My stomach gets very bloated after eating, and I keep burping?
Hello Doctor: I am 15 years old and have been experiencing abdominal bloating for the past seven to eight months.
This never happened before; now, whenever I eat a full meal, my stomach becomes extremely distended, almost twice its size when I’m not eating.
In the morning, when I wake up on an empty stomach, it’s not as bloated, but throughout the day, I hardly feel hungry.
I also experience constant burping, and it feels like gas is trapped between my throat and chest, which I can't release easily.
My stomach makes gurgling sounds when I lie down.
Although my mother has taken me for numerous tests, including gastroscopy, abdominal ultrasound, and X-rays from the esophagus to the small intestine (after drinking barium), there haven't been any significant issues found.
The doctor suggested it might be due to stress or lack of exercise, but I jog, walk, and ride my bike for two hours every day during the summer and don't feel stressed.
Which specialist should I see? I am currently very uncomfortable and worry that the academic pressure in high school will be even greater, and my body won't be able to handle it.
Please help!
Xiao Rong, 10~19 year old female. Ask Date: 2016/08/23
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: To see a gastroenterologist, it's important to adjust not only medications but also lifestyle habits, diet, and bowel habits for significant improvement.
Avoid foods that are high in fat and protein, and beverages should also be limited.
Establish a daily bowel movement routine to prevent excessive stool retention.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.
Reply Date: 2016/08/23
More Info
Hello! It's understandable to feel concerned about your gastrointestinal symptoms, especially at your age. Bloating and persistent hiccups can be quite uncomfortable and may affect your daily life. Let's break down your situation and explore some possible explanations and recommendations.
First, it's important to note that bloating can be caused by various factors, including dietary habits, gastrointestinal disorders, and even psychological stress. Since you've mentioned that you've undergone several tests, such as endoscopy and imaging studies, and the results were largely normal, it suggests that there may not be any serious underlying conditions. However, the symptoms you're experiencing could still be related to functional gastrointestinal disorders, such as Irritable Bowel Syndrome (IBS) or functional dyspepsia.
1. Dietary Factors: One common cause of bloating is the consumption of certain foods that can lead to gas production. Foods high in fiber, such as beans, lentils, and certain vegetables (like broccoli and cabbage), can cause bloating, especially if your body is not used to them. Additionally, carbonated beverages can introduce excess air into your digestive system, leading to bloating and hiccups. It might be helpful to keep a food diary to identify any specific foods that trigger your symptoms.
2. Eating Habits: Eating too quickly or not chewing food thoroughly can also contribute to bloating. When you eat quickly, you may swallow air along with your food, which can lead to gas buildup. Try to eat slowly, chew your food well, and avoid talking while eating to minimize air swallowing.
3. Stress and Anxiety: Psychological factors can significantly impact gastrointestinal function. Even if you feel that you are not under stress, the anticipation of future stressors, such as starting high school, can manifest physically. Stress can lead to increased gut sensitivity and motility issues, which may explain your symptoms. Techniques such as mindfulness, deep breathing exercises, or even talking to a counselor can help manage stress levels.
4. Physical Activity: Regular exercise is beneficial for digestive health. While you mentioned that you engage in physical activities, ensure that you are incorporating a mix of aerobic and strength-training exercises. Sometimes, gentle activities like yoga can help alleviate bloating by promoting relaxation and improving gut motility.
5. Medical Follow-Up: Since your symptoms have persisted for several months, it may be worthwhile to follow up with a gastroenterologist or a healthcare provider specializing in functional gastrointestinal disorders. They can provide further evaluation and may suggest treatments such as dietary modifications, probiotics, or medications to help manage your symptoms.
6. Hiccups: Persistent hiccups can be caused by various factors, including irritation of the diaphragm, gastroesophageal reflux, or even anxiety. If your hiccups are frequent and bothersome, discussing this with your healthcare provider is advisable.
In summary, while your tests have not indicated any serious issues, the combination of bloating and hiccups can be frustrating. Focus on your diet, eating habits, and stress management techniques. If your symptoms continue or worsen, don't hesitate to seek further medical advice. Remember, taking care of your mental and physical health is crucial, especially as you transition into high school. Best of luck, and take care!
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