Korean J Med.  2012 Nov;83(5):562-567.

Diagnosis and Treatment of Functional Bloating

Affiliations
  • 1Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea. mipark@ns.kosinmed.or.kr

Abstract

Functional abdominal bloating is a common and significant problem in men and women of all ages. Bloating is very common in patients with irritable bowel syndrome and constipation, and also occurs in patients with organic disorders and psychiatric conditions. If an organic or psychiatric cause are not found, then bloating can be considered to be functional. The possible causes of functional bloating are combination of several factors such as gut microflora, gas production, intestinal transit, intestinal propulsion of gas, and sensory function within the gastrointestinal tract. Evaluation of a patient with bloating should begin with a careful history and physical examination to rule out an organic disorders. Reassurance and education are the first essential step as a treatment for functional bloating. The therapeutic approach involving diet, probiotics, and medications usually improve bloating.

Keyword

Bloating; Pathophysiology; Treatment

MeSH Terms

Constipation
Diet
Female
Gastrointestinal Tract
Humans
Irritable Bowel Syndrome
Male
Physical Examination
Probiotics
Sensation
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