Treatment of Abdominal Distension by an Expert Dr. Bharat Pothuri.
Dr. Pothuri has an incremental strategy:
Past Medical History and Physical Exam.
He examines your symptom history, food intake, bowel movements and nature of epigastric pain or fullness.
Blood Tests
Regular lab tests are complete blood count, metabolic, liver and pancreatic enzymes, thyroid and celiac antibodies.
Breath Tests
Hydrogen and methane breath testing can be used to detect small intestinal bacteria excess (SIBO) and carbohydrate intolerances (lactose, fructose).
Imaging Studies
- Abdominal ultrasound to identify gallstones, fatty liver, ascites or dislocation of organs.
- CT scan of the abdomen in case of structural abnormalities, masses or intense pain are suspected.
Endoscopy (if needed)
Upper endoscopy (EGD) examines the esophagus, stomach and duodenum to identify ulcers, gastritis or motility maladaptations to cause of epigastric pain.
Colonoscopy (if indicated)
Assesses the big bowel because of inflammation, strictures or other factors of chronic distension and pain.
Frequently Asked Questions
What does ICD-10 code abdominal distension code?
It is R14.0 -general abdominal bloating and swelling.
Can bloating cause back pain?
Yes. Gas or fluid pressure may damage lower back nerves causing pain.
Is it that I am bloated or that I am simply becoming fatter?
Bloat- Bloat occurs and disappears-and is commonly followed by gas or tightness. The gain of weight occurs more gradually, and it does not vary through the day.
What foods cause bloating?
Such part of the culprits include beans, fizzy drinks, dairy (in case of lactose intolerance), broccoli, cabbage, and high-fat food or processed foods.
When should I see a doctor?
In case your bloating continues over a period of two weeks, or you lose weight unintentionally, get a fever, develop severe pain, or even bloody stool, make an appointment.
Do probiotics help?
They can. Probiotics can help to restore ratios of your intestinal bacteria, as well as decrease gas and bloat-particularly in the case of IBS or previous use of antibiotics.
Will stress result in the belly swell?
Yes. Stress causes gut motility and sensitivity which may also increase the bloating of the individual with IBS or other functional gut disorders.