans öğrencisi iken, %7,53'ü üçüncü, %9,09'u altıncı sınıf öğrencisidir. Düzensiz dışkılama tüm gruplarda daha yüksekti. Kabızlık oranı düzensiz dışkılama olan gruplarda yüksekti. Düzenli dışkılama alışkanlığı olanların sabahları daha fazla dışkıladıkları gözlendi. Dışkılama için harcanan süre incelendiğinde, çoğunlukla 10 dakikadan az olduğu görülmüştür. Genç popülasyonda kabızlık insidansı yaşlı nüfusa göre daha düşüktür. Bununla birlikte, bağırsak alışkanlıkları toplumlara ve kişisel özelliklere göre değişir. Tuvalette okumak, genç nüfus arasında yaygın bir alışkanlık haline gelmiştir. Tuvalette okumak, tuvalette geçirilen zamanı uzatır.

Keywords

Barsak alışkanlığı, konstipasyon, defekasyon, tıp öğrencisi

The correlation between medical students’ bowel habits and chronic constipation

Abstract

Aims: Constipation is one of the most common complaints of the digestive system. The prevalence of constipation in the general population is approximately 15%. The aim of this study was to investigate the frequency of constipation in medical students, their defecation habits and the correlation between the two.
Methods: The study was conducted between 1 January and 1 June 2019 through questionnaires. The relationship between individuals’ defecation habits and chronic constipation was investigated within the scope of the study. Data on age, sex, constipation status, change in bowel habits within the last three months, defecation frequency, time of daily defecation, period spent in the toilet, reading in the toilet, and the type of toilet used were collected.
Results: 425 medical students were included in the study. 2.86% of the students reporting constipation were first year undergraduates in medical school, while 7.53% were third and 9.09% were sixth year students. Irregular defecation was higher in all groups. The rate of constipation was high in groups with irregular defecation. It was observed that those with regular defecation habits defecated more in the mornings. When the time spent for defecation was studied, it was seen that it was mostly less than 10 minutes.
Conclusion: In the younger population the incidence of constipation is lower compared to the elderly population. Bowel habits, however, vary according to societies and personal characteristics. Reading in the toilet has become a common habit among the younger population. Reading in the toilet elongates the time spent in the toilet.

Keywords

Bowel habits, constipation, defecation, medical student

References

• Sun SX, Dibonaventura M, Purayidathil FW, Wagner JS, Dabbous O, Mody R. Impact of chronic constipation on health-related quality of life, work productivity, and healthcare resource use: an analysis of the National Health and Wellness Survey. Dig Dis Sci. 2011;56(9):2688-2695. doi:10.1007/s10620-011-1639-5
• Gibson PR, Shepherd SJ. Evidence-based dietary management of functional gastrointestinal symptoms: The FODMAP approach. J Gastroenterol Hepatol. 2010;25(2):252-258. doi:10.1111/j.1440-1746.2009.06149.x
• Mearin F, Lacy BE, Chang L, et al. Bowel disorders. Gastroenterology. 2016;S0016-5085(16)00222-5. doi:10.1053/j.gastro.2016.02.031
• American College of Gastroenterology Chronic Constipation Task Force. An evidence-based approach to the management of chronic constipation in North America. Am J Gastroenterol. 2005;100 Suppl 1:S1-S4. doi:10.1111/j.1572-0241.2005.50613_1.x
• Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC. Functional bowel disorders. Gastroenterology. 2006;130(5):1480-1491. doi:10.1053/j.gastro.2005.11.061
• Agrawal A, Whorwell PJ. Review article: abdominal bloating and distension in functional gastrointestinal disorders--epidemiology and exploration of possible mechanisms. Aliment Pharmacol Ther. 2008;27(1):2-10. doi:10.1111/j.1365-2036.2007.03549.x
• Constipation in children and young people: diagnosis and management. London: National Institute for Health and Care Excellence NICE Guideline July 2017.
• Cheng LS, Goldstein AM. Surgical Management of Idiopathic Constipation in Pediatric Patients. Clin Colon Rectal Surg. 2018;31(2):89-98. doi:10.1055/s-0037-1609023
• Lacy BE, Patel NK. Rome criteria and a diagnostic approach to irritable bowel syndrome. J Clin Med. 2017;6(11):99. doi:10.3390/jcm6110099
• Austin P, Henderson S, Power I, Jirwe M, Alander T. An international Delphi study to assess the need for multiaxial criteria in diagnosis and management of functional gastrointestinal disorders. J Psychosom Res. 2013;75(2):128-134. doi:10.1016/j.jpsychores.2013.05.008
• Dehn TC, Kettlewell MG. Haemorrhoids and defaecatory habits. Lancet. 1989;1(8628):54-55. doi:10.1016/s0140-6736(89)91717-0
• Giuliani A, Romano L, Lazzarin G, et al. Relationship between haemorrhoidal grade and toilet habits. Ann Ital Chir. 2020;91:192-195.
• Goldstein O, Shaham Y, Naftali T, Konikoff F, Lavy A, Shaoul R. Toilet reading habits in Israeli adults. Neurogastroenterol Motil. 2009;21(3):291-295. doi:10.1111/j.1365-2982.2008.01204.x
• Bhattacharya S, Chattu VK, Singh A. Health promotion and prevention of bowel disorders through toilet designs: a myth or reality? J Educ Health Promot. 2019;8:40. doi:10.4103/jehp.jehp_198_18
• Ramkumar D, Rao SS. Efficacy and safety of traditional medical therapies for chronic constipation: systematic review. Am J Gastroenterol. 2005;100(4):936-971. doi:10.1111/j.1572-0241. 2005.40925.x
• Surveillance Report 2017 – Constipation in Children and Young People: Diagnosis and Management (2010) NICE Guideline CG99. London: National Institute for Health and Care Excellence (UK); 2017.
• Drossman DA, Toner BB, Whitehead WE, et al. Cognitive-behavioral therapy versus education and desipramine versus placebo for moderate to severe functional bowel disorders. Gastroenterology. 2003;125(1):19-31. doi:10.1016/s0016-5085 (03)00669-3
• Kim HJ, Vazquez Roque MI, Camilleri M, et al. A randomized controlled trial of a probiotic combination VSL# 3 and placebo in irritable bowel syndrome with bloating. Neurogastroenterol Motil. 2005;17(5):687-696. doi:10.1111/j.1365-2982.2005.00695.x
• Lewis MJ, Reilly B, Houghton LA, Whorwell PJ. Ambulatory abdominal inductance plethysmography: towards objective assessment of abdominal distension in irritable bowel syndrome. Gut. 2001;48(2):216-220. doi:10.1136/gut.48.2.216
• Sykes MA, Blanchard EB, Lackner J, Keefer L, Krasner S. Psychopathology in irritable bowel syndrome: support for a psychophysiological model. J Behav Med. 2003;26(4):361-372. doi:10.1023/a:1024209111909
• Prather CM, Camilleri M, Zinsmeister AR, McKinzie S, Thomforde G. Tegaserod accelerates orocecal transit in patients with constipation-predominant irritable bowel syndrome. Gastroenterology. 2000;118(3):463-468. doi:10.1016/s0016-5085(00)70251-4