Functional Abdominal Bloating with Distention

Sullivan, Stephen N.

doi:10.5402/2012/721820

Cited by 21 publications

(15 citation statements)

References 39 publications

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“…Other dietary modifications that may be helpful include restriction of carbonated drinks. Mild exercise and erect posture may improve bloating in some patients [26][27][28].…”

Section: Managementmentioning

confidence: 99%

Title of the Article-Intestinal Gas

Kar¹,

Sharma²

2019

Act Scie Gastro

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Intestinal gas is mainly composed of nitrogen,ooxygen,carbon dioxide,hydrogen and methane.Various complaints attributed to it are belching, flatulence abdominal bloating and abdominal distension. In patients with isolated symptoms of excessive belching, psychological and behavioral factors play an important role..Belching is also associated with gastroesophageal reflux disease (GERD) and functional dyspepsia.We should always rule out alarm features in evaluation of patients such as weight loss,bleeding per rectum,nocturnal abdomen pain diarrhoea and investigate further. Rome IV criteria for establishing the diagnosis of functional bloating should be used. Manangement of various disorders due to intestinal gas include education, treatment of associated disorders, behavioral therapy, dietary modifications and drugs.

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“…Other dietary modifications that may be helpful include restriction of carbonated drinks. Mild exercise and erect posture may improve bloating in some patients [26][27][28].…”

Section: Managementmentioning

confidence: 99%

Title of the Article-Intestinal Gas

Kar¹,

Sharma²

2019

Act Scie Gastro

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“…This phenomenon causes abdominal swelling, and probably dyspepsia [ 10 ]. This lack of motor coordination between the diaphragm and the abdominal wall is called "abdomino-phrenic dyssynergia" [ 11 ]. During respiration, the muscles of the abdominal wall and the diaphragm muscle are controlled by the same centers of the retroambiguus phrenic nucleus in the medulla, in an electric combination that allows a perfect synergic contraction during inspiration and expiration [ 8 ].…”

Section: Reviewmentioning

confidence: 99%

Symptomatology Correlations Between the Diaphragm and Irritable Bowel Syndrome

Bordoni

Bruno²

2018

Cureus

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Irritable bowel syndrome (IBS) is one of the most debilitating and common gastrointestinal disorders; nevertheless, its pathophysiology is still unclear. It affects 11% of the world's population, and is characterized by alternating periods of pain and/or motility disorders with periods of remission and without any evidence of any structural and functional organic variation. It has been recently proposed that an altered contractile ability of the diaphragm muscle might adversely influence intestinal motility. The text reviews the diaphragm's functions, anatomy, and neurological links in correlation with the presence of chronic symptoms associated to IBS, like chronic low back pain, chronic pelvic pain, chronic headache, and temporomandibular joint dysfunction, vagus nerve inflammation, and depression and anxiety. The interplay between an individual's breath dynamic and intestinal behaviour is still an unaddressed point in the physiopathology of IBS, and the paucity of scientific studies should recommend further research to better understand the importance of breathing in this syndrome.

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“…It may be intermittent and persists over several days. [1] , [2] FAB could arise without any predisposing factors and is unlikely to be completely resolved with medication and lifestyle modification. [1] Surveys indicated that 10%–30% of them experienced bloating often, frequently, or greater than a quarter of the time.…”

Section: Introductionmentioning

confidence: 99%

“… [1] Surveys indicated that 10%–30% of them experienced bloating often, frequently, or greater than a quarter of the time. [2] , [3] However, less than 10% of FAB patients had ever seen doctors as reported in Western and Asia countries. [3] , [4] Despite that bloating being a common symptom of several functional gastrointestinal disorders (FGIDs), the Rome classification includes FAB as an independent entity.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of Functional Abdominal Bloating and Its Impact on Health Related Quality of Life: Male-Female Stratified Propensity Score Analysis in a Population Based Survey in Mainland China

Zhao

Wang

et al. 2014

PLoS ONE

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BackgroundThe epidemiology of Functional abdominal bloating (FAB) and its impact on health-related quality of life (HRQoL) in Chinese people remains unclear.MethodsRandomised, stratified, multi-stage sampling methodology was used to select a representative sample of the general population from five cities in China (n = 16,078). All respondents completed the modified Rome II questionnaire; 20% were asked to complete the 36-item Short Form (SF-36). The associated factors of FAB were analyzed. The effects of FAB on HRQoL were estimated with gender stratification using propensity score techniques in 20% subsample.ResultsOverall, 643 individuals (4.00%) had FAB and it was more prevalent in males than in females (4.87% vs. 3.04%, P<0.001). For males, self-reported history of dyspepsia was most strongly associated with FAB (OR = 2.78; 95% CI: 1.59, 4.72). However, the most strongly associated factor was self-reported health status for females (moderate health vs. good health: OR = 2.06, 95% CI: 1.07, 3.96. P = 0.030; poor health vs. good health: OR = 5.71, 95% CI: 2.06, 15.09). Concerning HRQoL, FAB was found to be related to two domains: role limitation due to physical problems (P = 0.030) and bodily pain (P<0.001) in females. While, in males, there were significant differences in multiple domains between those with and without FAB.ConclusionThe prevalence of FAB in China was lower than previous reports. Males who had ever been diagnosed with dyspepsia and females who were in a poor self-reported health status were correlated with a higher prevalence of FAB. FAB affected only physical health in females, but impaired both physical and mental health in males.

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Functional Abdominal Bloating with Distention

Cited by 21 publications

References 39 publications

Title of the Article-Intestinal Gas

Title of the Article-Intestinal Gas

Symptomatology Correlations Between the Diaphragm and Irritable Bowel Syndrome

Epidemiology of Functional Abdominal Bloating and Its Impact on Health Related Quality of Life: Male-Female Stratified Propensity Score Analysis in a Population Based Survey in Mainland China

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