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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