There is100-150ml gas in the gastrointestinal tract of normal people, which is distributed in the stomach and colon. When there is excessive gas in the gastrointestinal tract, it is called abdominal distension. Abdominal distension is often the first symptom of many diseases. Understanding the causes of abdominal distension is of great significance for guiding registered medical treatment.
1) causes abdominal distension.
1.Gastrointestinal diseases
① Stomach diseases: common in chronic gastritis, gastric ulcer, gastroptosis, gastric dilatation and pyloric obstruction.
② Intestinal diseases: common in intestinal tuberculosis, dysentery, intestinal obstruction and habitual constipation.
③ Others: Gastrointestinal neurosis.
2. Diseases of liver, gallbladder and pancreas-such as acute and chronic hepatitis, cirrhosis, chronic cholecystitis, cholelithiasis and pancreatitis.
3. Peritoneal diseases-common in acute peritonitis and tuberculous peritonitis.
4. Cardiovascular diseases-common in heart failure, mesenteric arteriosclerosis, mesenteric artery infarction, etc. Angina pectoris and arrhythmia can also cause abdominal distension reflexively.
5. Acute infectious diseases-such as septicemia, severe pneumonia and typhoid fever.
6. Others-can be seen in postoperative intestinal paralysis, emphysema, asthma, hypokalemia, malabsorption syndrome, spinal cord lesions, drug reactions, chronic pelvic inflammatory disease, adnexitis, connective tissue diseases and hypothyroidism.
2) How to register for abdominal distension?
All the above diseases can cause abdominal distension, so how to distinguish the subjects when seeing a doctor? Generally, it can be seen at a glance according to the medical history and accompanying symptoms:
1.Gastroenterology
Patients with abdominal distension with heating, acid reflux, aggravation after eating or diarrhea should be hung up in the Department of Gastroenterology.
2. General surgery-patients with sudden abdominal distension and abdominal pain, accompanied by vomiting or no exhaust or defecation, should be hanged in general surgery. Chronic abdominal distension with right upper abdominal pain, aggravated after eating greasy food, should also be hanged for general surgery.
3. Gynecology
Patients with frequent abdominal distension, backache and leucorrhea should be hanged in gynecology.
4. Hepatitis Department
Patients with abdominal distension accompanied by aversion to oil and jaundice should go to the hepatitis department for treatment.
5. Tuberculosis Section
Patients with frequent abdominal distension and low fever should be admitted to tuberculosis department.
6. Cardiology
People with a history of heart disease and frequent abdominal distension should go to the Department of Cardiology.
7. Neurology
Patients with lower limb paralysis who often have abdominal distension should go to the neurology department for treatment.
3) "Twelve Meridians" for reducing abdominal distension
1. Multi-sports
Insist on moderate exercise of about 1 hour every day, which not only helps to overcome bad mood, but also helps the digestive system to maintain normal function.
Step 2 be less angry
Anxiety, anxiety, sadness, depression and other negative emotions may weaken the digestive function, or stimulate the stomach to produce too much gastric acid, resulting in increased stomach gas and aggravated abdominal distension.
Step 3 be picky about food
High-fiber foods such as potatoes, pasta, beans and vegetables such as cabbage, cauliflower and onion are easy to produce gas in the stomach and intestines, leading to bloating; Hard foods such as fried beans and hard pancakes are not easy to digest and stay in the gastrointestinal tract for a long time, which may produce more gas and cause bloating, so you should eat less.
Step 4 eat slowly
Eating too fast, or eating while walking, is easy to swallow into the air. Drinking drinks through straws can also make a lot of air sneak into the stomach, causing bloating.
4) Abdominal distension syndrome differentiation diet prescription
1.
① Take fresh hawthorn and slice it properly. Stir-fry until brown, take10-15g each time, soak in warm water for a while, fry to get thick juice150ml, add 300ml of water, add 50g of japonica rice and appropriate amount of sugar, and cook until thick porridge is served.
② Use 30g of burnt malt, each of burnt hawthorn and burnt medicated leaven10g. Bake and grind into fine powder, take 3g each time, 3 times a day, and take it continuously 1 week.
2. Spleen deficiency type
① Take 500 grams of flour, 250 grams of jujube meat, 50-60 grams of raw endothelium corneum Gigeriae Galli, 30 grams of ginger and a proper amount of sugar. First, the ginger is fried in soup, the jujube meat is mashed, the gizzard-membrane of raw chicken is baked and ground into fine powder, mixed with noodles, made into small cakes and baked. Take 2-3 pills each time, 2-3 times a day, and take it continuously 1 week.
② Use 30g of ginger, crucian carp 1 strip and pepper 1 gram. Scales and viscera of crucian carp are removed. Sliced ginger and pepper are put into the belly of the fish. Add appropriate amount of water to stew, add a little salt, and drink soup to eat the fish. Every day 1 time, continuous feeding 1 week.
Love tip: Please consult the local regular Chinese medicine hospital for the above-mentioned prescription, and select the prescription based on syndrome differentiation according to your own physiological characteristics and different pathological changes.
If you are satisfied with the above answers, please don't live up to my kindness and adopt them as answers in time.
Hello! First of all, I wish you a speedy recovery! Let me talk to you about "bloating".
Abdominal distension refers to a disease in which the abdomen is full and thumped like a drum. Visible in the upper abdomen and lower abdomen, spleen and stomach in the upper abdomen, large intestine and small intestine in the lower abdomen, the dysfunction of the four can cause abdominal distension. This syndrome can be seen in gastroptosis, acute gastric dilatation, intestinal paralysis, intestinal obstruction, gastrointestinal neurosis and other diseases.
1) etiology and pathogenesis
1. Overeating, or overeating, damages the spleen and stomach, dysfunction of transport and transformation, food stagnation, qi stagnation and abdominal distension.
2. Deficiency of the spleen and stomach, high age and chronic illness can make the spleen and stomach lose health, make the gastrointestinal qi machine unfavorable and abdominal distension.
3. Abdominal surgery, gastrointestinal disorder, can also cause abdominal distension.
2) treatment based on syndrome differentiation
1. Solid abdominal distension
Main symptoms: abdominal distension and refusal to press, even swelling and pain, belching, bad breath, yellow urine and constipation; Or fever, vomiting, yellow and thick tongue coating, and strong and slippery pulse.
2. Deficiency abdominal distension
Main symptoms: abdominal distension, mild and heavy, pressing with pleasure, loose stool's bowel sounds, listlessness, long urine, pale tongue, white fur and weak pulse.
Treatment: The acupoints of Foot Taiyin, Foot Yangming and Renmai are mainly selected. Empirical acupuncture uses purging method to regulate fu-organs and qi; Deficiency syndrome is treated with tonic method and moxibustion to strengthen spleen and stomach, regulate qi and relieve bloating.
Prescription: Gongsun Zhongwan Tian Shu Qihai Zusanli
Matching points with syndrome: solid swelling plus Shangqiu and Lidui; Deficiency expansion adds Guanyuan, Dadu and Xiexi.
Fang Yi: Gongsun is the meridian point of spleen, which can strengthen the spleen and benefit the stomach; Stomach and fu-organs will harmonize stomach qi; Tian Shu's large intestine recruitment is smooth and stagnation-inducing; Qi, sea, regulating qi and eliminating inflation; Zusanlitong lowers stomach qi; Five points * * * play the role of strengthening the spleen and regulating the stomach, smoothing the stagnation, regulating qi and regulating the stomach. Excess distension plus Shangqiu and Li Dui purging the spleen and stomach are actually purging the son; Deficiency flatulence increases the capital, relieves the stream and tonifies the spleen and stomach, while deficiency tonifies its mother.
3) Summary of treatment
1. Stop eating for bloating: Abdominal distension is caused by the loss of stomach qi due to the middle epigastrium after stopping eating. The characteristics are: epigastric distension is particularly obvious, aggravated after eating, and frequent ulceration. It is advisable to treat digestion and regulate qi, and to regulate stomach and reduce adverse flow. Xiangsha Yangwei Pills can be selected.
Commonly used drugs are: Raphanus sativus, Almond, Orange, Jiao Sixian, Amomum villosum, Daodou, magnolia officinalis flower, etc.
2. Stagnation for bloating: due to food blocking the gastrointestinal tract, damp-heat accumulates, and the fu-organs are blocked, and stagnation accumulates and bloats. It is characterized by obvious lower abdominal distension, belching, anorexia, bowel sounds and diarrhea, foul stool, turbid fur and slippery pulse. Treatment should promote digestion, guide stagnation, dredge fu organs and eliminate bloating. Jiawei Baohe Pill can be selected.
Commonly used drugs are: Jiujun, Fructus Trichosanthis, Fructus Aurantii, burnt areca nut, Sodium Sulfate, etc.
3. Inflating due to stagnation of qi: due to liver qi invading the stomach, the stomach loses harmony and falls, then the above swelling is obvious; Stagnation of the liver inhibits soil, and spleen loses health, which is marked by abdominal distension. Clinically, symptoms of upper and lower abdominal distension can occur at the same time. The characteristics are: aggravation after anger, alleviation after belching or loss of breath, like pressing, which may be accompanied by pain on both sides, thin and white tongue coating, and silky pulse. Treatment should be soothing the liver and relieving depression, promoting qi circulation and relieving bloating. Chai Ping Tang and Jianpi Shugan Pills can be selected.
Commonly used drugs are Inula, raw ochre, vinegar Bupleurum, Rhizoma Cyperi, Radix Aucklandiae, Cortex Phellodendri, and Flos Rosae Rugosae.
4. Wet and bloated:
Due to cold and dampness, the spleen and yang are not transported, and the dampness has no right to swell. It is characterized by persistent bloating, day and night, after eating on an empty stomach, accompanied by chest tightness, fatigue of limbs, sticky stool, unfavorable urination, greasy fur and heavy and slippery pulse. Treatment should be warming spleen yang, aromatization and diuresis. You can choose Shi Pi Yin to add or subtract.
Commonly used drugs are: ginger, dried ginger, Amomum Tsaoko, Radix Aucklandiae, Rhizoma Atractylodis, Coicis Semen, Herba Agastaches, Eupatorium odoratum, Radix Linderae, Pericarpium Arecae, etc.
5. Spleen deficiency leads to bloating: abdominal distension due to gluttony, cold, excessive thinking and post-illness disorder. It is characterized by aggravation in the afternoon evening and after fatigue, characterized by distension around the navel in the middle abdomen, accompanied by anorexia, fatigue, sallow complexion, emaciation of limbs, pale tongue with white fur and weak pulse. Treatment should replenish the middle spirit and strengthen the spleen. Buzhong Yiqi decoction can be used to cut it.
Commonly used drugs are: Radix Codonopsis, Radix Astragali, Atractylodis Rhizoma, Poria, Cimicifuga Rhizoma, Fructus Amomi, Radix Puerariae, etc.
6. Abdominal distension of ascites: due to unfavorable gasification of triple energizer, the water stops wet and swells. It is characterized by moderate to little abdominal distension and ascites, which may be accompanied by leg swelling, exposure of abdominal wall veins, fatigue, scanty urine, short and red urine, slow abdominal distension, white or greasy fur, and heavy or moist pulse as ascites subsides. Treating triple energizer should be beneficial, especially warming kidney-yang to facilitate gasification. You can choose Yuebai Decoction, Shipi Decoction and Shenzhu Decoction.
Commonly used drugs are: Radix Aconiti Lateralis Preparata, Cortex Cinnamomi, Radix Astragali, Radix Codonopsis, Herba Ephedrae, Stigma Maydis, Pericarpium Arecae, Fructus Benincasae, Semen Plantaginis, Pumpkin Gourd, Fructus Polygoni Cuspidati, Ramulus Cinnamomi, Herba Lycopi, Rhizoma Cyperi, Radix Aucklandiae, Rhizoma Zingiberis Recens, etc.
If you are satisfied with the above answers, please don't live up to my kindness and adopt them as answers in time.