Another contrast enema was performed at 2 months of age because of repeated bowel distention
and reduced bowel movements.
At the time of admission physical examination of the patient showed pale skin, right-eye proptosis, ptosis, right central facial paralysis, -external ophthalmoplegia, abdominal distention
, enlarged superficial.
On physical examination, significant abdominal distention
was detected (Fig.
However, certain radiological findings of intestinal enlargement and abdominal distention
During the physical examination the clinician should be observant for signs of dyspnea, cardiac cachexia, cyanosis, pedal edema, ascites, and jugular venous distention
Diagnosing CD can be difficult because any or all of the following presenting symptoms may be present at one time or another for patients: diarrhea, iron deficiency anemia, peripheral neuropathy, folic acid deficiency, reduced bone density, vomiting, abdominal pain, failure to thrive, muscle wasting, irritability and malaise, abdominal distention
, gastrointestinal reflux disorder (GERD) and weight loss.
Those with irritable bowel syndrome (IBS) showed a significant reduction in stomach distention
, bowel dysfunction and general wellbeing, and also showed a reduction in factors such as pain and fatigue.
Appendiceal perforation may also result in false-negative diagnoses, with relief of appendiceal obstruction resulting in loss of luminal distention
During this time, Samuel suffered several bouts of abdominal distention
, and on November 19, 2002, he was transferred to Children's Hospital so that the disorder known as Hirshsprung's Syndrome could be ruled out.
In a preliminary study, orally ingested whole cow's milk achieved similar bowel distention
and contrast effect as a commonly used barium-based contrast agent, VoLumen.
Functional magnetic resonance imaging (fMRI) was used to measure the blood oxygen level-dependent response to anticipated and delivered rectal distention
in 14 female IBS patients and 12 healthy controls (mean age 36 years).
Programmes vary, are usually required between 3 and 4 times per week to avoid colonic distention
and take about 30 - 60 minutes each time; they therefore have to be to be tailored to individual needs and schedules.