Bloating and Abdominal Distension: Clinical Approach and Management
| Autor: | Mahmud Mahamid, Amir Mari, Dan Carter, Hana Amara, Fadi Abu Backer, Ram Dickman, Doron Boltin |
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| Rok vydání: | 2019 |
| Předmět: |
Functional dyspepsia
030213 general clinical medicine medicine.medical_specialty Gastrointestinal Diseases Sensation Review Distension Gastroenterology Irritable Bowel Syndrome 03 medical and health sciences 0302 clinical medicine Bloating Internal medicine Abdomen medicine Humans Pharmacology (medical) Microbiome Dyspepsia Irritable bowel syndrome business.industry digestive oral and skin physiology General Medicine Abdominal distension medicine.disease Pathophysiology Rheumatology 030220 oncology & carcinogenesis Functional constipation Functional abdominal bloating medicine.symptom business Constipation |
| Zdroj: | Advances in Therapy |
| ISSN: | 1865-8652 0741-238X |
| DOI: | 10.1007/s12325-019-00924-7 |
| Popis: | Functional abdominal bloating and distension (FABD) are common gastrointestinal complaints, encountered on a daily basis by gastroenterologists and healthcare providers. Functional abdominal bloating is a subjective sensation that is commonly associated with an objective abdominal distension. FABD may be diagnosed as a single entity (the sole or cardinal complaint) or may overlap with other functional gastrointestinal disorders such as functional constipation, irritable bowel syndrome, and functional dyspepsia. The pathophysiology of FABD is not completely understood. Proposed underlying mechanisms include visceral hypersensitivity, behavioral induced abnormal abdominal wall-phrenic reflexes, the effect of poorly absorbed fermentable carbohydrates, and microbiome alterations. Management includes behavioral therapy, dietary interventions, microbiome modulation, and medical therapy. This review presents the current knowledge on the pathophysiology, evaluation, and management of FABD. |
| Databáze: | OpenAIRE |
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