Natural Remedies For Abdominal Distension
The term volutrauma is therefore more accurate than barotrauma, although in practice the two are closely related. The degree of alveolar distension is determined by the pressure gradient across the alveoli, approximated by the transpulmonary pressure, the difference between the static airway pressure (estimated clinically by the plateau airway pressure) and the pleural pressure. Peak airway pressure is not necessarily a reflection of alveolar pressure and is greatly influenced by the resistance to flow in the airways. Recent guidelines have therefore emphasised the importance of limiting plateau pressures and of being aware of factors that increase (or decrease) the degree of alveolar distension for a given alveolar pressure.17 For example, conditions associated with increased chest wall compliance such as immaturity increase lung distension, and hence damage, for a given alveolar pressure. Conversely, chest wall compliance is commonly reduced by abdominal distension,18 which can...
Chronic enteritis may be associated with malabsorption. Affected patients present with chronic diarrhea, abdominal distension, failure to thrive and other signs of protein deficiency. In cases with malabsorption, contrast studies are used to determine the site of pathology, and small bowel biopsies are used to define the histologic features. Individual tests of absorption are used to define the defect. These include the D-xylose absorption test, lactose breath hydrogen test, 72-hour fecal fat determinations, serum B12 and folate levels and measurement of stool pH
Requirement, the more rapidly the ileus resolves. This reduction in postoperative ileus is perhaps the single most important factor that facilitates earlier discharge. Shorter ileus after laparoscopy has been documented in terms of (1) time to the resumption of a regular diet, (2) the passage of flatus and the first bowel movement, and (3) reduced hospitalization time. 23 12
A variety of congenital and acquired defects, as well as nonsurgical physiologic and metabolic events, present with manifestations of intestinal obstruction in the first month of life. It is imperative for the physician to evaluate emergently any neonate with bilious vomiting. The clinical manifestations of neonatal intestinal obstruction are bilious vomiting abdominal distension, which may or may not be present and failure to pass meconium. The cardinal feature of obstruction is bilious emesis. Thus, bilious emesis itself must be assumed to herald a life-threatening diagnosis until proved otherwise. The presumed foremost diagnosis is malrotation with midgut volvulus, which must be expeditiously ruled out with an upper gastrointestinal series. A child with a midgut volvulus who remains untreated can proceed rapidly to life-threatening metabolic disturbances, bowel ischemia, and a profound intestinal necrosis that results in death. The full differential diagnosis of neonatal mechanical...
The most common side-effects of somatostatin analog are generally mild and include nausea, transient abdominal cramps, flatulence, diarrhea and local reaction at the injection site. Most of these minor side-effects resolve with time. In 2-50 of patients gall stones are formed de novo, but these remain virtually always asymptomatic. Rare, more severe adverse events of octreotide therapy include hypocalcemia, bradycardia, acute pancreatitis, hepatitis, jaundice, transitory ischemic attacks, and a negative inotropic effect of the analogs.18,4
Other substances formed as a result of bacterial activity are vitamin K, vitamin B12, thiamine, riboflavin, and various gases that contribute to flatus in the colon, especially carbon dioxide, hydrogen gas, and methane. The bacteria-formed vitamin K is especially important because the amount of this vitamin in the daily ingested foods is normally insufficient to maintain adequate blood coagulation.
Air entering the pharynx under pressure may pass through the cricopharyngeal sphincter into the oesophagus instead of entering the trachea. Abdominal distension, belching and the passing of flatus rectally may result. Reduction in the CPAP level usually relieves these symptoms.
There has been considerable dispute about the clinical importance of Giardia infection. Although many cases are asymptomatic, it is now clear that the flagellates damage the intestinal wall and heavy infestations can cause nutritionally significant malabsorption of food. Symptoms include diarrhea, flatulence, abdominal discomfort, and light-colored, fatty stools. Repeated examinations and use of serologic techniques developed in the 1980s yield more reliable diagnoses for either individual patients or an entire population. Most infections are self-limiting, and treatment is effective, but reinfestation must be avoided. Some evidence indicates that mothers' milk helps protect infants against infection.
These systems are usually well tolerated, but several difficulties are recognized. Ulceration of the skin of the bridge of the nose is a common problem. The mask may become displaced during sleep, air-leaks around the mask or through the mouth may develop and upper airway symptoms such as a dry or blocked nose may develop. Functional upper airway obstruction may be seen and, if air enters the oesophagus rather than the trachea, abdominal distension with frequent belching, nausea and the passing of flatus may arise.