Descargue como pdf, txt o lea en linea desde scribd. The physical examination was normal except for a mildly distended abdomen with tympanic bowel sounds. Management strategies for abdominal bloating and distension. George abdenour discusses abdominal distention in neonates and the normal abdominal radiograph. When the term is used in this manner, a number of different diseases and conditions can cause abdominal distension.
Abdominal bloating is a very common symptom that affects 1030% of people. Intermittent abdominal distension as a form of presentation. Abdominal distention american academy of pediatrics. Sufferers often experience a sensation of fullness, abdominal pressure and. Jul 21, 2014 a 10yearold male came to the emergency room with a several day history of abdominal distension and generalized abdominal pain. More than 50% of persons with bloating and distension report a significant impact on quality of life. Abdominal distension may be generalised, or may be localised to a discrete mass. Recurrent abdominal pain is the main cause of chronic pain in children between 4 and 16 years old. Trastornos nutricionales en pediatria marasmo, kwashiorkor. Functional abdominal bloating and distension fabd are common gastrointestinal complaints, encountered on a daily basis by gastroenterologists and healthcare providers. Pdf a case is reported in which an abdominal protrusion appeared in relation with a zosteric eruption at 11th dorsal dermatome. These conditions can be related to digestion, such as malabsorption or lactose intolerance, or to.
Pachala yadira toalombo jessica garces cristina trastornos nutricionales cuarto ciclo b. A preterm infant presents with loose stools, abdominal distention, progressive lethargy, rapid deterioration, and cutaneous abdominal blood vessel findings. The examination only revealed distension of the top half of the abdomen with marked tympanic sounds. A distended stomach is a term usually used to refer to distension or swelling of the abdomen and not of the stomach itself. It is typically a symptom of an underlying disease or dysfunction in the body, rather than an illness in its own right. Chronic abdominal pain cap in children is a common cause to seek medical care. Professional reference articles are designed for health professionals to use. Jul 06, 2016 trastornos nutricionales en pediatria marasmo, kwashiorkor, mixta 1. Patients often cant describe exactly what it means and may use a lot of different terms for it.
People suffering from this condition often describe it as feeling bloated. Eructos, distension abdominal y flatulencia american. It is particularly common in persons with the irritable bowel syndrome and constipation. Abdominal distention can be a challenging clinical problem. The patient and family could provide few details but the pain was located periumbilically, occurred only during the day and would come and go. Emergencias abdominales pediatricas pediatricas reeme. A nasogastric tube was inserted and a fundal and anterior gastropexy performed. You may find the wind, gas and bloating article more useful, or one of our other health articles. Abdominal distension occurs when substances, such as air gas or fluid, accumulate in the abdomen causing its expansion. Functional abdominal bloating is a subjective sensation that is commonly associated with an objective abdominal distension.
Some may have to loosen their clothes or see distension of their abdomen along with the sensation of bloating, while others feel uncomfortably full but it does not show. A 3dayold male infant was transferred to the childrens memorial hospital for evaluation of abdominal distention. There are no statistical definitions of distention available to pediatricians. Gastric volvulus was suspected and an abdominal radiograph done that confirmed it. Hector ortega pediatria y neonatologia i integrantes. It is defined as the occurrence of three or more abdominal pain attacks, that persist for more than three months, and are severe enough to interrupt routine activities, with the child remaining asymptomatic between the pain events. Thus, abdominal pain should not usually be expected to be a feature, except with abdominal distension due to gas in bowel obstruction. Pdf ten to 25% of healthy persons experience bloating. Distension abdominal funcional exploraciones digestivas. Distension abdominal en ninos causas y diagnostico. They are written by uk doctors and based on research evidence, uk and european guidelines. This paper summarizes current physiological and biochemical concepts that help in understanding the symptomatology.
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