Pathologic aerophagia is a rare condition caused by excessive and inconvenient air swallowing. It is a self-limiting condition affecting mainly children exposed to high grades of stress but can be a persistent problem in children with psychiatric or neurological disorders.
- severe persisting abdominal distention: minimal in the morning, maximal in the evening
- abdominal pain
- reduced appetite
- audible air swallowing: pathognomonic of the disease
- functional intestinal disorders: mainly constipation
- respiratory restriction in cases of extreme abdominal distention
Plain radiograph shows diffuse gastric, small bowel and colon distention without signs of obstruction.
- intestinal necrosis or perforation
- death in severe cases
- 1. Morabito G, Romeo C, Romano C. Functional aerophagia in children: a frequent, atypical disorder. (2014) Case reports in gastroenterology. 8 (1): 123-8. doi:10.1159/000362441 - Pubmed
- 2. de Jesus LE, Cestari AB, Filho OC, Fernandes MA, Firme LH. [Pathologic aerophagia: a rare cause of chronic abdominal distension]. (2015) Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo. 33 (3): 372-6. doi:10.1016/j.rpped.2015.01.003 - Pubmed