Bloating and Abdominal Distension: Old Misconceptions and Current Knowledge

The American Journal of Gastroenterology
Juan R MalageladaFernando Azpiroz

Abstract

Bloating, as a symptom and abdominal distension, as a sign, are both common functional-type complaints and challenging to manage effectively. Individual patients may weight differently the impact of bloating and distension on their well-being. Complaints may range from chronic highly distressing pain to simply annoying and unfashionable protrusion of the abdomen. To avoid mishaps, organic bloating, and distension should always be considered first and appropriated assessed. Functional bloating and distension often present in association with other manifestations of irritable bowel syndrome or functional dyspepsia and in that context patients tend to regard them as most troublesome. A mechanism-based management bloating and distension should be ideal but elucidating key operational mechanisms in individual patients is not always feasible. Some clues may be gathered through a detailed dietary history, by assessing bowel movement frequency and stool consistency and special imaging technique to measure abdominal shape during episodes of distension. In severe, protracted cases it may be appropriate to refer the patient to a specialized center where motility, visceral sensitivity, and abdominal muscle activity in response to intralumi...Continue Reading

References

Nov 4, 1989·BMJ : British Medical Journal·D G MaxtonP J Whorwell
Aug 1, 1996·Digestive Diseases and Sciences·J K Furne, M D Levitt
Aug 1, 1997·Gastroenterology·A M AccarinoJ R Malagelada
Mar 10, 1998·The Journal of Physiology·J SerraJ R Malagelada
Aug 28, 1998·Gastroenterology·J SerraJ R Malagelada
May 11, 1999·The American Journal of Gastroenterology·T LemboE A Mayer
Mar 1, 2000·Digestive Diseases and Sciences·F CasellasJ R Malagelada
Jul 6, 2000·Digestive Diseases and Sciences·R S SandlerN L Zorich
Jan 5, 2002·The American Journal of Gastroenterology·L ChangE A Mayer
Jun 11, 2002·Gastroenterology·Maria Pía CaldarellaJuan-Ramon Malagelada
Aug 29, 2002·Gastroenterology·Jordi SerraJuan-R Malagelada
Oct 3, 2002·The American Journal of Gastroenterology·Jordi SerraJuan R Malagelada
Oct 16, 2002·Gut·L A HoughtonP J Whorwell
Feb 14, 2003·Lancet·Francisco Guarner, Juan-R Malagelada
Aug 30, 2003·American Journal of Physiology. Gastrointestinal and Liver Physiology·Hermann HarderJuan-R Malagelada
Apr 6, 2004·The American Journal of Medicine·Raffaella DaineseJuan-R Malagelada
Mar 23, 2006·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Gaylene AltmanMargaret Heitkemper
Apr 19, 2006·Gastroenterology·Fabrizio TremolaterraJuan-R Malagelada
May 9, 2006·Gastroenterology·George F LongstrethRobin C Spiller
Jul 26, 2006·The American Journal of Gastroenterology·Peter J WhorwellEamonn M M Quigley
Sep 12, 2006·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·F TremolaterraJ-R Malagelada
Dec 15, 2006·Nature·Steven E KahnKristina M Utzschneider
Apr 3, 2007·The American Journal of Gastroenterology·Frederic PerezJuan-R Malagelada
Apr 22, 2008·The American Journal of Gastroenterology·Ashok K TutejaDavid H Hickam
May 6, 2008·Gastroenterology·Anurag AgrawalPeter J Whorwell
May 6, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Susan J ShepherdPeter R Gibson
Sep 13, 2008·The American Journal of Gastroenterology·Albert VilloriaJuan-Ramon Malagelada
Sep 20, 2008·The American Journal of Gastroenterology·Anna AccarinoJuan-R Malagelada
Nov 26, 2008·Progress in Neuro-psychopharmacology & Biological Psychiatry·Roja RahimiMohammad Abdollahi
Feb 12, 2009·Gastroenterology·Anna AccarinoJuan-R Malagelada
Jun 6, 2009·The American Journal of Gastroenterology·Anurag AgrawalPeter J Whorwell
Aug 27, 2009·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·H EutameneL Bueno
Feb 25, 2010·The American Journal of Gastroenterology·Ana C Hernando-HarderJuan-R Malagelada
Feb 25, 2010·The American Journal of Gastroenterology·L ShimAllison Malcolm
Jan 7, 2011·The New England Journal of Medicine·Mark PimentelUNKNOWN TARGET Study Group
May 5, 2011·The American Journal of Gastroenterology·Albert VilloriaJuan-R Malagelada
Jun 26, 2012·Gut·Magnus SimrénUNKNOWN Rome Foundation Committee
Aug 7, 2012·Alimentary Pharmacology & Therapeutics·C TombaG Basilisco
Apr 24, 2013·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·E BarbaF Azpiroz

❮ Previous
Next ❯

Citations

Dec 26, 2017·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Hyun Jik Lee, Kyung Sik Park
Feb 23, 2019·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Yan DongJiande D Z Chen
Oct 11, 2019·Digestive Diseases and Sciences·Vikram Rangan
Dec 5, 2019·Clinical and Translational Gastroenterology·Morag Wright-McNaughtonRichard B Gearry
Jan 24, 2020·Clinical and Translational Gastroenterology·Mingyu ZhangNoel T Mueller
Feb 28, 2020·Journal of Gastroenterology and Hepatology·Yuezhi ChenChangqing Jing
Mar 18, 2019·Advances in Therapy·Amir MariRam Dickman
Jun 10, 2020·MMW Fortschritte der Medizin·Jan C Preiß, Ulrich Böcker
May 26, 2018·Journal of Clinical Gastroenterology·Kyle Staller
Sep 30, 2020·Journal of Neurogastroenterology and Motility·Choong-Kyun Noh, Kwang Jae Lee
Nov 4, 2020·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Yixi TuPhilip L Mar
Oct 8, 2020·Current Opinion in Gastroenterology·Eamonn M M Quigley
Dec 10, 2020·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Adam M DeaneAnnika Reintam Blaser
Jan 30, 2021·Clinical and Translational Gastroenterology·Doreen McClurgImmaculada Herrero-Fresneda
Apr 5, 2020·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Brian E LacyMaria Vazquez-Roque
Apr 4, 2021·International Journal of Environmental Research and Public Health·Fabio CaputoGiorgio Zoli
May 26, 2021·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Reena V Chokshi, Lin Chang
Jun 20, 2021·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Martin DuracinskyOlivier Chassany
Oct 4, 2020·Journal of Clinical Gastroenterology·Hanifah OswariShaman Rajindrajith
Sep 18, 2021·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Paola IovinoGiuseppe Chiarioni
Oct 3, 2021·United European Gastroenterology Journal·Navkiran T TornkvistHans Törnblom

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrophic Gastritis

Atrophic Gastritis is a process where gastric glandular cells are lost and replaced with firbous tissues, as a result of chronic inflammation. Learn more about Atrophic Gastritis here.