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Let me begin at the end and say that I believe that most cases of functional abdominal bloating with visible abdominal distention can be explained by some combination of weak or inappropriately relaxed abdominal muscles, a diaphragm that contracts when it should relax; excessive intraabdominal fat; fluid in loops of small intestine and gravity.
Abdominal distension may be generalised or may be localised to a discrete mass or enlargement of an organ. The main causes of generalised abdominal distension are easily remembered by the five Fs: Fat (obesity) Faeces (constipation) Fetus (pregnancy) Flatus (gastrointestinal) Fluid (ascites)
Distended Stomach (Abdominal Distention): Symptoms & Signs. These conditions can be related to digestion, such as malabsorption or lactose intolerance, or to disturbances in bowel function, such as irritable bowel syndrome ( IBS) or constipation. Bloating is another term that is sometimes used to refer to a swollen belly.
Bloating refers to the sensation of abdominal (tummy) swelling, sometimes described as the feeling of an inflated balloon in the belly. By contrast, abdominal distention refers to an actual increase in measured abdominal size. Figure 1 highlights the difference between these symptoms.
Possible reasons for bloating and distension include: Too much gas in the intestine. Abnormal levels of bacteria in the small intestine (small intestinal bacterial overgrowth – SIBO). Imbalance of microorganisms that usually live in the bowel (dysbacteriosis); Food intolerance. Increased ...
Abdominal bloating can also be a symptom of several serious conditions, including: pathologic fluid accumulation in the abdominal cavity ( ascites) as a result of cancer (e.g.,... celiac disease, or gluten intolerance. pancreatic insufficiency, which is impaired digestion because the pancreas ...
Bloating 101: Why You Feel Bloated. Bloating, gassiness, and abdominal discomfort aren’t limited to the occasional holiday feast. One in 10 Americans say they suffer from bloating regularly, even when they haven’t eaten a large meal. In some cases, bloating can become severe enough that it causes distention, or a perceptible swelling of the abdomen.
Treatment of distended abdomen. Abdominal distension treatment will depend on the underlying condition, as some cases will require a radically different form of treatment than other causes. For example, abdominal swelling cases caused by irritable bowel syndrome (IBS) typically only require diet and lifestyle changes to help manage the condition,...
Intestinal malrotation is a congenital anomaly of rotation of the midgut (embryologically, the gut undergoes a complex rotation outside the abdomen). As a result: the small intestine is found predominantly on the right side of the abdomen the cecum is displaced (from its usual position in the right lower quadrant) into the epigastrium – right hypochondrium the ligament of Treitz is displaced inferiorly and rightward fibrous bands (of Ladd) course over the vertical portion of the duodenum (DII), causing intestinal obstruction. the small intestine has an unusually narrow base, and therefore the midgut is prone to volvulus (a twisting that can obstruct the mesenteric blood vessels and cause intestinal ischemia).
Constipation refers to bowel movements that are infrequent or hard to pass. The stool is often hard and dry. Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the bowel movement. Complications from constipation may include hemorrhoids, anal fissure or fecal impaction. The normal frequency of bowel movements in adults is between three per day and three per week. Babies often have three to four bowel movements per day while young children typically have two to three per day. Constipation has many causes. Common causes include slow movement of stool within the colon, irritable bowel syndrome, and pelvic floor disorders. Underlying associated diseases include hypothyroidism, diabetes, Parkinson's disease, celiac disease, non-celiac gluten sensitivity, colon cancer, diverticulitis, and inflammatory bowel disease. Medications associated with constipation include opioids, certain antacids, calcium channel blockers, and anticholinergics. Of those taking opioids about 90% develop constipation. Constipation is more concerning when there is weight loss or anemia, blood is present in the stool, there is a history of inflammatory bowel disease or colon cancer in a person's family, or it is of new onset in someone who is older. Treatment of constipation depends on the underlying cause and the duration that it has been present. Measures that may help include drinking enough fluids, eating more fiber, and exercise. If this is not effective, laxatives of the bulk forming agent, osmotic agent, stool softener, or lubricant type may be recommended. Stimulant laxatives are generally reserved for when other types are not effective. Other treatments may include biofeedback or in rare cases surgery. In the general population rates of constipation are 2–30 percent. Among elderly people living in a care home the rate of constipation is 50–75 percent. People spend, in the United States, more than on medications for constipation a year.
Abdominal trauma is an injury to the abdomen. Signs and symptoms include abdominal pain, tenderness, rigidity, and bruising of the external abdomen. Complications may include blood loss and infection. Diagnosis may involve ultrasonography, computed tomography, and peritoneal lavage, and treatment may involve surgery. It is divided into two types blunt or penetrating and may involve damage to the abdominal organs.Injury to the lower chest may cause splenic or liver injuries.