Gaseous abdominal bloating as a long term symptom.
Intestinal gases and heightened sensitivity can give the sensation of abdominal bloating.Excessive flatulence and belching can suggest increased formation of gas. Loud borborygmi may mean the same. A swollen belly without increase in one's body weight, suggests the same. People with irritable bowel syndrome may complain of abdominal bloating worsening as the day goes on, especially after meals. This may be due to bacterial fermentation of carbohydrates, food intolerance reactions or aerophagy. Considerable malabsorption of carbohydrates can occur, even to the extent that bacterial populations are altered towards species which thrive on this. Eating easily digested foods is often recommended, so nutrients can be absorbed closer to the start of the intestine, away from bacteria. I generally get people to try digestive enzyme supplements instead of the above. If one is intolerant to particular foods, the more rapidly they are fully digested the less likelyhood of a bad reaction. It is undigested or partly digested food material, overcoming our mucosal defences1 and gaining access to the tissues of the intestinal wall, which provoke reactions. Acid or pancreatin supplements may speed up slow digestion, starving out the germs in our small intestine and avoiding food intolerance reactions.
Very recent onset of distended abdomen.
This needs to be sorted out urgently. It will help the doctor if you know whether or not your weight has changed at the same time. Ascitic fluid can accumulate around the bowel, in which case one will have put on weight. "A pint of water weighs a pound and a quarter" - at least I seem to remember it did when I was at school.
Notes and references
1. Our intestinal lining is covered with a layer of mucus and has secretory IgA antibodies against our food on its surface. These and the tight junctions between cells, keep most food away from the tissues of the intestinal wall until it is fully broken down into sugars, fats and amino acids.
From abdominal bloating back to abdominal pain diagnosis
Need help or have a helpful tip to share, or an experience others can learn from?
You can have your own page on this site, be anonymous if you prefer, and help other people or get useful opinions. It's very quick and easy
|