Functional Abdominal Bloating with DistentionReportar como inadecuado

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ISRN GastroenterologyVolume 2012 2012, Article ID 721820, 5 pages

Review Article

Department of Medicine, University of British Columbia, Vancouver, BC, Canada V5Z 1M9

Island Medical Program, University of Victoria, Victoria, BC, Canada V8W 2Y2

Received 18 March 2012; Accepted 18 April 2012

Academic Editors: S. Mueller-Lissner and A. A. te Velde

Copyright © 2012 Stephen Norman Sullivan. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Ten to 25% of healthy persons experience bloating. It is particularly common in persons with the irritable bowel syndrome and constipation. While the cause of bloating remains unknown old explanations such as a excessive intestinal gas, exaggerated lumbar lordosis and psychiatric problems have been disproved. New suggestions include recent weight gain, weak or inappropriately relaxed abdominal muscles, an inappropriately contracted diaphragm and retained fluid in loops of distal small bowel. No treatment is of unequivocal benefit but a low FODMAPs diet, probiotics and the non-absorbable antibiotic rifaximin offer some hope. Treatment by weight loss, abdominal exercise, prokinetics and girdles need more study.

Autor: Stephen Norman Sullivan



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