Management of Abdominal Distension and Bloating - Treatment Algorithm
Definitions
Pathophysiology
Organic/Pathologic Etiologies:
• Small Intestinal Bowel Overgrowth (SIBO)
• Lactulose/Fructose/Carbohydrate Intolerance
• Celiac Disease
• Prior GEJ surgery (Fundoplication, Bariatric surgery)
• Gastroparesis
• Chronic Gastric Outlet Obstruction
• Ascites
• GI or GYN Malignancy
• Hypothyroidism
• Adiposity
• Small Intestinal Diverticulosis
• Chronic Intestinal Pseudo obstruction (CIPO)
Disorders of Gut-Brain Interaction:
• Irritable Bowel Syndrome
• Chronic Idiopathic Constipation
• Pelvic Floor Dysfunction
• Functional Dyspepsia
• Functional Bloating
• Abdomino-phrenic Dyssynergia
Diagnostics and Testing
Treatment Algorithm
By Chuma G. Obineme, MD @TypicallySilent via @EmoryGastroHep
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