Study: Functional bowel symptoms, fibromyalgia and fatigue: A food-induced triad?

Published date: June 19, 2012 | Modified date: October 15, 2019

Yes. Absolutely. I frequently see these same conditions in patients. And they are often caused by exactly the same things. Therefore patients often see the resolution of all three at the same time.

From PubMed.gov:

Objective

Patients with perceived food hypersensitivity typically present with multiple health complaints. We aimed to assess the severity of their intestinal and extra-intestinal symptoms.

Materials and methods

In a prospective study, 84 patients referred to our outpatient clinic for investigation of perceived food hypersensitivity were enrolled consecutively. Irritable bowel syndrome (IBS) was diagnosed according to the Rome III criteria. Severity and impact of bowel symptoms, fatigue and musculoskeletal pain were evaluated by using the following questionnaires: The IBS Severity Scoring System (IBS-SSS), the Fatigue Impact Scale (FIS), the FibroFatigue Scale (FFS), and visual analogue scales (VAS) for scoring of musculoskeletal pain.

Results

All but one patient were diagnosed with IBS, 58% with severe symptoms. Extra-intestinal symptoms suggestive of chronic fatigue and fibromyalgia were demonstrated in 85% and 71%, respectively. Neither IgE-mediated food allergy nor organic pathology could explain the patients’ symptoms. Nevertheless, malabsorption of fat was demonstrated in 10 of 38 subjects.

Conclusions

Perceived food hypersensitivity may be associated with severe, debilitating illness. The comorbid triad of IBS, chronic fatigue, and musculoskeletal pain is striking and may point to a common underlying cause.

Authors
Berstad A, Undseth R, Lind R, Valeur J.

Source
Unger-Vetlesen’s Institute, Lovisenberg Diakonale Hospital.

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