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Query: UMLS:C0262471 (ENT)
 5,307 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Irritable bowel syndrome patients often complain of urinary symptoms such as frequency, urgency, and dysuria, raising the possibility of inappropriate referral to the urologist. To resolve this issue, the prevalence of irritable bowel syndrome was compared in patients attending urological and control clinics (dermatology and ENT). The overall prevalence of irritable bowel syndrome was 31.2% in the urological clinic compared with 21.2% in the controls (P < 0.001), but striking, differences emerged, depending on presenting complaint. Irritable bowel symptoms were particularly common in patients presenting with loin pain (male: 40.9%, P = 0.004; female: 50%, P = 0.03), dysuria (male: 43.8%, P = 0.007; female: 46.2%, P = 0.01) and frequency/urgency (male: 31.7%, P = 0.002; female: 42.4%, P = 0.006), and the male/female prevalence was 24% and 44%. These results suggest that in irritable bowel syndrome, urinary symptoms including loin pain can present diagnostic dilemmas in both the gastroenterological and urological setting, underlining the importance of specialists in these fields working together in order to define better ways of managing such patients.
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PMID:High prevalence of irritable bowel syndrome in patients attending urological outpatient departments. 905 26

In this report, we evaluated the case history of a patient with longstanding chronic pharyngitis who had periodic clinical manifestation for three years after a flu vaccine administration, and after various treatments tried to resolve the chronic pharyngitis with unsuccessful antibiotic and anti-inflammatory therapies. The patient occasionally presented a slight ocular inflammation, while dysuria occurred after sexual activity. The search for common pathogens by use of pharyngeal swabs resulted only in Corynebacterium ulcerans growth. After this first result, we focused our investigations on ocular and uro-genital infections of Chlamydiaceae (Ct and Cp) and Mycoplasmataceae (Mh and Uu) families. We examined the patient?s pharynx using molecular and culture techniques from three different sites. Although several infectious agents, including viruses and bacteria, causing chronic pharyngitis are reported in the literature, these ocular and uro-genital pathogens are seldomly routinely investigated in the same patient in ORL. Furthermore, while episodes of chronic pharyngitis is one of the most common clinical manifestation in ENT patients, these atypical pharyngitis represent ever-increasing infections which must always be considered and researched by suitable instruments such as PCR. Only from the collection of detailed medical history and careful observations of clinical manifestation, indicative of an oral chronic pathologic phenomenon of low intensity initiated several years previously, starting with sudden outbreak and relapse like a bout of flu, we suggest to study these atypical infecting agents frequently localized in the urogenital human area, awhich would allow to highlight and to recognize these clinical cases that manifest themselves as chronic inflammation of jugulodigastric lymph nodes, remaining still unrecognized and rarely associated to chlamydial infection, confused with the response to flu vaccination. After several specific cycles of antibiotic therapy, the patient's health improved considerably and showed almost complete regression of jugulodigastric lymph node inflammation.
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PMID:Jugulodigastric lymph node inflammation derived from chronic atypical oropharyngeal phlogosis recurring annually after flu virus vaccination: a holistic vision of a clinical case solved after chlamydicidal antibiotic therapy. 2329 75