Objective: To assess the prevalence of constipation and irritable bowel syndrome (IBS) in Parkinson’s disease (PD) patients using Rome III in our cohort.

Background: Gastrointestinal symptom is one of the most common non-motor symptoms in PD patients. It has recently been reported that IBS is associated with increased risk of subsequently developing PD in Taiwanese population; however, the prevalence of IBS in PD has been unclear. Rome III is widely accepted questionnaire for assessment of functional gastrointestinal disorders.

Methods: A total of 118 patients with PD treated at Fukuoka University Hospital between October 2014 and April 2015 was enrolled in this cohort. Rome III diagnostic questionnaire was evaluated to diagnose constipation and IBS.

Results: Out of 118 patients 51 (43.2%) were males. The mean age was 67.8 ± 9.8 years. The mean disease duration was of 6.3 ± 4.8 years. The mean Hoehn-Yahr Stage was 2.7 ±0.7. According to Rome III diagnostic criteria, constipation and IBS were detected in 32 patients (27.1%) and 20 (17.0%), respectively. The most common gastrointestinal symptom in the patients was ‘straining during of defecations’ in 77.1% of patients.

Conclusions: We identified in this study that the characteristic symptom such as ‘straining during of defecations’ was particularly common in PD patients. It also suggested that Rome III diagnostic criteria was an extremely useful tool to evaluate detail gastrointestinal symptoms in PD patients.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/the-prevalence-of-constipation-and-irritable-bowel-syndrome-in-parkinsons-disease-patients-according-to-rome-iii-diagnostic-criteria/