Perfil clínico epidemiológico de pacientes que realizaram testes respiratórios do hidrogênio em uma clínica privada de Belém

Abstract

Introduction: Food intolerances (AIs) constitute a type of adverse reaction to foods, medicines or food additives, in which a non-immunological mechanism is involved, that is, a non-allergic hypersensitivity reaction. AIs have drawn attention due to the large quantity and variety of manifestations in the gastrointestinal tract, leading to difficulties in diagnostic identification and a decrease in the quality of life of these patients. Objectives: To describe the clinical epidemiological profile of patients who underwent hydrogen breathing tests at the Clínica Hepatonutri in Belém-PA. Methods: This is a research, with a descriptive and observational approach, cross-sectional and qualitative in nature, investigating patient data, through clinical data collection records carried out by analyzing physical and electronic medical records of patients treated at the service of Hepatonutri Clinic, from February 2022 to June 2024. Results: 63 patients were analyzed, the majority were female (80.95%). Regarding age, the predominance of 39.68% was adults between 40 and 59 years old. The main reasons for carrying out the tests were gas (28.6%), followed by diarrhea (25.4%) and abdominal distension (23.8%). The results point to a prevalence of 25.4% of food intolerance and 14.3% of Small Intestine Bacterial Overgrowth (SIBO) among the patients evaluated. During the examination, it was observed that 47.6% of patients experienced nausea followed by abdominal pain and gas (both 14.3%). The patients worked in a variety of professions, with the majority of patients being teachers (14.7%). Considering 34 patients who agreed to provide their epidemiological data, the majority (82.35%) had previous diagnoses, 26.47% had undergone previous surgeries. Regarding the use of medications regularly, 88.2% of patients used them. Ingestion of alcoholic beverages was reported by 26.47% of individuals. Regarding sleep, the majority of patients (67.64%) slept less than 8 hours per night. Half of the patients (50.0%) reported not practicing physical activity regularly. Conclusion: It was found that the epidemiological profile of the patients analyzed were women aged 40 to 59 years, in agreement with existing literature, which also highlights the prevalence of the diagnosis of IAs (fructose, lactose) or SIBO in women of this age. adult. The incidence of patients affected by AI's and SIBO in the Clinic sample analyzed showed that 26 of the 63 patients tested positive for these diseases.