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- Title
Distensión abdominal.
- Authors
E. S., García-Jiménez; J. A., Velarde-Ruiz Velasco; M. F., Rangel-Orozco; D., Briones-Govea; E. C., Morel-Cerda; E., Barba-Orozco
- Abstract
Abdominal distension (AB) is a frequent clinical condition and it may be present as the main and unique symptom of a functional disease called “functional abdominal distension”. It may also be present in other type of functional digestive pathologies. Two main terms are used to describe this entity: distension (visible increase of the abdominal perimeter, objective AB) and bloating (distension sensation experienced by the patient, subjective AB, imperceptible abdominal heaviness referred by patient). Functional digestive disorders constitute a big social and sanitary problem, since they alter patients' life quality, daily habits and in some cases, it may become incapacitating. This is a cause of social pressure and absenteeism. AB from other entities, must be distinguished true AB defined by the Rome IV criteria. This can only be achieved with an ordered and individualized approach, in order to differentiate functional and structural conditions, and start specific treatment. Expensive and complicated testing is not routinely recommended, unless warning characteristics are present. During diagnostic approach, we must always consider complete medical history, clinical picture and important antecedents, before deciding investigation strategies. Different treatment strategies have been proposed for AB including life style changes, diet, drugs, and neuromodulation and bioretroalimentation training. This review provides general and pathophysiological aspects, approach and treatment of AB.
- Subjects
ROME; QUALITY of life; CLIMACTERIC
- Publication
Revista Médica MD, 2018, Vol 10, Issue 2, p165
- ISSN
2007-8188
- Publication type
Article