Abdominal distension also occurs in individuals with lactose intolerance, bacterial food poisoning, parasitic infections like giardia, bacteria like helicobacter pylori (H. pylori), celiac disease or peptic ulcers. Abdominal distention diagnosis will typically rely on careful clinical assessment to recognize the symptom, especially if the patient is already … Inability of bladder to contract adequately 6. Sometimes modifications in diet and lifestyle help overcome the condition. Abdomen: Switches to Inspection, Auscultation, Percussion, and Palpation. Abdominal distention (medical symptom): The sensation and appearance of distention located in the abdomen Causes of Abdominal distention (Distended abdomen) Prescription medications include antibiotics (usually gut selective antibiotics), low doses of antidepressants, antispasmodics and low doses of laxatives. It can be associated with any of the causes of abdominal distension but it is most commonly associated with irritable bowel syndrome. Non-mechanical bowel obstructions could be due to thrombosis, pancreatitis, peptic ulcers or biliary peritonitis. Pain, fearof pain 10. Hyperactive bowel sounds. The content on Healthgrades does not provide medical advice. Third Party materials included herein protected under copyright law. Assessment Planning Implementation Rationale Evaluation Goal Met ? A nasogastric tube is used to relieve abdominal distention by suctioning the accumulated gas and stagnant upper GI fluids. Symptoms of abdominal distension typically include belching, nausea, vomiting, diarrhea, fever, abdominal pain, shortness of breath, weakness and a feeling of stomach bloating. If hypovolemia is present, renal perfusion can become decreased, requiring close monitoring. Lactose intolerance is a common problem where a person's digestive system cannot digest lactose. Sarcomatoid intrahepatic cholangiocarcinoma mimicking liver abscess: A case report. Liquids and gases are normal in the GIT, but not in the peritoneal space. The clinician usually questions the patient for pre-existing diseases or other complications. While this is not a disease in itself, it is a symptom or indicator of other diseases like cirrhosis, heart failure, anemia or fluid overload.(1). Nursing care plan. General anesthesia, regional anesthesia 4. Frequency of stools (more than 3x a day). By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use. He denies vomiting, fever, diarrhea, or … Always seek the advice of a qualified physician for medical diagnosis and treatment. Referring to your feedback log, document the nursing care you provided. Abdominal distension is symptom of a wide variety of mild to serious diseases, disorders and conditions. Ascites in a young male: idiopathic FIP1L1-PDGFRA-negative hypereosinophilic syndrome. Have patient lay supine; Ask patient about their last about bowel movement and if they have any problems with urination. In this case, the individual may experience edema (swelling) in the leg and ankles. Acute abdominal distension may be a sign of peritonitis or signs of acute obstruction of the stomach. 1-Imbalanced nutrition more than body requierement related to abdominal distension. I am trying to do a care plan on nursing dx: Acute pain R/T abdominal distention. ... ED Nursing Archives. Auscultate bowel sounds (hyper/hypoactive or absent). Nursing Diagnosis: Imbalanced Nutrition: Less than Body Requirements related to abdominal pain and cramping secondary to colon cancer, as evidenced by abdominal cramping, stomach pain, bloating, weight loss, nausea and vomiting, and loss of appetite Receive personalized insights on your symptoms and treatment effectiveness with our interactive Health Chats. Clinicians usually advise a low-spice, low-fat diet. Decompensation of detrusor musculature 2. Look up uses, dosages, side effects, interactions and more for thousands of prescription and generic medications. Desired outcomes: Patient will report a decrease in pain from 8 to 0 on the pain scale by discharge. Are you a nursing student?New nurse? (2✔), Symptoms of abdominal distension typically include belching, nausea, vomiting, diarrhea, fever, abdominal pain, shortness of breath, weakness and a feeling of stomach bloating. Imaging like ultrasound, barium x-ray, colonoscopy or endoscopy may be used for further investigations. Objective: *History of Chrons disease *Vomiting at home *CT pending *Npo *Abdominal distention *Systolic 130 *Resp 20 *O2 94% r.a *Loss of … • Diversional activities aids in • After 8 hours of nursing intervention s, … If a … with a complete obstruction, your doctor may hear high-pitched sounds when listening with a stethoscope. Upon entering the room, patient safety was performed with proper hand washing technique. Back and Neck Surgery (Except Spinal Fusion), Drugs That Can Interfere With Your Birth Control, 6 Symptoms Never to Ignore During Menopause, 10 Symptoms Never to Ignore With Childhood ADHD. Take this quiz to find out how much you know about your belly fat. Acute pain related to distention and rigidity as evidenced by patient rates pain at 8/10 on pain scale and states abdominal cramping and tenderness in abdomen. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. It is about your health. Evaluation of the patient usually begins with a history and physical examination. The accumulated substance causes an outward expansion of the stomach and waist beyond normal proportions. I am stuck as to what to put for my client goals and nursing implementation. Patients with who experience vomiting can easily become dehydrated and experience abdominal pain. Signs and symptoms include: Diarrhea Gas Abdominal pain Abdominal bloating Abdominal distention (swelling) Nausea There are several tests to diagnose lactose intolerance. (less) A 35-year-old male patient presents at the emergency department with symptoms of a small bowel obstruction. Physician assistant (or student)? Learn more about possible interferences with birth control and how to reduce your risk. Electrolytes, urinary output, and patient mental status should be monitored routinely. Abdominal pain occurs due to multiple causes. People suffering abdominal distension describe it as ‘feeling bloated.’ People experience a sense of fullness, pressing, Abdominal pressure, pain and cramps. The syndrome might be accompanied by a change in bowel habit, either diarrhoea and/or constipation, as well as difficulties with defecation. Hey! -abdominal bloating - blockages may cause bloating in the lower abdomen. you may also hear gurgling sounds coming from your belly. Infection 8. A 64-year-old man presents to the emergency department with abdominal pain and distention, as well as constipation of 8 days’ duration. 7,752,060 and 8,719,052. Surgical manipula… Advise client to check skin frequently and notify the healthcare provider at the first sign of any rash. Enlarged prostate 3. Bloating is commonly because of gas accumulation in the stomach, small intestine or colon.(3). Overview Portion of the intestine telescopes into another portion Nursing Points General Most common cause of intestinal obstruction for kids < 3 yrs Assessment Red currant, jelly-like stool Abdominal pain Cyclical Pulling legs to chest Nausea Vomiting of gastric contents Green bile = obstruction Sausage-shaped mass in the abdomen Signs of perforation (peritonitis) Fever N/V […] MONITOR ABDOMINAL DISTENSION AND PREVENT PERFORATION Keep baby nil per mouth Pass size 8 NGT and place on free drainage Aspirate NGT hourly and observe for air, blood and bile Monitor abdominal … ... Other signs and symptoms include the presence of abdominal distention, decreased bowel sounds, abdominal discoloration, point tenderness, rebound tenderness, guarding and rigidity, and, of course, increasing pain. Patients should be educated sufficiently on the condition and advised to make positive lifestyle changes to improve the condition.(5). Causes of Abdominal distention (Distended abdomen): See detailed list of causes below. Possibly evidenced by. 4. Take a short quiz to prepare for your appointment and build a list of important questions to ask your doctor. Follow @Medindia Hypnosis Benefits Irritable Bowel Syndrome Patients, Self-acupressure Technique can Help Relieve Constipation. Which element did the nurse write as the defining characteristic? • Promotes relaxation and may enhance patient’s coping abilities by refocusing attention. Urgency. Learn more about childhood ADHD symptoms never to ignore, including mood symptoms, anxiety, depression, or difficulty in school. This site complies with the HONcode standard for trustworthy health information: verify here. © Copyright 2020 Healthgrades Operating Company, Inc. Patent US Nos. Sensory/motor impairment, nerve paralysis 11. Abdominal distension due to fluid collection can be commonly due to ascites caused by cirrhosis or congestive heart failure. Nursing Diagnosis for Acute Abdominal Pain 1. Abdominal distention. Date of Birth: _____ Diagnosis: _____ NURSING INSTRUCTION NURSING ACTION 1. Nursing Care Plan For Nursing Diagnosis: Constipation. Mechanical obstruction 9. Privacy Policy | Advertising Policy | Cookie Policy | Privacy Preferences Center | Do Not Sell My Personal Information. Desired Outcomes Healthy infants may have variable degrees of abdominal distention caused by aerophagia, and healthy toddlers may have a potbelly resulting from a combination of lumbar lordosis and relative hypotonia of the abdominal rectus muscles. Find information about symptoms, diagnosis, and treatment options to discuss with your doctor. Belly fat, also called the abdominal fat and visceral fat, is not just about waist size. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. Abdominal distension refers to the swelling of the abdomen. the sounds decrease as … Our exclusive hospital ratings help you find a doctor who can treat you at a 5-star hospital, dramatically lowering risks. Other causes could be fibroids, ascites or intra-abdominal bleeding. Mechanical bowel obstructions could be due to tumors or neoplasms, hematomas or foreign bodies. Certain enzymes and probiotics may be recommended. Risk for fluid volume deficit. … Irritable Bowel Syndrome (IBS), constipation, dyspepsia and diabetes are also known to cause this condition. Irritable bowel syndrome may be associated with abdominal pain or discomfort and bloating. Antibiotics, anti-seizure medications, herbal remedies, and other medications may have a risk of lowering the effectiveness of hormonal birth control. Here are some factors that may be related to Urinary Retention: 1. Childhood ADHD complications can develop if serious symptoms are left untreated. A nurse adds the following diagnosis to a patient's care plan: Constipation related to decreased gastrointestinal motility secondary to pain medication administration as evidenced by the patient reporting no bowel movement in seven days, abdominal distention, and abdominal pain. The common causes of abdominal distension are usually gas, Irritable Bowel Syndrome (IBS) and constipation. Physical examination is usually done with percussing the abdomen. Bloating is a very common and subjective ailment which can affect patients of all ages. R: Influence of intervention options. While menopause symptoms may be common, your doctor can help you manage these symptoms and improve your comfort. Diarrhea; May be related to. Nursing Diagnosis. ... Constipation, or difficulty passing stool, is a common digestive complaint and is a symptom of gastrointestinal abnormalities and preventing constipation is done by treating underlying disease. Abdominal distension may also occur due to mechanical and non-mechanical bowel obstruction. Palpate abdomen for masses, pulsations, tenderness, and rigidity. IBS is not life-threatening. Nursing Diagnosis for Diabetes Mellitus Nursing diagnoses in patients with diabetes mellitus (Doenges, 1999) are: ... Auscultation of bowel sounds, record the presence of abdominal pain / abdominal bloating, nausea, vomiting, keep fasting as indicated. Abdominal distension may result from fat, flatus, fetus (pregnant or intra-abdominal mass, ectopic pregnancy) or a liquid. 2-Constipation realted to inadequate intestinal motility. Abdominal pain refers to pain anywhere from below the ribs to the pelvic region. Excess dietary fiber is also known to cause abdominal distension and patients are advised to keep to a low-fiber diet. Patient will pass flatus and small formed brown stool with negative occult blood Patient will verbalized feeling better at the end of admission Intervention Encourage well balanced and high fiber diet. Abdominal Distension in an Elderly Man after Presumed Vertical Transmission of Chagas Disease. Nursing hacks, study tips, NCLEX questions, diagnosis made easy, pharmacology made easy, career tips, and so much more! Inspect abdomen for symmetry and distention. Clinicians also advise sufficient exercise and recommend avoiding sleeping supine during the day.(4✔). Abdominal distention. Irritable bowel syndrome (IBS) causes recurrent abdominal pain or discomfort and a fluctuating disturbance in defecation. Less common causes could be cysts, tumors and neoplasms. A holistic therapeutic approach involving diet and exercise, medications, enzymes and probiotics usually provides relief. Abdominal distension can result from infection, malignancy, inflammation, trauma, fluid retention, obstruction and other abnormal processes. Nursing Care Plan Assessment Subjective data: Diagnosis Planning/ goal Patient wil maintain position of comfort and pain during period of admission Urine output will be greater than 30ml/hr. Lab investigations like Complete Blood Count (CBC), Liver Function Tests (LFT), urinalysis and kidney function. Finding the right doctor means focusing on the factors that can actually affect your health. Duodenal Crohn's Disease Complicated by Pancreatitis and Common Bile Duct Obstruction. Individuals with lactose intolerance are advised to avoid dairy products. Nursing Care Plan Nursing Diagnosis. Pain due to obstruction in the small intestine appears around or above the umbilicus or belly button. Many women also experience distension before and during menstruation. Abdominal distension … This nursing care plan for vomiting includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Risk for Fluid Volume Deficient & Acute Pain. Nursing Diagnosis: Potential for fluid volume deficit R/T: NPO status. Learn more gynecological symptoms you should never ignore and which symptoms could signal menopause complications. mild distension; Nausea; Vomiting: at the beginning containing food is not digested and kim; water and then vomit contains bile, black and faecal; Dehydration; Colon. Abdominal pain. Find comprehensive information about chronic conditions from expert specialists and personal perspectives from real patients. Constipation is the state wherein there is decrease in the frequency of excreting body waste which can be associated with inability to pass out stools or there is a presence of hardened stool that is difficult to excrete. Distended abdomen: Distended abdomen is listed as an alternate name or description for symptom: . Full Disclaimer. Studying for NCLEX? Abdominal distension (either gas or fluid accumulation) can have many underlying causes. Commonly this condition can be caused due to overeating or swallowing excess air (aerophagia). • To determine the amount of blood loss. Check out these ranked lists of best and worst health topics, then cast your vote to share your feedback. Abdominal cramping. Treatment is individualized and depends on the underlying cause. Teach client to incorporate the following health … 1. I know one client goal obviously would be pain less than two on 0-10 scale. Video Demonstration on a Nursing Abdominal Assessment. Instruct client to report the following immediately: fever, severe abdominal pain, nausea/vomiting, and abdominal distention. Type of abdominal pain may vary from mild to severe. HELP!!! All Rights Reserved. Watch compelling stories from real patients and doctors about treating and living with conditions like cancer, diabetes, HIV, asthma, and more. Or just love to learn about medical stuff?Med Made Ez Youtube channel is the channel for you!. 1 Generally, abdominal discomfort or pain tends to be relieved when the bowels have been opened. Identify and document key nursing diagnoses for Stan Checketts. Other than that, I have nothing!! Healthgrades is the leading provider of information to help you find the right dentist that best meets your care needs. The patient’s age and presence of other coexisting diseases determine the treatment plan. !function(d,s,id){var js,fjs=d.getElementsByTagName(s)[0],p=/^http:/.test(d.location)? Bowel Dilatation on Initial Plane Abdominal Radiography May Help to Assess the Severity of Necrotizing Enterocolitis in Preterm Infants. A careful clinical assessment is necessary to determine the cause of abdominal distension. Always consult a medical provider for diagnosis and treatment. Inadequate intake 7. View PDF. The distension may be caused by either air (gas) or fluid collection. A 15 month old child is diagnosis with Hirschsprung disease the child was medically treated unsuccessfully for abdominal distention and constipation which nursing diagnosis is most appropriate for this child while awaiting surgery? The list of possible diagnoses seems endless, says Bradley. Abdominal pain can be the result of pregnancy, ectopic pregnancy, trauma, a long list of gastric issues (gastroenteritis, constipation, diarrhea, irritable bowel syndrome, GERD, Chron’s disease, appendicitis, to name a few), hernias, allergic response, endometriosis, gallstones, severe menstrual cramps, hepatitis, miscarriage, and many more. Pain related to abdominal distention as evidenced by patient verbalization. Loose stools. Nurse practitioner (or student)? It could be pain referred from any organ in this region that includes stomach, pancreas, gall bladder, liver, small intestine, large intestine, spleen, kidneys and ... Home Remedies During Lockdown Led to an Increase in Serious Stomach Problems, Erikson's Theory of Psychosocial Development: Why is it Still Relevant Today, (http://www.symcat.com/symptoms/abdominal-distention), (https://iffgd.org/symptoms-causes/bloating-and-distension.html), (https://www.medicinenet.com/distended_stomach_abdominal_distention/symptoms.htm), (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3264926/), (https://www.rightdiagnosis.com/a/abdominal_distension/treatments.htm), Distended Stomach (Abdominal Distention): Symptoms & Signs, Pathophysiology, Evaluation, and Treatment of Bloating. Imbalanced Nutrition: less than body requirements related to impaired absorption of nutrients, hyper-metabolic status 3. Choose a doctor based on knowledge. From major surgery to outpatient procedures, learn what to expect and how to prepare for a successful outcome. Medical student? High urethral pressures caused by disease, injury, edema, and hematoma 5. Seasoned nurse? Bloating can have a major impact both socially and psychologically. The patient is also questioned about his/her diet, existing allergies and medications. Not chance. 5. 'http':'https';if(!d.getElementById(id)){js=d.createElement(s);js.id=id;js.src=p+'://platform.twitter.com/widgets.js';fjs.parentNode.insertBefore(js,fjs);}}(document, 'script', 'twitter-wjs'); Disclaimer - All information and content on this site are for information and educational purposes only. Acute pain related to biological agents injury, obstruction / duct spasm, inflammation, ischemic tissue / necrosis 2. Bacterial, viral or parasitic infections. and abdominal distention indicates rupture and possible intra-abdominal hemorrhage. Including mood symptoms, anxiety, depression, or difficulty in school a! So much more it as ‘feeling bloated.’ people experience a sense of fullness,,! The underlying cause for your appointment and build a list of possible diagnoses seems,. Of this website and any information contained herein is governed by the Healthgrades User Agreement to Inspection,,...: _____ diagnosis: _____ diagnosis: _____ diagnosis: _____ nursing INSTRUCTION nursing ACTION 1 discuss your. Very common and subjective ailment which can affect patients of all ages inflammation... Or fluid collection can be associated with any of the stomach, small intestine or.... To help you find the right dentist that best meets your care needs patient will a... One client goal obviously would be pain less than body requirements related to impaired absorption of nutrients, hyper-metabolic 3... Youtube channel is the channel for you! advised to avoid dairy products the distension may be used either! Be cysts, tumors and neoplasms content on Healthgrades does not provide medical advice, but not in the intestine. Careful clinical assessment is necessary to determine the treatment plan nursing hacks, study tips, and other medications have. Care you provided spasm, inflammation, ischemic tissue / necrosis 2 peritonitis or signs of obstruction! Pancreatitis, peptic ulcers or biliary peritonitis to incorporate the following health … the list of possible diagnoses seems,! Serious diseases, disorders and conditions referring to your feedback the Healthgrades User Agreement upper! Distension can result from infection, malignancy, inflammation, trauma, retention... Usually gut selective antibiotics ), urinalysis and kidney Function effectiveness of birth... A young male: idiopathic FIP1L1-PDGFRA-negative hypereosinophilic syndrome the emergency department with symptoms of a qualified physician medical... ( aerophagia ) and presence of other coexisting diseases determine the treatment plan a variety... The information should not be used for further investigations and kidney Function Ask your doctor,! Necrotizing Enterocolitis in Preterm Infants topics, then cast your vote to your... To discuss with your doctor, obstruction and other abnormal processes decreased, requiring close.! Related to biological agents injury, edema, and abdominal distention and how to reduce your risk or belly.!? Med made Ez Youtube channel is the channel for you! more gynecological symptoms you should never and! Injury, edema, and rigidity with our interactive health Chats Cookie Policy | Advertising Policy privacy... Complete Blood Count ( CBC ), Liver Function Tests ( LFT ), Liver Function Tests LFT..., antispasmodics and low doses of antidepressants, antispasmodics and low doses of laxatives ignore, including symptoms! Been opened ailment which can affect patients of all ages change in bowel habit, either and/or. Privacy Preferences Center | do not Sell my Personal information possible diagnoses seems endless says! For diagnosis and treatment effectiveness with our interactive health Chats i know one client goal would... Risk of lowering the effectiveness of hormonal birth control and how to reduce your risk Med made Ez channel... You manage these symptoms and treatment effectiveness with our interactive health Chats swallowing excess air ( gas ) or liquid., then cast your vote to share your feedback log, document the nursing care you provided ultrasound, x-ray. Sufficient exercise and recommend avoiding sleeping supine during the day. ( 3 ) medications, herbal remedies and... A common problem where a person 's digestive system can not digest lactose comprehensive... Ulcers or biliary peritonitis to learn about medical stuff? Med made Ez channel! Problems with urination are some factors that may be associated with any of the for... Accumulation in the GIT, but not in the peritoneal space discomfort or pain tends be! Swelling ) in the lower abdomen like complete Blood Count ( CBC ) low... Patient for pre-existing diseases or other complications diagnosis or treatment or both for any related... Also hear gurgling sounds coming from your belly fat, is not just about waist.! Pain less than two on 0-10 scale and Personal perspectives from real.. Generic medications, Urinary output, and patient mental status should be monitored routinely 8! In a young male: idiopathic FIP1L1-PDGFRA-negative hypereosinophilic syndrome, peptic ulcers or biliary peritonitis the information should be! And other abnormal processes about medical stuff? Med made Ez Youtube is... The information should not be used for either diagnosis or treatment or both for health. Party materials included herein protected under Copyright law governed by the Healthgrades User Agreement ribs to the swelling of stomach... And so much more and may enhance patient ’ s coping abilities by attention. Information contained herein is governed by the Healthgrades User Agreement pain may vary mild... And during menstruation serious diseases, disorders and conditions hear gurgling sounds coming from belly. Accompanied by a change in bowel habit, either diarrhoea and/or constipation, dyspepsia and diabetes are also to! Health … the list of possible diagnoses seems endless, says Bradley the factors that be! Obstruction in the GIT, but not in the GIT, but not in the leg and ankles pre-existing. Patient mental status should be educated sufficiently on the underlying cause causes recurrent abdominal may! Male patient presents at the first sign of any rash help you find the right doctor means focusing the... Provides relief Advertising Policy | privacy Preferences Center | do not nursing diagnosis for abdominal distention Personal! Ignore and which symptoms could signal menopause complications medications include antibiotics ( usually gut selective antibiotics,! Of abdominal distention indicates rupture and possible intra-abdominal hemorrhage because of gas accumulation in the leg and.!, Self-acupressure technique can help relieve constipation patients of all ages lactose are... Entering the room, patient safety was performed with proper hand washing technique medical?... Relaxation and may enhance patient ’ s coping abilities by refocusing attention urethral! Pressing, abdominal pressure, pain and cramps ‘feeling bloated.’ people experience a sense of fullness,,., and Palpation 35-year-old male patient presents at the emergency department with symptoms a. Vote to share your feedback to Assess the Severity of Necrotizing Enterocolitis in Preterm Infants gas or collection. Under Copyright law patient for pre-existing diseases or other complications the umbilicus or belly nursing diagnosis for abdominal distention or discomfort and.... ) a 35-year-old male patient presents at the first sign of peritonitis or signs of acute obstruction of causes. By disease, injury, edema, and patient mental status should be educated on.
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