Table of Contents
ISRN Gastroenterology
Volume 2012 (2012), Article ID 721820, 5 pages
http://dx.doi.org/10.5402/2012/721820
Review Article

Functional Abdominal Bloating with Distention

1Department of Medicine, University of British Columbia, Vancouver, BC, Canada V5Z 1M9
2Island 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.

Linked References

  1. A. Agrawal and P. J. Whorwell, “abdominal bloating and distension in functional gastrointestinal disorders—epidemiology and exploration of possible mechanisms,” Alimentary Pharmacology and Therapeutics, vol. 27, no. 1, pp. 2–10, 2008. View at Publisher · View at Google Scholar · View at Scopus
  2. F. Azpiroz and J. R. Malagelada, “Abdominal bloating,” Gastroenterology, vol. 129, no. 3, pp. 1060–1078, 2005. View at Publisher · View at Google Scholar · View at Scopus
  3. A. Villoria, F. Azpiroz, A. Soldevilla, F. Perez, and J. R. Malagelada, “Abdominal accommodation: a coordinated adaptation of the abdominal wall to its content,” American Journal of Gastroenterology, vol. 103, no. 11, pp. 2807–2815, 2008. View at Publisher · View at Google Scholar · View at Scopus
  4. A. Accarino, F. Perez, F. Azpiroz, S. Quiroga, and J. R. Malagelada, “Abdominal distention results from caudo-ventral redistribution of contents,” Gastroenterology, vol. 136, no. 5, pp. 1544–1551, 2009. View at Publisher · View at Google Scholar · View at Scopus
  5. X. Jiang, G. R. Locke, R. S. Choung, A. R. Zinsmeister, C. D. Schleck, and N. J. Talley, “Prevalence and risk factors for abdominal bloating and visible distention: a population-based study,” Gut, vol. 57, no. 6, pp. 756–763, 2008. View at Publisher · View at Google Scholar · View at Scopus
  6. A. Agrawal, L. A. Houghton, B. Reilly, J. Morris, and P. J. Whorwell, “Bloating and distension in irritable bowel syndrome: the role of gastrointestinal transit,” American Journal of Gastroenterology, vol. 104, no. 8, pp. 1998–2004, 2009. View at Publisher · View at Google Scholar · View at Scopus
  7. A. Agrawal, L. A. Houghton, R. Lea, J. Morris, B. Reilly, and P. J. Whorwell, “Bloating and distention in irritable Bowel syndrome: the role of visceral sensation,” Gastroenterology, vol. 134, no. 7, pp. 1882–1889, 2008. View at Publisher · View at Google Scholar · View at Scopus
  8. L. A. Houghton, R. Lea, A. Agrawal, B. Reilly, and P. J. Whorwell, “Relationship of abdominal bloating to distention in irritable Bowel syndrome and effect of bowel habit,” Gastroenterology, vol. 131, no. 4, pp. 1003–1010, 2006. View at Publisher · View at Google Scholar · View at Scopus
  9. L. Chang, O. Y. Lee, B. Naliboff, M. Schmulson, and E. A. Mayer, “Sensation of bloating and visible abdominal distension in patients with irritable bowel syndrome,” American Journal of Gastroenterology, vol. 96, no. 12, pp. 3341–3347, 2001. View at Publisher · View at Google Scholar · View at Scopus
  10. B. Salvioli, J. Serra, F. Azpiroz et al., “Origin of gas retention and symptoms in patients with bloating,” Gastroenterology, vol. 128, no. 3, pp. 574–579, 2005. View at Publisher · View at Google Scholar · View at Scopus
  11. A. Accarino, F. Perez, F. Azpiroz, S. Quiroga, and J. R. Malagelada, “Intestinal gas and bloating: effect of prokinetic stimulation,” American Journal of Gastroenterology, vol. 103, no. 8, pp. 2036–2042, 2008. View at Publisher · View at Google Scholar · View at Scopus
  12. F. Tremolaterra, A. Villoria, F. Azpiroz, J. Serra, S. Aguadé, and J. R. Malagelada, “Impaired viscerosomatic reflexes and abdominal-wall dystony associated with bloating,” Gastroenterology, vol. 130, no. 4, pp. 1062–1068, 2006. View at Publisher · View at Google Scholar · View at Scopus
  13. A. Villoria, F. Azpiroz, E. Burri, D. Cisternas, A. Soldevilla, and J. R. Malagelada, “Abdomino-phrenic dyssynergia in patients with abdominal bloating and distension,” American Journal of Gastroenterology, vol. 106, no. 5, pp. 815–819, 2011. View at Publisher · View at Google Scholar · View at Scopus
  14. A. C. Hernando-Harder, J. Serra, F. Azpiroz et al., “Colonic responses to gas loads in subgroups of patients with abdominal bloating,” American Journal of Gastroenterology, vol. 105, no. 4, pp. 876–882, 2010. View at Publisher · View at Google Scholar · View at Scopus
  15. L. Shim, G. Prott, R. D. Hansen, L. E. Simmons, J. E. Kellow, and A. Malcolm, “Prolonged balloon expulsion is predictive of abdominal distension in bloating,” American Journal of Gastroenterology, vol. 105, no. 4, pp. 883–887, 2010. View at Publisher · View at Google Scholar · View at Scopus
  16. W. C. Alvarez, “Hysterical type of nongaseous abdominal bloating,” Archives of Internal Medicine, vol. 84, pp. 217–245, 1949. View at Google Scholar
  17. S. N. Sullivan, “A prospective study of unexplained visible abdominal bloating,” The New Zealand Medical Journal, vol. 107, no. 988, pp. 428–430, 1994. View at Google Scholar · View at Scopus
  18. J. Fardy and S. Sullivan, “Gastrointestinal gas,” Canadian Medical Association Journal, vol. 139, no. 12, pp. 1137–1142, 1988. View at Google Scholar · View at Scopus
  19. P. A. Cann, N. W. Read, and C. Brown, “Irritable bowel syndrome: relationship of disorders in the transit of a single solid meal to symptom patterns,” Gut, vol. 24, no. 5, pp. 405–411, 1983. View at Google Scholar · View at Scopus
  20. S. N. Marcus and K. W. Heaton, “Irritable bowel-type symptoms in spontaneous and induced constipation,” Gut, vol. 28, no. 2, pp. 156–159, 1987. View at Google Scholar · View at Scopus
  21. M. S. Youle and N. W. Read, “Effect of painless rectal distension on gastrointestinal transit of solid meal,” Digestive Diseases and Sciences, vol. 29, no. 10, pp. 902–906, 1984. View at Google Scholar · View at Scopus
  22. J. E. Kellow, R. C. Gill, and D. L. Wingate, “Modulation of human upper gastrointestinal motility by rectal distension,” Gut, vol. 28, no. 7, pp. 864–868, 1987. View at Google Scholar · View at Scopus
  23. H. C. Tjeerdsma, A. J. P. M. Smout, and L. M. A. Akkermans, “Voluntary suppression of defecation delays gastric emptying,” Digestive Diseases and Sciences, vol. 38, no. 5, pp. 832–836, 1993. View at Google Scholar · View at Scopus
  24. S. Delgado-Aros, G. R. Locke, M. Camilleri et al., “Obesity is associated with increased risk of gastrointestinal symptoms: a population-based study,” American Journal of Gastroenterology, vol. 99, no. 9, pp. 1801–1806, 2004. View at Publisher · View at Google Scholar · View at Scopus
  25. N. J. Talley, C. Quan, M. P. Jones, and M. Horowitz, “Association of upper and lower gastrointestinal tract symptoms with body mass index in an Australian cohort,” Neurogastroenterology and Motility, vol. 16, no. 4, pp. 413–419, 2004. View at Publisher · View at Google Scholar · View at Scopus
  26. C. Bouchard, A. Tremblay, J. P. Despres et al., “The response to long-term overfeeding in identical twins,” New England Journal of Medicine, vol. 322, no. 21, pp. 1477–1482, 1990. View at Google Scholar · View at Scopus
  27. W Osler, “Enteroptosis,” in Principles and Practice of Medicine, pp. 548–550, D Appleton and Co, New York, NY, USA, 8th edition, 1918. View at Google Scholar
  28. J. Y. Song, H. Merskey, S. Sullivan, and S. Noh, “Anxiety and depression in patients with abdominal bloating,” Canadian Journal of Psychiatry, vol. 38, no. 7, pp. 475–479, 1993. View at Google Scholar · View at Scopus
  29. J. Y. Song, H. Merskey, S. Noh, and S. Sullivan, “The effect of controlling for anxiety and depression upon the threshold for pressure pain in three comparison groups,” Journal of Musculoskeletal Pain, vol. 1, no. 1, pp. 73–88, 1993. View at Google Scholar · View at Scopus
  30. D. G. Maxton, D. F. Martin, P. J. Whorwell, and M. Godfrey, “Abdominal distension in female patients with irritable bowel syndrome: exploration of possible mechanisms,” Gut, vol. 32, no. 6, pp. 662–664, 1991. View at Google Scholar · View at Scopus
  31. E. Stermer, H. Bar, and N. Levy, “Chronic functional gastrointestinal symptoms in Holocaust survivors,” American Journal of Gastroenterology, vol. 86, no. 4, pp. 417–422, 1991. View at Google Scholar · View at Scopus
  32. R. Johnsen, B. K. Jacobsen, and O. H. Forde, “Associations between symptoms of irritable colon and psychological and social conditions and lifestyle,” British Medical Journal, vol. 292, no. 6536, pp. 1633–1635, 1986. View at Google Scholar · View at Scopus
  33. E. A. Walker, W. J. Katon, R. P. Jemelka, and P. P. Roy-Byrne, “Comorbidity of gastrointestinal complaints, depression, and anxiety in the Epidemiologic Catchment Area (ECA) Study,” American Journal of Medicine, vol. 92, supplement 1A, pp. S26–S30, 1992. View at Google Scholar · View at Scopus
  34. S. N. Sullivan and C. Wong, “Runners' diarrhea: different patterns and associated factors,” Journal of Clinical Gastroenterology, vol. 14, no. 2, pp. 101–104, 1992. View at Google Scholar · View at Scopus
  35. S. N Sullivan, C. Wong, and P. Heidenheim, “Exercise related symptoms,” New Zealand Journal of Sports Medicine, vol. 22, no. 2, pp. 23–25, 1994. View at Google Scholar
  36. M. Schmulson and L. Chang, “The treatment of functional abdominal bloating and distension,” Alimentary Pharmacology and Therapeutics, vol. 33, no. 10, pp. 1071–1086, 2011. View at Publisher · View at Google Scholar · View at Scopus
  37. R. Nanda, R. James, H. Smith, C. R. K. Dudley, and D. P. Jewell, “Food intolerance and the irritable bowel syndrome,” Gut, vol. 30, no. 8, pp. 1099–1104, 1989. View at Google Scholar · View at Scopus
  38. P. R. Gibson, “Food intolerance in functional bowel disorders,” Journal of Gastroenterology and Hepatology, vol. 26, supplement 3, pp. 128–131, 2011. View at Publisher · View at Google Scholar · View at Scopus
  39. S. M. Wilhelm, C. M. Brubaker, E. A. Varcak, and P. B. Kale-Pradhan, “Effectiveness of probiotics in the treatment of irritable bowel syndrome,” Pharmacotherapy, vol. 28, no. 4, pp. 496–505, 2008. View at Publisher · View at Google Scholar · View at Scopus
  40. A. I. Sharara, E. Aoun, H. Abdul-Baki, R. Mounzer, S. Sidani, and I. Elhajj, “A randomized double-blind placebo-controlled trial of rifaximin in patients with abdominal bloating and flatulence,” American Journal of Gastroenterology, vol. 101, no. 2, pp. 326–333, 2006. View at Publisher · View at Google Scholar · View at Scopus
  41. A. Villoria, J. Serra, F. Azpiroz, and J. R. Malagelada, “Physical activity and intestinal gas clearance in patients with bloating,” American Journal of Gastroenterology, vol. 101, no. 11, pp. 2552–2557, 2006. View at Publisher · View at Google Scholar · View at Scopus
  42. P. J. Whorwell, A. Prior, and S. M. Colgan, “Hypnotherapy in severe irritable bowel syndrome: further experience,” Gut, vol. 28, no. 4, pp. 423–425, 1987. View at Google Scholar · View at Scopus
  43. E. Guthrie, F. Creed, D. Dawson, and B. Tomenson, “A controlled trial of psychological treatment for the irritable bowel syndrome,” Gastroenterology, vol. 100, no. 2, pp. 450–457, 1991. View at Google Scholar · View at Scopus