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.
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