‘My patients are the sickest’

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People with symptoms of the irritable bowel syndrome represent a broad spectrum with respect to severity of symptoms. Only a minority of them seek medical help and thereby become patients. The more severe are the symptoms that are experienced, the lower are the quality of life ratings, but patients will be more prone to participate in enquiries. This makes it very difficult to gain a representative picture of quality of life in irritable bowel syndrome.

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