空気嚥下症
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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/07/28 16:17:55」(JST)
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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]
Contents
- 1 Causes
- 2 Diagnosis
- 3 Symptoms
- 4 References
- 5 External links
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. In people with cervical spinal blockages, inhaling can cause air to enter the esophagus and stomach.[3]
Diagnosis
Aerophagia is diagnosed in 8.8% of cognitively delayed patients[4] where the coordination between swallowing and respiration is not well defined.[5]
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[6] or pneumatic rupture of the oesophagus due to extreme gastric insufflation.[7]
Symptoms
- Bloating[8]
- Chest tightness[9]
- Nausea
- Shortness of breath[10]
- Belching
- Heartburn
- Abdominal pain
- Satiety
References
- ^ Levitt MD, Furne J, Aeolus MR, Suarez FL (1998). "Evaluation of an extremely flatulent patient: case report and proposed diagnostic and therapeutic approach". Am J Gastroenterol 93 (11): 2276–81. doi:10.1111/j.1572-0241.1998.00635.x. PMID 9820415.
- ^ http://dictionary.reference.com/browse/aerophagia?s=t
- ^ Krasiuk MM, Kratinov VP (July 1993). "The characteristics of aerophagy and its treatment". Likars'ka sprava 7 (7): 114–6. PMID 8209520.
- ^ Loening-Baucke V (2000). "Aerophagia as cause of gaseous abdominal distention in a toddler". J. Pediatr. Gastroenterol. Nutr. 31 (2): 204–7. doi:10.1097/00005176-200008000-00026. PMID 10941981.
- ^ Perlman AL, Ettema SL, Barkmeier J (2000). "Respiratory and acoustic signals associated with bolus passage during swallowing". Dysphagia 15 (2): 89–94. doi:10.1007/s004550010006. PMID 10758191.
- ^ RUBEN H, KNUDSEN EJ, CARUGATI G (1961). "Gastric inflation in relation to airway pressure". Acta Anaesthesiol Scand 5 (3): 107–14. doi:10.1111/j.1399-6576.1961.tb00089.x. PMID 14494855.
- ^ Meyerovitch J, Ben Ami T, Rozenman J, Barzilay Z (1988). "Pneumatic rupture of the esophagus caused by carbonated drinks". Pediatr Radiol 18 (6): 468–70. doi:10.1007/BF00974081. PMID 3186323.
- ^ http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2036.2005.02651.x/pdf
- ^ http://www.livestrong.com/article/483635-chest-pressure-and-swallowing-air-while-eating/
- ^ http://www.medmerits.com/index.php/article/hyperventilation_syndrome/P2
External links
- Management of Belching, Hiccups, and Aerophagia
- Aerophagia Symptoms and Treatment
|
Symptoms and signs relating to the respiratory system (R04–R07, 786)
|
|
|
Medical examination and history taking
|
|
| Auscultation |
- Stethoscope
- Respiratory sounds
- Stridor
- Wheeze
- Crackles
- Rhonchi
- Hamman's sign
- Pleural friction rub
- Fremitus
- Bronchophony
- Elicited findings
- Percussion
- Pectoriloquy
- Whispered pectoriloquy
- Egophony
|
|
| Breathing |
|
Rate
|
- Apnea
- Dyspnea
- Hyperventilation
- Hypoventilation
- Hyperpnea
- Tachypnea
- Hypopnea
- Bradypnea
|
|
|
Pattern
|
- Agonal respiration
- Biot's respiration
- Cheyne–Stokes respiration
- Kussmaul breathing
|
|
|
Other
|
- Respiratory distress
- Respiratory arrest
- Orthopnea/Platypnea
- Trepopnea
- Aerophagia
- Asphyxia
- Breath holding
- Mouth breathing
- Snoring
|
|
|
| Other |
- Chest pain in children
- Chest pain
- Precordial catch syndrome
- Pleurisy
- Clubbing
- Schamroth's window test
- Hippocratic fingers
- Cyanosis
- Cough
- Sputum
- Hemoptysis
- Epistaxis
- Silhouette sign
- Post-nasal drip
- Hiccup
- COPD
- asthma
- Curschmann's spirals
- Charcot–Leyden crystals
- chronic bronchitis
- sarcoidosis
- pulmonary embolism
- Hampton hump
- Westermark sign
- pulmonary edema
- Hamman's sign
- Golden S sign
|
|
Symptoms and signs: digestive system and abdomen (R10–R19, 787,789)
|
|
| Upper |
- Nausea
- Vomiting
- Heartburn
- Aerophagia
- Dysphagia
- Odynophagia
- Halitosis
- Xerostomia
- Hypersalivation
- Burping
|
|
| Defaecation |
- Flatulence
- Fecal incontinence
- Blood: Fecal occult blood
- Rectal tenesmus
- Constipation
- Obstructed defecation
- Diarrhea
- Rectal discharge
- Football sign
- Psoas sign
- Obturator sign
- Rovsing's sign
- Hamburger sign
- Heel tap sign
- Aure-Rozanova's sign
- Dunphy sign
- Alder's sign
- Lockwood's sign
- Rosenstein's sign
|
|
| Abdomen |
- Abdominal pain
- Acute abdomen
- Colic
- Baby colic
- Abdominal guarding
- Rebound tenderness
- Abdominal distension
- Bloating
- Ascites
- Tympanites
- Shifting dullness
- Bulging flanks
- Fluid wave test
- Abdominal mass
- Hepatosplenomegaly
- Hepatomegaly
- Splenomegaly
- Jaundice
- Mallet-Guy sign
- Puddle sign
|
|
Symptoms and signs relating to the cardiovascular system (R00–R03, 785)
|
|
| Chest pain |
- Referred pain
- Angina
- Aerophagia
|
|
| Auscultation |
- Heart sounds
- Split S2
- Third heart sound
- Fourth heart sound
- Gallop rhythm
- Heart murmur
- Systolic
- Diastolic
- Continuous
- Pericardial friction rub
- Heart click
- Bruit
|
|
| Pulse |
- Tachycardia
- Bradycardia
- Pulsus tardus et parvus
- Pulsus paradoxus
- doubled
- Pulsus bisferiens
- Dicrotic pulse
- Pulsus bigeminus
- Pulsus alternans
|
|
| Vascular disease |
|
|
| Other |
- Palpitation
- Cœur en sabot
- Jugular venous pressure
- Hyperaemia
|
|
| Shock |
- Cardiogenic
- Hypovolemic
- Distributive
|
English Journal
- A Case of Aerophagia Diagnosed by Multichannel Intraluminal Impedance Monitoring.
- Sohn KC1, Jeong YH1, Jo DH1, Heo WG1, Yeom DH1, Choi SC1, Ryu HS1.
- The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi.Korean J Gastroenterol.2015 Nov 25;66(5):282-5. doi: 10.4166/kjg.2015.66.5.282.
- Aerophagia is a disorder caused by abnormal accumulation of air in the gastrointestinal tract as a result of repetitive and frequent inflow of air through the mouth. For the diagnosis of this condition, it is difficult to objectively measure the air swallowing. However, multichannel intraluminal imp
- PMID 26586352
- [Pathologic aerophagia: a rare cause of chronic abdominal distension].
- de Jesus LE1, Cestari AB2, Filho OC2, Fernandes MA2, Firme LH2.
- Revista paulista de pediatria : orgão oficial da Sociedade de Pediatria de São Paulo.Rev Paul Pediatr.2015 Jul-Sep;33(3):372-6. doi: 10.1016/j.rpped.2015.01.003. Epub 2015 Jun 19.
- OBJECTIVE: To describe an adolescent with pathologic aerophagia, a rare condition caused by excessive and inappropriate swallowing of air and to review its treatment and differential diagnoses.CASE DESCRIPTION: An 11 year-old mentally impaired blind girl presenting serious behavior problems and seve
- PMID 26100594
- Evaluation of thiolated silicone oil as advanced mucoadhesive antifoaming agent.
- Partenhauser A1, Netsomboon K, Leonaviciute G, Bernkop-Schnürch A.
- Drug delivery.Drug Deliv.2015 Jun 24:1-9. [Epub ahead of print]
- CONTEXT: Silicone oils, such as dimethicone, are commonly administered against gastrointestinal gas accumulation and are attributed with mucoprotective features.OBJECTIVE: Evaluation of thiolated silicone oil as advanced antiflatulence with a prolonged retention on small intestinal mucosa as an inte
- PMID 26079529
Japanese Journal
Related Links
- Aerophagy definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation. Look it up now! Thesaurus Translate Puzzles & Games Reference Word of the Day Blog Slideshows Apps by Dictionary ...
- aerophagy [erof′əjē] Etymology: Gk, aer + phagein, to eat the excessive swallowing of air, usually an unconscious process associated with anxiety, resulting in abdominal distension or belching, gastric distress, and flatulence. It is ...
Related Pictures
★リンクテーブル★
[★]
- 英
- aerophagy, air swallowing
- 同
- 呑気症 aerophagia
- 関
- 空気嚥下、脾弯曲部症候群、胸やけ
病因
-
- 不適切な食物・飲料摂取方法
- スポーツ(例えば、水泳)
症状
治療
- げっぷや放屁とともに軽快することが多い。
- 腸管運動を活発化させるために、水・食物摂取を試みる。
参考
http://ja.wikipedia.org/wiki/%E7%A9%BA%E6%B0%97%E5%9A%A5%E4%B8%8B%E7%97%87
http://www.ogorimii-med.net/advice/kakehasi2.htm
http://www.haranari.com/donkisyou.html
[★]
- 関
- aerophagia、aerophagy