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词条 Aerophagia
释义

  1. Symptoms

  2. Causes

  3. Diagnosis

  4. References

  5. See also

  6. External links

Aerophagia (var. aerophagy) is a condition of excessive air swallowing, which goes to the stomach. Aerophagia may also refer to an unusual condition where the primary symptom is excessive flatus, belching is not present, and the actual mechanism by which air enters the gut is obscure.[1] Aerophagia in psychiatry is sometimes attributed to nervousness or anxiety.[2]

Symptoms

  • Bloating[3]
  • Chest tightness[4]
  • Nausea
  • Shortness of breath[5]
  • Belching
  • Heartburn
  • Abdominal pain
  • Satiety

Causes

Aerophagia is associated with chewing gum, smoking, drinking carbonated drinks, eating too quickly, CPAP air pressure (if it is too high) and wearing loose dentures. Aerophagia is also carried out deliberately to increase the length and volume of a belch, as any air successfully swallowed serves to increase the partial pressure in the stomach.[6][7] In people with cervical spinal blockages, inhaling can cause air to enter the esophagus and stomach.[8]

Diagnosis

Aerophagia is diagnosed in 8.8% of cognitively delayed patients[9] where the coordination between swallowing and respiration is not well defined.[10]

Aerophagia is a dangerous side effect of noninvasive ventilation (NIV), commonly used in treatments of respiratory problems and cardiovascular critical care or in surgery when a general anaesthetic is required. In the case of aerophagia during NIV, it is normally diagnosed by experienced medical specialists who check on patients intermittently during NIV use. The diagnosis is based on the sound heard by listening through a stethoscope placed outside the abdominal cavity. Using this approach, the problem is sometimes detected later than when it develops, possibly also later than necessary. Belated detection of aerophagia may lead to gastric distension, which in turn could elevate the diaphragm or cause aspiration of the stomach contents into the lungs[12] or pneumatic rupture of the esophagus due to extreme gastric insufflation.[13]

References

1. ^{{cite journal |vauthors = Levitt MD, Furne J, Aeolus MR, Suarez FL |title=Evaluation of an extremely flatulent patient: case report and proposed diagnostic and therapeutic approach |journal=Am J Gastroenterol |volume=93 |issue=11 |pages=2276–81 |year=1998 |pmid=9820415 |doi=10.1111/j.1572-0241.1998.00635.x}}
2. ^{{cite web|url=http://www.dictionary.com/browse/aerophagia|title=Aerophagia - Define Aerophagia at Dictionary.com|author=|date=|website=dictionary.com|accessdate=26 April 2018|deadurl=no|archiveurl=https://web.archive.org/web/20170707221633/http://www.dictionary.com/browse/aerophagia|archivedate=7 July 2017|df=}}
3. ^{{cite journal|doi=10.1111/j.1365-2036.2005.02651.x | pmid=16225495 | volume=22 | issue=9 | title=Aerophagia in adults: a comparison with functional dyspepsia | journal=Alimentary Pharmacology and Therapeutics | pages=855–858 | author=Chitkara DK| year=2005 }}
4. ^{{cite web|url=http://www.livestrong.com/article/483635-chest-pressure-and-swallowing-air-while-eating/|title=Chest Pressure and Swallowing Air While Eating|first=Christy|last=Callahan|date=|website=livestrong.com|accessdate=26 April 2018|deadurl=no|archiveurl=https://web.archive.org/web/20171201081839/https://www.livestrong.com/article/483635-chest-pressure-and-swallowing-air-while-eating/|archivedate=1 December 2017|df=}}
5. ^{{cite web |url=http://www.medmerits.com/index.php/article/hyperventilation_syndrome/P2 |title=Archived copy |accessdate=2015-12-14 |deadurl=no |archiveurl=https://web.archive.org/web/20160304195241/http://www.medmerits.com/index.php/article/hyperventilation_syndrome/P2 |archivedate=2016-03-04 |df= }}
6. ^{{cite web |title=Belching: Is it Normal? |url=https://www.iffgd.org/symptoms-causes/belching.html |website=International Foundation for Gastrointestinal Disorders |accessdate=31 October 2018}}
7. ^{{cite web |last1=Luo |first1=Elaine K. |title=What are the best ways to make yourself burp? |url=https://www.medicalnewstoday.com/articles/320276.php |website=Medical News Today |publisher=Medical News Today |accessdate=31 October 2018}}
8. ^{{cite journal |vauthors =Krasiuk MM, Kratinov VP|title=The characteristics of aerophagy and its treatment |journal=Likars'ka sprava |volume=7 |pages=114–6 |date=July 1993 |pmid=8209520 |issue=7 }}
9. ^{{cite journal |vauthors =Loening-Baucke V |title=Aerophagia as cause of gaseous abdominal distention in a toddler |journal=J. Pediatr. Gastroenterol. Nutr. |volume=31 |issue=2 |pages=204–7 |year=2000 |pmid=10941981 |doi=10.1097/00005176-200008000-00026}}
10. ^{{cite journal |vauthors =Perlman AL, Ettema SL, Barkmeier J |title=Respiratory and acoustic signals associated with bolus passage during swallowing |journal=Dysphagia |volume=15 |issue=2 |pages=89–94 |year=2000 |pmid=10758191 |doi=10.1007/s004550010006}}
11. ^{{cite journal |vauthors =Appleby BS, Rosenberg PB |title=Aerophagia as the initial presenting symptom of a depressed patient |journal=Prim Care Companion J Clin Psychiatry |volume=8 |issue=4 |pages=245–6 |year=2006 |pmid=16964323 |doi= 10.4088/PCC.v08n0410b|pmc=1560900}}
12. ^{{cite journal |vauthors =RUBEN H, KNUDSEN EJ, CARUGATI G |title=Gastric inflation in relation to airway pressure |journal=Acta Anaesthesiol Scand |volume=5 |issue= 3|pages=107–14 |year=1961 |pmid=14494855 |doi=10.1111/j.1399-6576.1961.tb00089.x}}
13. ^{{cite journal |vauthors =Meyerovitch J, Ben Ami T, Rozenman J, Barzilay Z |title=Pneumatic rupture of the esophagus caused by carbonated drinks |journal=Pediatr Radiol |volume=18 |issue=6 |pages=468–70 |year=1988 |pmid=3186323 |doi=10.1007/BF00974081}}

See also

  • Gastric dilatation volvulus (GDV), stretched stomach

External links

  • Management of Belching, Hiccups, and Aerophagia
  • Aerophagia Symptoms and Treatment
{{Circulatory and respiratory system symptoms and signs}}{{Digestive system and abdomen symptoms and signs}}{{Cardiovascular system symptoms and signs}}

2 : Gastrointestinal tract disorders|Symptoms and signs: Digestive system and abdomen

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