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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 ... Fundoplication, Bariatric ... Interaction: • Irritable ... Bowel Syndrome ... #gastroenterology
Irritable Bowel Syndrome (IBS) in Pregnancy
 - Pathophysiology
 - Pharmacotherapy
 - Nonpharmacological Treatment

Emory Gastroenterology and Hepatology
Irritable Bowel ... Syndrome (IBS) in ... Nonpharmacological Treatment ... and Hepatology ... #IBS #Pregnancy
Irritable Bowel Syndrome (IBS) Treatment Algorithm

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

IBS-Diarrhea:
 • Diarrhea:
Irritable Bowel ... Syndrome (IBS) Treatment ... #Bowel #Syndrome ... #IBS #Treatment ... Management #Algorithm #gastroenterology
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 • Use a positive diagnostic strategy with
Irritable Bowel ... Syndrome (IBS) - ... Criteria - Recurrent abdominal ... of stool * Bloating ... and Hepatology
Irritable Bowel Syndrome (IBS) - Management
Global IBS Symptoms:
  - Limited trial low FODMAP diet
Irritable Bowel ... Syndrome (IBS) - ... and Hepatology ... #Irritable #Bowel ... #treatment
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Irritable Bowel ... Syndrome (IBS) - ... Criteria - Recurrent abdominal ... form of stool * Bloating ... and Hepatology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... deficiencies) Dumping Syndrome ... Gastrointestinal (N/V bloating ... and Hepatology
Low FODMAP Diet Foods 

Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols (to Avoid).  
These short-chain carbohydrates
symptoms like bloating ... , gas, and abdominal ... conditions such as Irritable ... Bowel Syndrome ... (IBS).
Diets and Inflammatory Bowel Disease (IBD)
Diet affects IBD by 3 mechanisms
1. Microbiome ( ↓ diversity)
2. Mucosal
balanced, nutritious Table ... energy intake x 8-12 ... that may trigger abdominal ... bloating, abdominal ... #management #treatment