Pulmonary Hypertension Expert Forum
Bloating and Pulmonary Hypertension
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Pulmonary hypertension is a condition associated with high blood pressure in the arteries that connect your heart with your lungs. It is a serious condition for which there are many emerging treatments but no definite cure. In this disease, the blood vessels that carry oxygen-poor blood from your heart to your lungs become hard and narrow, which causes your heart to work harder to pump the blood. This forum is a place to ask questions about Pulmonary Hypertension. Some examples are: What caused me to get pulmonary hypertension? How is pulmonary hypertension diagnosed? What treatment options are available?

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Bloating and Pulmonary Hypertension

Abdominal bloating is listed as a symptom of PH.  Is the abdominal bloating associated with PH a case of water retention, or does it involve excess stomach acid or gas?
Tags: bloating
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1884349_tn?1353818598
Hello and welcome to the forum.

Abdominal bloating is a very nonspecific and common symptom (in other words, it can occur in many medical conditions including PH) and is usually a relatively benign though uncomfortable symptom.  Thus, >99% of people who have abdominal bloating will NOT have PH.

However, in a patient with proven PH who also has abdominal bloating, one possibility among several is that it is the result of fluid retention that accumulates in the abdomen (often as a result of right heart failure).  If this were the case, diuretics to relive the fluid retention would typically make this symptom better.  Also important to recognize, however, is that because abdominal bloating is so common in general (ie due to constipation, gas, etc), the presence of bloating even in a PH patient is often times true-true but unrelated.

Regardless, the take home point here is that one would never even think of PH as a diagnosis on the basis of abdominal bloating alone because of how common abdominal bloating is and how rare PH is.

Hope this helps.

All the best,

Dr. Rich

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1884349_tn?1353818598
Jonathan D. Rich, MDBlank
Northwestern Memorial Hospital
Chicago, IL
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