Sullivan S N
Department of Gastroenterology, Wellington Hospital, New Zealand.
J Clin Gastroenterol. 1994 Jul;19(1):23-7. doi: 10.1097/00004836-199407000-00007.
Ten to 25% of healthy persons have bloating at some time or other. It is very common in those with the irritable bowel syndrome, constipation, or anorexia nervosa. Although the cause of functional bloating remains unknown, old explanations such as a low diaphragm, exaggerated lumbar lordosis, and psychiatric problems have been disproved. New suggestions on its etiology include recent weight gain, weak abdominal muscles, and retained fluid in loops of small intestine. No treatment is of proven benefit, but treatment by weight loss, exercise, and prokinetics should be studied.
10%至25%的健康人在某个时候会出现腹胀。这在肠易激综合征、便秘或神经性厌食症患者中非常常见。尽管功能性腹胀的病因尚不清楚,但诸如膈低位、腰椎前凸过度和精神问题等旧的解释已被推翻。关于其病因的新观点包括近期体重增加、腹部肌肉无力以及小肠肠袢内液体潴留。尚无经证实有效的治疗方法,但应研究通过减肥、运动和促动力药进行治疗。