19 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... Gastric Outlet Obstruction ... Intestinal Pseudo obstruction ... • Irritable Bowel ... Idiopathic Constipation
Mechanical Bowel Obstruction and Ileus - Pathogenesis and Clinical Findings
Ileus: Functional bowel "blockage", no peristalsis
Mechanical Obstruction:
Mechanical Bowel ... either acute or chronic ... abdominal pain • Obstipation ... ) • Bloating. ... ) #bowel #obstruction
Bloating and Belching - Differential Diagnosis Framework and Workup
Phenotypes:
"The gastric bloater" - Gastric outlet obstruction, Gastroparesis,
Bloating and Belching ... Gastric outlet obstruction ... dyspepsia "The small bowel ... IBS-C, Simple constipation ... CRHarrington19 #Bloating
Constipation - Differential Diagnosis Algorithm
Diet/Lifestyle
 • Fibre
 • Calories
 • Fluid
 • Exercise
 • Psychosocial
Medications
 •
Constipation - Differential ... Diagnosis Algorithm ... Dyssyngergia Irritable Bowel ... Neuropathy • Pseudo--obstruction ... (Inflammatory Bowel
Pediatric Constipation - Differential Diagnosis Algorithm
Dietary/Functional
 • lnsufficient Volume / Bulk
Neurologic
 • Hirschsprung's Disease
 • Imperforate
Pediatric Constipation ... Differential Diagnosis Algorithm ... Anatomic • Bowel ... Obstruction • ... Pseudo--obstruction
Causes of Pediatric Constipation - Differential Diagnosis Algorithm
Dietary / Functional:
 • Insufficient Volume / Bulk
Neurologic:
 •
Causes of Pediatric Constipation ... Differential Diagnosis Algorithm ... Anatomic: • Bowel ... Obstruction • ... Pseudo-obstruction
Causes of Chronic Pelvic Pain (> 6 months in duration) - Differential Diagnosis Algorithm
Co-morbidities:
 • Somatization
Differential Diagnosis Algorithm ... • Irritable bowel ... • Inflammatory bowel ... disease • Constipation ... Differential #Diagnosis #Algorithm
Stool Incontinence - Differential Diagnosis Algorithm
Affected Pelvic Floor 
 - Trauma/Surgery
   • Surgery: Anorectal,
Differential Diagnosis Algorithm ... Pelvic Floor - Chronic ... Constipation ... Syndrome • Chronic ... Differential #Diagnosis #Algorithm
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Differential Diagnostic Algorithm ... Peritonitic • Bowel ... Obstruction • ... Gastroenteritis • Constipation ... • Irritable bowel
Pathogenesis of Select Causes of Constipation in Adults and in Elderly

 • Mechanical (ex. Bowel Obstruction,
Select Causes of Constipation ... Bowel Obstruction ... -> Mechanical obstruction ... in the bowel -> ... transit time #constipation