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abdominal distention

Disease name

Abdominal distension is a common digestive system Symptoms, not a disease. It can be part of the abdomen or the whole abdomen is full subjectively, usually accompanied by related symptoms, such as vomiting, diarrhea Belching Etc; It can also be an objective examination, such as partial or total abdominal distention. Causes of abdominal distension are mainly found in Gastrointestinal flatulence , caused by various reasons ascites , Abdominal cavity tumour Etc.

TCM disease name

Visiting department

GI Medicine

Common causes

Digestive tract organ disease, stress, etc.

common symptom

Abdominal distension, accompanied by constipation, diarrhea, etc.

infectivity

nothing

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essential information

TCM disease name: abdominal distention
Visiting department: GI Medicine

Common causes: Digestive tract organ disease, stress, etc.
common symptom: Abdominal distension, accompanied by constipation, diarrhea, etc.
infectivity: nothing

pathogeny

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1. Diseases of digestive tract organs (including gastrointestinal, hepatobiliary and pancreatic diseases) Gastrointestinal flatulence 。

2. The volume of intraperitoneal fluid accumulates too much.

3. Intraperitoneal tumor Or the capsule of the viscera moves.

4. Food or drug metabolism Excessive gas is generated in the process.

5. Stress (including psychology, infection, etc.).

6. Chest caused by other system diseases (heart, kidney, endocrine, nerve, blood, etc.) Ascites Etc.

clinical manifestation

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Abdominal distension varies in severity, ranging from mild to severe and uncomfortable. Circadian rhythm The change of is a common feature of abdominal distension. Most patients have symptoms of abdominal distension that develop progressively during daily activities and tend to reduce or disappear after night rest. Diseases associated with abdominal distention include constipation, diarrhea Irritable bowel syndrome 、 indigestion 、 Eating disorders Disease and obesity , Intestine and stomach Inflation 、 Organic disease (including some Malignant tumor ）Etc.

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1. Physical examination

It varies according to the causes of abdominal distention. commonly Gastrointestinal flatulence Abdominal distention is visible. Functional disease The patient is generally in good condition; Malabsorption syndrome Some are thin anemia 、 Rough skin etc. innutrition Physical signs; Dysphagia Frequent swallowing movements can be observed.

two laboratory examination

（1） Peripheral blood Medium white Cell count Increase prompt Infectivity Disease.

（2） Urine protein positive Tips nephritis or Nephrotic syndrome , urine Increased bilirubin May have liver disease.

（3） Eosinophils Decrease or disappear, prompt Typhoid fever The possibility of.

（4） Fecal occult blood Continuous positive always indicates gastrointestinal tumor.

（5） Liver function test : Yes Acute and chronic hepatitis It has diagnostic value.

（6） ascites Puncture inspection : ascites can be identified as fluid leakage or Exudate 。 Sometimes through Abdominal puncture A small amount of fluid can be extracted to determine inflammation, bleeding, gastrointestinal or biliary perforation. It is possible to find tumor cell 。

three Imaging inspect

abdomen X-ray plain film Discoverable prompt intestinal obstruction Or pseudo obstructive Diffuse Intestinal distension and Gas-liquid plane , diffuse vague shadow of ascites, etc. Gastroenterography gastroscope and Colonoscopy , ultrasonic CT Scanning is helpful to diagnose organic diseases.

4. Functional test of digestive tract

It is helpful to diagnose the cause of abdominal distension. Exhaust analysis, passage time of digestive tract and carbohydrate digestion test can be used.

diagnosis

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1. Medical history

Does the patient have an abdomen History of operation 、 ulcer Medical history, etc. If any diabetes Patients should pay attention to Gastroparesis , Yes fever 、 night sweat 、 cough And abdominal distension Intestinal tuberculosis 。

2. Physical examination

Generally, flatulence will cause abdominal distention.

three Supplementary Examination

The corresponding diagnosis can be made according to laboratory examination, imaging examination, etc.

treatment

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1. Primary disease treatment

Mainly for primary disease treatment.

two General treatment

Reduce the intake of gas eating food and limit the intake of gas producing food, such as onions, celery, etc. Keep defecation unobstructed.

three medication

（1） Dimethicone Promote thick Foam layer Rupture and fluid flow reduce abdominal distension.

(2) Optional prokinetic agent treatment Gastrointestinal motility Patients with impaired function.

（3） Enzyme preparation Can promote endogenous Enzymatic digestion of incomplete food residue decomposition.

（4） probiotics 、 Prebiotics Can improve intestinal micro ecological environment , reduce gas production and abdominal distension.

4. Others

For those with severe abdominal distension Anal canal Exhaust Gastrointestinal decompression , appropriate oxygen inhalation, or abdominal hot compress, and turpentine on the navel.

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