II. 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)

III. Symptoms

  1. Eructation
  2. Borborygmus
  3. Flatulence

IV. Differential Diagnosis: Irritable Bowel Syndrome

  1. Persistent Abdominal Pain with bloating

V. Management

  1. Simethicone
    1. No evidence that Simethicone is better than Placebo

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Ontology: Eructation (C0014724)

Definition (MSHCZE) Odchod plynů ze žaludku dutinou ústní. (cit. Velký lékařský slovník online, 2012 http://lekarske.slovniky.cz/ )
Definition (NCI) To belch, the casting of upwind from the stomach.
Definition (NCI_FDA) To belch, the casting of upwind from the stomach.
Definition (MSH) The ejection of gas or air through the mouth from the stomach.
Concepts Sign or Symptom (T184)
MSH D004884
ICD10 R14.2
SnomedCT 207126009, 68711006, 158433005, 139349006, 162074007, 271834000, 275299008
English Belching, Belchings, Eructations, BELCHING, ERUCTATION, GAS RAISING, GASEOUS REGURGITATION, [D]Eructation, Belching, Burping, [D]Eructation (context-dependent category), Eructation, function, belching, belching (symptom), eructation, burping, Gas raising, Gaseous regurgitation, Eructation [Disease/Finding], belching symptom, burps, belching symptoms, eructations, belch, burp, ructus, Burp, Belch, [D]Eructation (situation), Eructation symptom, ERUCTATE, Ructus, Burping, Belching symptom, Burping (finding), Eructation, function (observable entity), Eructation (function), 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), ERUCTOS, GAS, ASCENSO DE, REGURGITACION GASEOSA, eructo (hallazgo), eructo(hallazgo), [D]eructos, [D]eructos (situación), eructación, eructo (entidad observable), eructo (función), eructo, regüeldo, síntoma de eructo, Eructos, Eructación, Eructo
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, eructatio, eruktace, ructus, krkání
Finnish Röyhtäily
Russian OTRYZHKA, ОТРЫЖКА
Polish Odbijanie się
Hungarian Ructus, Büfögés, Gáz feljövés (böfögés), Böfögés, Eructatio, Gázos regurgitatio
Norwegian Eructatio, Raping, Eruktasjon

Ontology: 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 (FMA) Excretion in gaseous state processed in the stomach and small intestine.
Definition (MSHCZE) Zvýšený odchod střevních plynů konečníkem. (cit. Velký lékařský slovník online, 2012 http://lekarske.slovniky.cz/ )
Definition (UWDA) Excretion in gaseous state processed the stomach and small intestine.
Definition (UWDA) Excretion in gaseous state processed the large intestin
Definition (SCTSPA) Eliminación de gases por el ano
Definition (SNOMEDCT_US) Passage of gas by anus
Definition (NCI) Gas or air in the gastrointestinal tract.
Definition (NCI_FDA) Gas or air in the gastrointestinal tract.
Definition (NCI) A state of excessive gas in the alimentary canal.
Definition (NCI_CTCAE) A disorder characterized by a state of excessive gas in the alimentary canal.
Definition (MSH) Production or presence of gas in the gastrointestinal tract which may be expelled through the anus.
Concepts Sign or Symptom (T184)
MSH D005414
ICD10 R14.3
SnomedCT 267052005, 308698004, 207125008, 309475008, 40015002, 158432000, 162074007, 139349006, 139355001, 162079002, 207131006, 275298000, 249505007, 158438001, 6352008, 162076009, 249504006
English Flatulence, Flatus, Wind, FLATULENCE, [D]Flatulence, [D]Wind, Farting, Wind symptom, [D]Flatulence (context-dependent category), [D]Flatulence NOS (context-dependent category), Wind NOS, [D]Flatulence NOS, Flatulence NOS, Flatus, function, excessive farting, excessive passing of gas, flatus (symptom), flatus, Abdominal wind, Gaseousness, Flatulence [Disease/Finding], winding, gas passing, farts, wind, passing wind, fart, pass wind, [D]Flatulence NOS (situation), [D]Flatulence (situation), Wind NOS (finding), Wind symptom (finding), Farting (finding), Flatulence (finding), FLATUS, 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, Flatus (function), Flatulence symptom (context-dependent category), Wind symptom (context-dependent category), Flatulence symptom (finding)
Portuguese FLATULENCIA, Formação de gases, Gases abdominais, FLATUS, Gases Intestinais, Flato, Flatulência
Spanish FLATULENCIA, FLATO, síntoma de flatulencia (hallazgo), Gases, Gases abdominales, síntoma aéreo (categoría dependiente del contexto), síntoma de flatulencia (categoría dependiente del contexto), [D]flatulencia (categoría dependiente del contexto), [D]flatulencia, SAI (categoría dependiente del contexto), ventear, SAI (hallazgo), [D]flatulencia, SAI (situación), ventear, SAI, flatulencia (hallazgo), [D]flatulencia (situación), síntoma aéreo (hallazgo), Eliminación de ventosidades, [D]flatulencia, Wind NOS, [D]flatulencia, SAI, síntoma aéreo, Eliminación de ventosidades (hallazgo), Gases Intestinales, eliminación de gases (hallazgo), eliminación de gases, excreción intestinal de gas, flato (entidad observable), flato (función), flato, flatulencia/gas (hallazgo), flatulencia/gas, flatulencia, pasaje de gas por el ano, síntoma de flatulencia, Flatulencia, Flato
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, ガスハッセイ, 鼓腸, ホウヒ, 放屁, 鼓脹, 鼓脹症
Swedish Gasbildning
Czech meteorismus, flatulence, flatus, Plynatost, Břišní nadýmání, Flatulence, Nadýmání, plynatost, meteorizmus
Finnish Ilmavaivat
Russian METEORIZM, МЕТЕОРИЗМ
Polish Wzdęcia, Bębnica
Hungarian Flatus, Gázosság, Flatulentia, Abdominalis szél, Szél
Norwegian Vindplager, Flatulens, Flatus, Luftavgang

Ontology: Bowel sounds (C0232693)

Concepts Finding (T033)
SnomedCT 87042004, 413681009
English BORBORYGMUS, borborygmus, Borborygmus, bowel sounds, bowel sounds (physical finding), bowel sound, borborygmi, BS - Bowel sounds, Bowel sounds (observable entity), Bowel sounds, NOS, Peristaltic sounds, 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