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This can result in excess flatulence in some patients. Many patients experience abdominal cramps, bloating and flatulence when they ingest milk, certain cheeses or ice cream because they lack the enzyme (lactase) which is required to digest milk sugars (lactose). This condition, called lactose intolerance, is less common in people of northern European origin. Another cause of bloating and abdominal distension is termed bacterial overgrowth. This is not an infection, but occurs when there is an excess amount of normal bacteria in the small intestine. This results in increased production of intestinal gas contributing to the above symptoms. Finally, underlying constipation may also contribute to bloating and a sense of abdominal distention. Risk Factors As mentioned above, excessive air swallowing, and certain foods and carbonated beverages are significant contributors to belching and flatulence. Some patients with Irritable Bowel Syndrome (IBS) appear to be uniquely sensitive to normal or only slightly increased volumes of intestinal gas and may develop abdominal cramps as a result.
The main presenting clinical symptoms of 19 cases investigated were watery diarrhoea (100%), fever (78n9%), vomiting (52n6%) and abdominal cramps (26n3%). The crampedness of the numerator is inherited from the context (cr), while the denominator is always cramped (true). The additional symptoms could be diarrhoea, vomiting, nausea, fever, abdominal pain, abdominal cramps, blood in the stool, or mucous in the stool. Offices and utility spaces in the basement seem largely functional, but rather cramped. Other symptoms included anorexia (77. 8%), myalgia (42. 9%), abdominal cramps (53. 8%), weight loss (61. 5%) and bloating (69. 2%). In the multivariate logistic regression model only age, fever and abdominal cramps were independently associated with consultation. A significantly higher consultation rate was found in cases under 1 year of age, cases with fever, and cases with abdominal cramps. Because the cramps and diarrhoea variables were subsequently dropped from analysis, a perfect match was five out of five variables.