Gastroenterology Book

http://www.fpnotebook.com/

Flatulence

Aka: Flatulence, Eructation, Borborygmus
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  1. Etiology
    1. Gas in Stomach from air swallowing (Aerophagia)
      1. Hurried Eating or Drinking
      2. Smoking or Chewing gum
      3. Wearing badly fitted dentures
      4. Dry Mouth from anxiety or Anticholinergics
    2. Gas in Large Intestine
      1. Bacterial degradation of Large Intestine contents
        1. Indigestible carbohydrates
        2. Malabsorption (e.g. Lactose Intolerance)
  2. Symptoms
    1. Eructation
    2. Borborygmus
    3. Flatulence
  3. Differential Diagnosis: Irritable Bowel Syndrome
    1. Persistent Abdominal Pain with bloating
  4. Management
    1. Simethicone
      1. No evidence that Simethicone is better than Placebo

Eructation (C0014724)

Definition (NCI) To belch, the casting of upwind from the stomach.
Definition (MSH) The ejection of gas or air through the mouth from the stomach.
Definition (NCI) To belch, the casting of upwind from the stomach.
Concepts Sign or Symptom (T184)
MSH D004884
ICD10 R14.2
SnomedCT 207126009, 68711006, 158433005, 271834000, 275299008, 139349006, 162074007
English Belching, Belchings, Eructations, BELCHING, BURPING, ERUCTATION, GAS RAISING, GASEOUS REGURGITATION, [D]Eructation, Belching, Burping, [D]Eructation (context-dependent category), Eructation, function, belching, belching (symptom), eructation, burping, [D]Eructation (situation), Belch, Burp, Gas raising, Gaseous regurgitation, ERUCTATE, Eructation [Disease/Finding], belching symptom, burps, belching symptoms, eructations, belch, burp, ructus, Ructus, Burping, Belching symptom, Burping (finding), Eructation, function (observable entity), Eructation (function), Eructation symptom, Eructation, Belching symptom (context-dependent category), Belching symptom (finding)
French ERUCTATION, Augmentation des gaz, Régurgitation de gaz, Eructations, REGURGITATION GAZEUSE, RENVOIS, Eructation, Éructation
Portuguese ERUCTACAO, Regurgitação gasosa, Produção de gases, ARROTAR, AUMENTO DA PRODUCAO GASOSA, REGURGITACAO GASOSA, Arroto, Eructação
Spanish ERUCTACION, síntoma de eructo (hallazgo), Producción de gases, Regurgitación gaseosa, Recto, síntoma de eructo (categoría dependiente del contexto), [D]eructos (categoría dependiente del contexto), [D]Eructation, Belching symptom, Eructation symptom, ERUCTOS, GAS, ASCENSO DE, REGURGITACION GASEOSA, [D]eructos, [D]eructos (situación), eructación, eructo (entidad observable), eructo (función), eructo(hallazgo), eructo, regüeldo, síntoma de eructo, Eructos, Eructación, Eructo, Eructacion
Dutch ructus, boeren, boertje doen, gasregurgitatie, oprisping, Boeren
German Ruelpsen, Aufsteigen von Gas, Regurgitation von Gas, Ructus, AUFSTOSSEN DARMLUFT, AUFSTOSSEN GASIG, AUFSTOSSEN SAUER, RUELPSEN, Aufstossen, Aufstoßen, Rülpsen
Italian Aumento di gas, Rigurgito di gas, Ruttazione, Eruttazione
Japanese ゲップ, オクビ, ゲップ, おくび, あい気, げっぷ
Swedish Rapning
Czech říhání, Říhání
Finnish Röyhtäily
Russian OTRYZHKA, ОТРЫЖКА
Polish Odbijanie się
Hungarian Ructus, Büfögés, Gáz feljövés (böfögés), Böfögés, Eructatio, Gázos regurgitatio
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Flatulence (C0016204)

Definition (ICF) Functions involved in the expulsion of excessive amounts of air or gases from the intestines.
Definition (ICF-CY) Functions involved in the expulsion of excessive amounts of air or gases from the intestines.
Definition (NCI) A state of excessive gas in the alimentary canal.
Definition (SNOMEDCT) Passage of gas by anus
Definition (NCI) A disorder characterized by a state of excessive gas in the alimentary canal.
Definition (NCI) Gas or air in the gastrointestinal tract.
Definition (FMA) Excretion in gaseous state processed in the stomach and small intestine.
Definition (MEDLINEPLUS)

Everyone has gas. Most people produce about 1 to 4 pints a day and pass gas about 14 times a day. Passing gas through the mouth is called belching or burping. Passing gas through the rectum is called flatulence. Most of the time gas does not have an odor. The odor comes from bacteria in the large intestine that release small amounts of gases that contain sulfur.

Gas in the digestive tract comes from two sources: air that you swallow and the breakdown of undigested food by bacteria in the large intestine. Certain foods may cause gas. Foods that produce gas in one person may not cause gas in another. Drinking lots of water and non-fizzy drinks and chewing food more to lessen the amount of air you swallow when you eat can help reduce gas. For people with lactose intolerance, avoiding milk products will help.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

Definition (UWDA) Excretion in gaseous state processed the stomach and small intestine.
Definition (UWDA) Excretion in gaseous state processed the large intestin
Definition (MSH) Production or presence of gas in the gastrointestinal tract which may be expelled through the anus.
Definition (NCI) Gas or air in the gastrointestinal tract.
Concepts Sign or Symptom (T184)
MSH D005414
ICD10 R14.3
SnomedCT 249505007, 267052005, 275298000, 308698004, 207125008, 309475008, 40015002, 158438001, 139355001, 158432000, 207131006, 162079002, 162076009, 249504006, 6352008, 139349006, 162074007
English Flatulence, Flatus, Wind, FLATULENCE, FLATUS, [D]Flatulence, [D]Wind, Farting, Wind symptom, Farting (finding), [D]Flatulence (context-dependent category), [D]Flatulence NOS (context-dependent category), Wind symptom (finding), Wind NOS, [D]Flatulence NOS, Flatulence NOS, Flatus, function, excessive farting, excessive passing of gas, flatus (symptom), flatus, [D]Flatulence (situation), Wind NOS (finding), Gas, Abdominal wind, Gaseousness, [D]Flatulence NOS (situation), Flatulence [Disease/Finding], winding, gas passing, farts, wind, passing wind, fart, pass wind, Intestinal gas excretion, Passage of gas by anus, Wind - flatus, Flatulence/wind, Full of wind, Passing flatus, Flatulence symptom, Flatulence/wind (finding), Flatus, function (observable entity), Passing flatus (finding), flatulence, Flatulence (finding), Flatus (function), Flatulence symptom (context-dependent category), Wind symptom (context-dependent category), Flatulence symptom (finding)
Portuguese FLATULENCIA, Formação de gases, Gases abdominais, FLATUS, Flato, Flatulência, Gases Intestinais
Spanish FLATULENCIA, FLATO, síntoma de flatulencia (hallazgo), Gases, Gases abdominales, síntoma aéreo, síntoma aéreo (categoría dependiente del contexto), síntoma aéreo (hallazgo), síntoma de flatulencia (categoría dependiente del contexto), [D]flatulencia (categoría dependiente del contexto), [D]flatulencia, SAI (categoría dependiente del contexto), Eliminación de ventosidades, Eliminación de ventosidades (hallazgo), Flatulence/wind, Flatulence symptom, [D]Flatulence, Wind symptom, [D]flatulencia, SAI, [D]flatulencia, SAI (situación), [D]flatulencia, [D]flatulencia (situación), Wind NOS, eliminación de gases (hallazgo), eliminación de gases, excreción intestinal de gas, flato (entidad observable), flato (función), flato, flatulencia (hallazgo), flatulencia/gas (hallazgo), flatulencia/gas, flatulencia, pasaje de gas por el ano, síntoma de flatulencia, ventear, SAI (hallazgo), ventear, SAI, Flatulencia, Flato, Gases Intestinales
German FLATULENZ, Bauchwind, Wind im Darm, Wind, Flatus, FLATUS, Flatulenz, Blähung
Dutch flatus, buikwind, wind, gasvorming, flatulentie, Flatulentie, Flatus, Meteorisme
French Flatuosité, Gaz abdominaux, Gaz, Flatulences, FLATULENCE, Météorisme, Flatulence, Ballonnement
Italian Flato, Peto, Flatulenza
Japanese ガス発生, コチョウ, ガスハッセイ, ホウヒ, 鼓腸, 放屁, 鼓脹, 鼓脹症
Swedish Gasbildning
Czech meteorismus, flatulence, flatus, Plynatost, Břišní nadýmání, Flatulence, Nadýmání, plynatost
Finnish Ilmavaivat
Russian METEORIZM, МЕТЕОРИЗМ
Polish Wzdęcia, Bębnica
Hungarian Flatus, Gázosság, Flatulentia, Abdominalis szél, Szél
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Bowel sounds (C0232693)

Concepts Finding (T033)
SnomedCT 87042004, 413681009
English BORBORYGMUS, Borborygmus, Bowel sounds, NOS, Peristaltic sounds, borborygmus, bowel sounds, bowel sounds (physical finding), bowel sound, borborygmy, borborygmi, BS - Bowel sounds, Bowel sounds (observable entity), Bowel sounds, Borborygmi, Borborygmi (finding)
Spanish Borborigmos, Borborigmo, BORBORIGMO, borborigmo, ruidos intestinales (entidad observable), ruidos intestinales, ruidos peristálticos, borborigmos, borborigmos (hallazgo)
French Borborygmes, BORBORYGMES
Dutch borborygmus, borborygmi
Portuguese Borborigmo, Borborigmos, BORBORIGMO
German Borborygmus, Borborygmi, BAUCHKOLLERN
Italian Borborigmi, Borborigmo
Japanese グルオン, グル音, 腹鳴, フクメイ
Czech Borborygmus
Hungarian Haskorgás, Borborygmusok
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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