Management of Chronic Abdominal Distension and Bloating

Abdominal bloating and distension are 2 of the most commonly reported gastrointestinal symptoms. is characterized by symptoms trapped gas, abdominal pressure, fullness. defined as a measurable increase in girth. These frequently co-exist, although they can occur separately. Defined Rome IV criteria, functional coincide with other disorders, such dyspepsia, irritable bowel syndrome, constipation. develop for multiple reasons, including food intolerances, previous infection that perturbed intestinal microbiota, disordered visceral sensation, delayed transit, or an abnormal viscero-somatic reflux. Treatment be challenging to patients providers—no regimen has been consistently successful. Successful treatment involves identifying etiology, assessing severity, educating reassuring patients, setting expectations. Therapeutic options include dietary changes, probiotics, antibiotics, prokinetic agents, antispasmodics, neuromodulators, biofeedback. We review epidemiology effects chronic pathophysiology, discuss appropriate diagnostic strategies, assess available options. Nearly all population felt, at one time another, gassy, bloated, distended. For many, these transient sensations after eating, resolve spontaneously, do not lead medical consultation. others, however, chronic, bothersome, negatively affect daily life. The prevalence substantial, ranging from 16% 31% general population, high 66%–90% syndrome (IBS).1Drossman D.A. Li Z. Andruzzi E. et al.U.S. householder survey disorders. Prevalence, sociodemography, health impact.Dig Dis Sci. 1993; 38: 1569-1580Crossref PubMed Scopus (1723) Google Scholar, 2Sandler R.S. Stewart W.F. Liberman J.N. al.Abdominal pain, diarrhea United States: 2000; 45: 1166-1171Crossref (0) 3Schmulson M. Ortiz O. Santiago-Lomeli al.Frequency disorders among healthy volunteers Mexico City.Dig 2006; 24: 342-347Crossref (57) 4Zuckerman M.J. Nguyen G. 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