How to pronounce “distension” in English

plus applying antibiotic and lidocaine to the entry side of the catheter; rinsing the urine collection bags;repositioning the taping of the catheter and the bag to prevent blistering; what to do if you experience abdominal distension, bladder spasms, bloody drainage,ankle swelling, perineal discomfort, scrotal swelling, painful sneezing; what to eat until you pass gas; what to eat once you have passed gas;