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Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal Distension ... Treatment Algorithm ... Small Intestinal Bowel ... obstruction (CIPO) Disorders ... Syndrome • Chronic
Suggested algorithm for treating irritable bowel syndrome-diarrheal type (IBS-D) 

#IBSD #diarrhea #Algorithm #irritable #bowel #syndrome #management
Suggested algorithm ... syndrome-diarrheal ... #IBSD #diarrhea ... #bowel #syndrome ... #management #treatment
Irritable Bowel Syndrome (IBS) Treatment Algorithm

IBS-Constipation:
 • Constipation: Osmotic laxatives
 • Abdominal pain: Antispasmodics

IBS-Diarrhea:
 • Diarrhea:
Irritable Bowel ... Syndrome (IBS) Treatment ... Algorithm IBS-Constipation ... Antispasmodics IBS-Diarrhea ... #Syndrome #IBS
IBS-D Pharmacotherapy

Loperamide
Rifaximin
Eluxadoline
Alosetron
Antispasmodics
Tricyclic antidepressants
SSRIs

#IBSD #IBS #Diarrhea #Irritable #Bowel #Syndrome #pharmacology #table #comparison #management #treatment
#IBS #Diarrhea ... #Irritable #Bowel ... #Syndrome #pharmacology ... #table #comparison ... #management #treatment
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
completely different disorders ... scripts and initial treatment ... algorithms. ... tenderness, bloody diarrhea ... mesentericischemia #comparison
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
disorder, Malignancy ... Antiphospholipid syndrome ... Hypoperfusion: Lumen (Bowel ... hypovolemia), Meds/Treatments ... Differential #Diagnosis #algorithm
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Syndrome (IBS) - ... form of stool * Bloating ... • If Diarrhea: ... Pelvic Floor Disorder ... #Syndrome #Diagnosis
Irritable Bowel Syndrome (IBS) Management Algorithm
Step 1: Good communication, dietary and lifestyle advice
Abdominal Pain:
 • 1st
Irritable Bowel ... Syndrome (IBS) Management ... Algorithm Step ... : Secretagoge Diarrhea ... #Algorithm #Treatment
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... bolus to the small bowel ... Gastrointestinal (N/V bloating ... after RYGB • Disorder
Diets and Inflammatory Bowel Disease (IBD)
Diet affects IBD by 3 mechanisms
1. Microbiome ( ↓ diversity)
2. Mucosal
and Inflammatory Bowel ... trigger abdominal bloating ... pain, wind and diarrhea ... #Nutrition #comparison ... table #management #treatment