Correlating the altered bowel habits among young medical doctors when exposed to rural posting in the course of their training in India
Keywords:Altered bowel habits, Doctors, Rural, Training, Young
Background: Altered bowel habits, is a commonly encountered presentation, especially among training professionals. During training, young doctors move to rural areas, experience the stress factors in food and environment causing the altered bowel habits. Hence correlating altered bowel habits among young medical doctors when exposed to relative culture barriers was the main aim of the study.
Methods: It was a cross sectional study among interns and postgraduates from all over the country for a duration of 2 months from January 2023 to March 2023 for 150 participants. A self-administered questionnaire with socio- demographic variables and a standard PAC-SYM was used for the scoring of altered bowel habits. Data entered into Excel and analysed using SPSS software. Descriptive statistics were taken and Kruskal Wallis test was done for statistical significance.
Results: 60% of the students belong to 20-24 age group. 55% of participants were female. 48.7% of mothers were homemakers and 46.6% were professionals. 90% of students were exposed to rural areas and 32% of them stayed there for more than 2 months. Gender, duration of stay, frequency of food consumption and bathroom comfort were statistically significant with the symptoms of altered bowel habits.
Conclusions: From the above study, we have tried to prove poor water supply, poor hygiene, and multiple people sharing the toilet are significant stressor factors for the medical trainee during their stay in rural health centres across the country.
Sperber AD, Bangdiwala SI, Drossman DA, Ghoshal UC, Simren M, Tack J, et al. Worldwide prevalence and burden of functional gastrointestinal disorders, results of Rome Foundation Global Study. Gastroenterology. 2021;160(1):99-114.
Oka P, Parr H, Barberio B, Black CJ, Savarino EV, Ford AC. Global prevalence of irritable bowel syndrome according to Rome III or IV criteria: a systematic review and meta-analysis. Lancet Gastroenterol Hepatol. 2020;5(10):908-17.
Barberio B, Judge C, Savarino EV, Ford AC. Global prevalence of functional constipation according to the Rome criteria: a systematic review and meta-analysis. Lancet Gastroenterol Hepatol. 2021;6(8):638-48.
McKerrow I, Carney PA, Caretta-Weyer H, Furnari M, Miller Juve A. Trends in medical students’ stress, physical, and emotional health throughout training. Med Educ Online. 2020;25(1):1709278.
Zhou AY, Panagioti M, Esmail A, Agius R, Van Tongeren M, Bower P. Factors associated with burnout and stress in trainee physicians. JAMA Network Open. 2020;3(8).
Lakshminarayanan S, Bhardwaj P, Srivastava JP. Internship training in community medicine- need for reorientation and strengthening. Indian J Community Health. 2014;26(04).
Kim JY, Lim MH. Psychological factors to predict chronic diarrhea and constipation in Korean high school students. Medicine. 2021;100(27).
Chen HH, Hung CH, Kao AW, Hsieh HF. Exploring quality of life, stress, and risk factors associated with irritable bowel syndrome for female university students in Taiwan. Int J Environ Res Public Health. 2021;18(8):3888.
He F, Liang Y, Gong X, Wang A, Zhang W. Transcultural adaptation of Tibetan nursing trainees: A case study of “9+3” vocational technical students in Sichuan Province, China. Med Sci Monit. 2021;27.
Mansour-Ghanaei F, Fallah MS, Heidarzadeh A, Jafarshad R, Joukar F, Ghasemipour R, et al. Prevalence and characteristics of irritable bowel syndrome (IBS) amongst medical students of Gilan Northern Province of Iran. Middle East J Digest Dis. 2009;1(2):100-5.
Goyal O, Nohria S, Dhaliwal AS, Goyal P, Soni RK, Chhina RS, et al. Prevalence, overlap, and risk factors for Rome IV functional gastrointestinal disorders among college students in Northern India. Indian J Gastroenterol. 2020;40(2):144-53.
Mutsch M, Pitzurra R, Hatz C, Steffen R. Post‐infectious sequelae of travelers’ diarrhea: irritable bowel syndrome. J Travel Med. 2014;21(2):141-3.
Kim YS, Kim N. Sex-gender differences in irritable bowel syndrome. J Neurogastroenterol Motil. 2018;24(4):544.
Hartigan SM, Bonnet K, Chisholm L, Kowalik C, Dmochowski RR, Schlundt D, et al. Why do women not use the bathroom? women’s attitudes and beliefs on using public restrooms. Int J Environ Res Public Health. 2020;17(6):2053.