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Gas and Bloating—Controlling Emissions

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1 Gas and Bloating—Controlling Emissions
Thomas G. Cotter, MD, Mark Gurney, MB BCh, Conor G. Loftus, MD  Mayo Clinic Proceedings  Volume 91, Issue 8, Pages (August 2016) DOI: /j.mayocp Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

2 Figure 1 A simplified approach to the evaluation of the patient with gas-related symptoms. aIndicated in the presence of alarm features: Age > 50 years, upper GI malignancy in a first-degree relative, weight loss, GI bleeding, or iron deficiency anemia, dysphagia, odynophagia, persistent vomiting, abnormal imaging suggesting organic disease (American Society for Gastrointestinal Endoscopy). bConsider EGD (+/− gastric biopsies) and/or gastric emptying test to rule-out an organic etiology, in certain patients. EGD = esophagogastroduodenoscopy; HbA1c = glycosylated hemoglobin; IBS = irritable bowel syndrome; IBS-C = irritable bowel syndrome–constipation; SBO = small bowel obstruction; SIBO = small intestine bacterial overgrowth; TSH = thyroid-stimulating hormone. Mayo Clinic Proceedings  , DOI: ( /j.mayocp ) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions

3 Figure 2 Basic principles of irritable bowel syndrome management. IBS = irritable bowel syndrome. Mayo Clinic Proceedings  , DOI: ( /j.mayocp ) Copyright © 2016 Mayo Foundation for Medical Education and Research Terms and Conditions


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