I ka hoomaka ana, o ka ka maʻiʻeha kakaʻikahi loa ka hoʻoulu ʻana nā hōʻailona kikoo a maopopo. No laila paʻakikī ke ʻike i ka maʻi i ka wā mua. Eia nō naʻe, ʻike pinepine ʻia ka maʻi maʻi i loko o ka ʻōpū i kēia mau hōʻailona:

• he manaʻo o bloating, ka manaʻo o ka piha ʻana o ka ʻōpū ma hope o ka ʻai liʻiliʻi;
• a ka momona lōʻihi a hoʻomau paha;
• pau ka ʻai, hoʻopailua i ka meaʻai;

• o ka abdominal eha, ʻeha puʻuwai;
• ʻO ka lilo nui ʻana
• nausea a me ka luaʻi ʻana me ka maʻi bacteria
• ʻO ka maʻi paʻa mau;
• luaʻi ke koko ;
• ka pilikia eʻeli.