gay bowel syndrome
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gay bow·el syn·drome
gastrointestinal discomfort experienced by homosexual males; includes abdominal pain, cramps, bloating, flatulence, nausea, vomiting, or diarrhea caused by enteric bacteria, viruses, fungi, zooparasites, or trauma.
Management Acute proctitis—penicillin, probenicid, doxycycline; change to specific agents if organism identified
gay bowel syndromeAn array of infectious and non-infectious GI symptoms described in homosexual ♂ before AIDS Clinical Proctalgia 80%, changed bowel habits 50%, condyloma acuminata 52%, cramping diarrhea, bloating, flatulence, nausea & vomiting, adenomatous polyps, fissures, fistulas, hemorrhoids, perirectal abscess, shigellosis, proctitis, rectal ulcers, giardiasis, STDs–eg HSV, syphilis, gonorrhea, C trachomatis; 'gay bowel' organisms include 'gay CLOs', ie Campylobacter-like organisms–eg, C fennelliae and C cinaedi, HPV–associated with anal carcinoma and dysplasia, CMV, HAV, HBV, parasites–eg, Entamoeba histolytica, E coli, Endolimax nana, Enterobius vermicularis, Strongyloides stercoralis, Iodamoeba beutschlii and bacteria–N meningitis, Haemophilus ducreyi, Escherichia coli, Salmonella spp; other findings include rectal dyspareunia, pruritis ani, anal incontinence, trauma–eg secondary to 'fisting' which, like insertion of variably-sized/shaped foreign objects, may cause colorectal perforation and abscess formation Treatment Acute proctitis–penicillin, probenicid, doxycycline, changing to specific agents if organism identified. See Anal intercourse, Foreign bodies.
gay bow·el syn·drome(gā bow'ĕl sin'drōm)
Gastrointestinal discomfort experienced by homosexual men that includes abdominal pain, cramps, bloating, flatulence, nausea, vomiting, or diarrhea caused by enteric bacteria, viruses, fungi, zooparasites, or trauma.