Thus the effectiveness of combined alverine citrate and simeticone (ACS) for global symptom learn more relief for IBS was investigated in this non-interventional study. Methods: ROME III IBS patients (n = 640; 52.3% male: mean age: 43.6 ± 12.5 years) with abdominal pain and discomfort ≥60 of 0–100 visual analogue scale (VAS) were included in a multicenter, prospective, non-interventional study at 26 Chinese sites from December 2010 to January 2012. Patients received alverine citrate

(60 mg) with simeticone (300 mg) (ACS) 3× daily for 4 weeks. Pain/discomfort and bloating/distension were assessed by VAS. Global symptoms and QOL were assessed by 7-point and 5-point Likert scales, respectively. Post-treatment bowel function was assessed by Bristol Stool Form Scale (BSFS) and treatment related adverse events were recorded. Results: Of 640

patients, 540 (84.4%) completed the study, and 100 (15.6%) withdrew. Of these, 87.5% reported bloating at baseline (Table 1). After 4-week ACS treatment, 89.1% reported global symptom improvement (Figure 1). Furthermore, 4-week ACS treatment reduced pain and bloating VAS scores significantly from 78.4 ± 9.9 to 63.2 ± 27.2 and 32.1 ± 21.0 to 22.6 ± 20.9, respectively (both P < 0.001), decreased diarrhea or constipation occurrence from 67.2% to 15.0% (P < 0.001), and reduced IBS impact on QOL with only 2 treatment-related AEs. Moreover, only 33% of patients R788 required additional medications other than ACS for satisfactory symptom relief. Conclusion: Routine

clinical administration of ACS for IBS over a 4-week period provided effective relief of IBS symptoms, improved QOL in IBS patients, as well as reduce the pill burden. Key Word(s): 1. IBS; 2. alverine citrate; 3. simeticone; Presenting Author: MOEENUL HAQ Additional Authors: KAMRANHASSAN KHAN, AHMADNAWAZ BABAR, AAMIRGHAFOOR KHAN Corresponding Author: MOEENUL HAQ Affiliations: Gastro Ward LRH; LRH Gastro Objective: Epidemiological studies have identified a relationship between psychosocial factors Montelukast Sodium and functional gastrointestinal disorders. The association of dyspepsia with psychological distress and depression has remained a topic of debate over past many years, whether psychological distress causes dyspepsia or dyspeptic symptoms result in psychological distress. Keeping in view already high prevalence of depression in Pakistani society this study was conducted to determine the frequency of depression among patients of functional dyspepsia in the Gastrointestinal (GI) Clinic of our hospital. Methods: 246 consecutive patients fulfilling the Rome III criteria for functional dyspepsia were included in the study presenting to clinic of gastroenterology department of Lady Reading Hospital Peshawar.