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Post Covid-pandemic mental health issues preceded a sequelae of acute neu-ro-gastro-enteritis in otherwise healthy youth: a potential dysbiosis
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  • Kamaleldin B. Said,
  • Ruba Ahmed,
  • Arwa Alotaibi,
  • Mohamed Alzughaibi,
  • Fahad Alshammary,
  • Ahmed Alsolami,
  • Ahmed Aljadani,
  • Ziyad Melibari,
  • Yaseer Alharbi ,
  • Ali Almutlag,
  • Rana Aboras ,
  • Raed Alreshidi,
  • Fayez Alfouzan,
  • Safia Moussa,
  • Nuzhat Parveen
Kamaleldin B. Said
University of Hail College of Medicine

Corresponding Author:kbs.mohamed@uoh.edu.sa

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Ruba Ahmed
University of Hail College of Medicine
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Arwa Alotaibi
University of Hail College of Medicine
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Mohamed Alzughaibi
University of Hail College of Medicine
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Fahad Alshammary
University of Hail College of Medicine
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Ahmed Alsolami
University of Hail College of Medicine
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Ahmed Aljadani
University of Hail College of Medicine
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Ziyad Melibari
University of Hail College of Medicine
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Yaseer Alharbi
University of Hail College of Medicine
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Ali Almutlag
University of Hail College of Medicine
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Rana Aboras
University of Hail College of Medicine
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Raed Alreshidi
University of Hail College of Medicine
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Fayez Alfouzan
King Salman Specialist Hospital Hail, Saudi Arabia
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Safia Moussa
King Salman Specialist Hospital Hail Saudi Arabia
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Nuzhat Parveen
University of Hail College of Medicine
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Abstract

Introduction/Objectives: neuro-gastroenteritis existed since World-War-II dysen-tery outbreak, albeit mechanisms are yet ill-defined. Similarly, the post‐ COVID‐19-syndrome is a growing problem. The frequencies of neuro-gastrointestinal; gas-troesophageal-reflux (GERD), the inflammatory-bowel-syndrome (IBS), and mental health is not clear. Methods: we used descriptive analysis on stratified data obtained by online questionnaire sent nationwide and analyzed by Statistical Package for So-cial Sciences version 21 (SPSS: An IBM Company). Results: revealed the frequency and associations of different factors in the coexistence of the disorders in 2067 par-ticipants aged 18 to >60 years old. The majority were Saudis (94.7%, n= 1957), most were 18 - 29 years old (66%, n=1364) where young Saudi females were 72.4%, (n=1496). Estimated 1099 (53.2%) were students, 428 (20.7%) were unemployed, and 540 (26.1%) were employed. Psychological syndromes namely: anxiety (60.7%), stress (60.7%), and depression (60.7%) were most frequent and preceded other dis-orders in 51%, whereas IBS (48.7%) and GERD (36.3%) came 4th and 5th, respec-tively, with the latter two appeared first in 33.9%, and 24.3% respectively. In most respondents (59.2%, n=1178), the disorders first appeared recently, 33.6% (n=669) reported during adult life, and only in 7.2% (n=144) appeared in childhood (7.2%, n=144). Aggravating factors reported in family history (32.9%, n=681) of which 476 (69.9%) was IBS while 215(31.6%) and 175 (25.7%), respectively, were psycholog-ical and GERD. However, only 18.3% respondents sought treatment (n=378) with 66 (3.2%) had colectomy or a colostomy bag while 58%, (n=1201) were active outdoors. Disorders were significantly associated with age (P value =.001); GERD with old age, IBS with 40-49 years, and psychological disorders among youth. Conclusion: Thus, mental health and neuro-gastroenteritis dominated young women while the IBS and GERD occurred first in old and mid-ages, respectively. These have significant im-plications in treatment strategies and microbiome restorage. Future microbiome studies would reveal more insight into the mechanisms of disorders.
17 Jun 2024Submitted to Immunity, Inflammation and Disease
16 Jul 2024Submission Checks Completed
16 Jul 2024Assigned to Editor
31 Jul 2024Reviewer(s) Assigned