It is typically a symptom of an underlying disease or dysfunction in the body, rather than an illness in its own right. Parker, 1959, abdominal distension was among the first symptoms experienced by most patients. Thus, abdominal pain should not usually be expected to be a feature, except with abdominal distension due to gas in bowel obstruction. Abdominal distension causes, symptoms, diagnosis, treatment. It is a commonly reported symptom and is sometimes associated with distension, or the visible increase in the width of the area between your hips and chest abdominal girth. You may find the wind, gas and bloating article more useful, or one of our other health articles. The act of distending or the state of being distended. Jul 21, 2014 a 10yearold male came to the emergency room with a several day history of abdominal distension and generalized abdominal pain. Past medical history was significant for coronary artery disease status post stent placement 5 years prior, systolic heart failure, and colon cancer status after segmental resection 15 years prior. Par ailleurs, le qi du gros intestin peut seffondrer. Distension is defined as something that is enlarged or stretched beyond its normal state, typically from within. Gastric distension, bloating of the stomach when air is pumped into it, as in a medical procedure.
It is often diagnosed late in the course of the illness after complications are already present. Distension abdominale aigue, une complication a redouter. The following list of medications are in some way related to, or used in the treatment of this condition. Professional reference articles are designed for health professionals to use.
Both bloating and distension cause discomfort, and sometimes pain, and have a. Section 2 partie 2 les fonctions du gros intestin 15. Bloating can be described as the feeling that there is an inflated balloon in the abdomen. A man in his 70s was brought to the emergency room by his family for 2 days of altered mental status. Lactulose, which is poorly absorbed in the small bowel and therefore fermented in the colon, has been shown to be associated with bloating and distension in healthy volunteers 1 and in patients with chronic constipation. Abdominal distension can result from infection, malignancy, inflammation, trauma, fluid retention, obstruction and other abnormal. Distension definition of distension by merriamwebster. The patient and family could provide few details but the pain was located periumbilically, occurred only during the day and would come and go. Abdominal distention american academy of pediatrics. Adhesive capsulitis of the shoulder, treatment with. Background abdominal distension is one of the cardinal features of irritable bowel syndrome ibs with patients often ranking it as more intrusive than their pain or bowel dysfunction. Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and wellcontrolled studies. A comparative study of four oral contrast agents for small bowel distension with computed tomography enterography.
With interchangeable organs of varying sizes, and an integral mp3 player providing. Download classification fonctionnelle des points dacupuncture book pdf free download link or read online here in pdf. Bloating and distension have been reported in up to 96% of patients with irritable bowel syndrome ibs 1 and in 20% to 30% of the general population, 2, 3 with the majority of those affected describing their symptoms as either moderate or severe. Distension definition is the act of distending or the state of being distended especially unduly or abnormally. A preterm infant presents with loose stools, abdominal distention, progressive lethargy, rapid deterioration, and cutaneous abdominal blood vessel findings. Classification fonctionnelle des points dacupuncture pdf. The patient was taking nutritional supplements but no prescription medications. Almost 90% of patients with nourge constipation, which is associated with elevated rectal sensory thresholds, describe distension and bloating.
The accumulated substance causes an outward expansion of the. In the large collected series mitchell et al, 1982. He is toilettrained and his family mentions that he has been having intermittently decreased urination for the past month. Pregabalin abdominal distension reports druginformer. Distension abdominale aigue, une complication a redouter en cas danorexie mentale acute abdominal dilatation, a serious complication in the case of anorexia nervosa author links open overlay panel t. Differential diagnosis for abdominal distension oxford. The largest case series of functional abdominal bloating is still alvarezs unfortunately titled hysterical type of nongaseous abdominal bloating. Abdominal distension, typically a symptom of an underlying disease or dysfunction in the body, rather than an illness in its own right.
Within all the people who go to their doctor with abdominal distention, 45% report having peripheral edema, 45% report having difficulty breathing, and 45% report having shortness of breath. Abdominal distension symptoms, diagnosis, treatments and. Abdominal distension is the swelling or enlarging of the abdomen in the area between the ribs and the groin. Abdominal distension is a sense of increased abdominal pressure that involves an actual measurable change in the circumference of a persons abdomen. All of our patients had abdominal pain that was dull, nagging, and chronic. Effect of arthrographic shoulder joint distension with. Childrens hospital of michigan, detroit, mi a previously healthy 2yearold boy presents to the emergency department with a history of abdominal distention that began 1 week ago and has since been worsening. Patient presentation a 10yearold male came to the emergency room with a several day history of abdominal distension and generalized abdominal pain. There are no statistical definitions of distention available to pediatricians. View detailed reports from patients taking pregabalin who experienced abdominal distension. The incidence of anginal pain following the ingestion of food has been commented on by most of the writers on angina pectoris, beginning with heberden,1 who stated that those who are afflicted with it are seized while they are walking, and more particularly if.
Progressive gastric distension is a rare condition, which may lead to gastric wall ischaemia and perforation. There was a significant increase in girth measurement during anaesthesia with 70 per cent nitrous oxide. His article began thus, in 1911, i saw a psychopathic woman, past the menopause, who, with her protuberant abdomen, was sure she was pregnant by the holy spirit. Establishing the precise cause of abdominal distention in childhood from the history and physical examination alone can be also be difficult. What causes abdominal swelling abdominal distension. Jan 25, 2019 professional reference articles are designed for health professionals to use. Common and important causes of abdominal distension for doctors and medical students this page is currently being written and will be available soon. Dexamethasone abdominal distension reports druginformer. Distension abdominale aigue, une complication a redouter en cas danorexie mentale acute abdominal dilatation, a serious complication in the case of anorexia nervosa.
Abdominal distension caused by ascites occurs at some time in almost every patient with bcs. The number of possible diagnoses is very large, and the most likely diagnoses vary greatly with the age of the child. Download fulltext pdf bloating and abdominal distension. The sensation and appearance of distention located in the abdomen.
Abdominal distension an overview sciencedirect topics. A man in his 70s with hypotension and increasing abdominal. They are written by uk doctors and based on research evidence, uk and european guidelines. The operation that you have selected will move away from the current results page, your download options will not persist.
Distension abdominale aigue, une complication a redouter en. Distension definition of distension by medical dictionary. All books are in clear copy here, and all files are secure so dont worry about it. Abdominal distension may be generalised, or may be localised to a discrete mass. A comparative study of four oral contrast agents for small. Abdominal distension is a manifestation of functional gastrointestinal disorders, such as irritable bowel syndrome ibs, and is characterized by an.
Jun 19, 2012 the largest case series of functional abdominal bloating is still alvarezs unfortunately titled hysterical type of nongaseous abdominal bloating. Abdominal distension occurs when substances, such as air gas or fluid, accumulate in the abdomen causing its expansion. Adhesive capsulitis of the shoulder, also called frozen shoulder, has a prevalence of 2 to 5 % of the general population, but among diabetic patients the prevalence ranged from 11 to 30 % 1, 2. Distention definition of distention by the free dictionary. Other conditions such as meniscocapsular separation and medial capsuloligamentous injury may also cause. Abdominal distension is a condition in which the abdomen belly feels full and tight. Related quick reference topics home pediatric care online. Abdominal distension refers to the swelling of the abdomen. A 5weekold boy born at 35 weeks gestation develops acute, worsening abdominal distention and tachypnea while recovering from surgical aortic switch, ventricular septal defect vsd repair, and placement of a pacemaker for a history of doubleoutlet right ventricle, transposition of the great arteries, and congenital heart block. View detailed reports from patients taking dexamethasone who experienced abdominal distension. People suffering from this condition often describe it as feeling bloated. It is estimated to affect 25% of the general population and 1020% of people with diabetes.
Intestinal gas endogenous gas production via the fermentation of luminal contents is a significant contributor to raised intraabdominal volume. Distension of the medial collateral ligament bursa of the. Volume 33, issue 9, part 1, may 2004, pages 601603. Medical student survival skills pdf pdf free download. Read online classification fonctionnelle des points dacupuncture book pdf free download link book now. Clinical approach and management article pdf available in advances in therapy 366 march 2019 with 743 reads. To be updated when it is complete please like us on facebook, follow us on twitter or subscribe on youtu. The patient and family could provide few details but the pain was located periumbilically, occurred only during. A similar control group anaesthetized without nitrous oxide concentration in appropriate circumstances showed no change. Distension spelled distention in many style regimens generally refers to an enlargement, dilation, or ballooning effect. List of abdominal distension medications 5 compared.
Distension of the glenohumeral joint with saline and steroid has considerable short term benefit in adhesive capsulitis painful stiffening of the shoulder, first described by duplay in 1834,1 and aptly labelled frozen shoulder by codman,2 is a common cause of shoulder pain and disability. Please click confirm if you are happy to lose these search results. Distension of the medial collateral ligament mcl bursa of the knee is uncommon. An anatomically accurate adult male torso, used to teach and practice the palpation, auscultation and percussion elements of abdominal or gastrointestinal gi examination. Management strategies for abdominal bloating and distension. Abdominal distension archives oxford medical education. Using the principle of inductance plethysmography we have developed. See detailed information below for a list of 68 causes of abdominal distention, symptom checker, including diseases and drug side effect causes.
Intestinal distension during nitrous oxide anaesthesia. Abdominal distension is symptom of a wide variety of mild to serious diseases, disorders and conditions. Early recognition, prompt referral and intervention has the potential to prevent adverse outcomes. We present a case of subacute gastric distension in an elderly woman leading to subsequent.
Nov 18, 2019 distension is defined as something that is enlarged or stretched beyond its normal state, typically from within. This in turn, leads to abdominal distension which needs to be differentiated from other causes. There is a strong correlation between adhesive capsulitis and other medical conditions such as diabetes, rheumatic disease, heart disease, hyperthyreosis. The distension may be caused by either air gas or fluid collection. Abdominal distension abdominal pain acute illness anaesthetics arm weakness atls back pain bleeding problems cardiac arrest chest pain clinical cases clinical presentations collapse cough diarrhoea differential diagnosis dizziness emergencies examination fatigue gastroenterology cases gi bleeding headache itch jaundice joint problems leg pain. If this symptom could be quantified accurately and reliably it would provide, for the first time, an objective way of assessing this disorder. Abdominal distention can be a challenging clinical problem.
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