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Target Concepts:
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Query: UMLS:C0022104 (
irritable bowel syndrome
)
8,033
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Cluster headache (CH) and
irritable bowel syndrome
(
IBS
) are pain disorders that possess relationships with circadian rhythms. However, they have not been compared to assess similarities that could yield pathophysiologic insights. A young male adult with periodic episodes of abdominal pain highly reminiscent of CH is described. Since childhood, he experienced severe attacks featuring excruciating, abdominal pain accompanied by prominent
restlessness
, lasting 30-120 minutes, occurring in the evening and in discrete 2- to 8-week periods, interspersed with remissions where typical triggers did not lead to attacks. Although all of the patient's symptoms fell within the spectrum of
IBS
, the semiology was highly evocative of CH, based on the attack duration,
restlessness
, periodicity, and selective vulnerability to particular triggers only during attack periods. A subset of patients thought to have
IBS
may feature similar attack profiles and could suggest the importance of the hypothalamus in its pathophysiology, akin to CH.
...
PMID:Cluster belly: a variant of irritable bowel syndrome. 2503 67