Bloating and Nausea: Gastrointestinal Concerns Explained - Gastroenterology and Hepatology

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Abdominal distension with a feeling of nausea?


In the past two to three days, I have been experiencing a feeling of abdominal bloating, along with frequent flatulence and belching.
After eating or drinking, I tend to burp or pass gas, and the gas has a strong odor.
Recently, I have also felt nauseous, with belching, flatulence, and a bloated sensation in the mid-abdomen, accompanied by mild dizziness.
Regarding my diet, I have been consuming very few fruits and vegetables, and I have also been drinking less water.
In terms of bowel movements, I have only gone to the bathroom about three times in the past week, and my most recent stool was pellet-like.
I often feel very full and have little appetite.
Could you please tell me what condition I might be experiencing?

Chen, 20~29 year old female. Ask Date: 2017/08/19

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, sir.
It is recommended to increase your intake of fruits and vegetables while reducing meat consumption.
If necessary, you may try probiotics.
If your symptoms worsen, please visit a gastroenterology clinic for an examination.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2017/08/19

More Info


Bloating and nausea can be quite uncomfortable and may indicate underlying gastrointestinal issues. Based on your description, it seems you are experiencing symptoms that could be related to several conditions, including dietary habits, gastrointestinal motility disorders, or even functional gastrointestinal disorders like Irritable Bowel Syndrome (IBS).

Firstly, let's address the bloating and excessive gas. Bloating often occurs when there is an accumulation of gas in the gastrointestinal tract. This can be due to several factors, including the types of foods consumed, how quickly you eat, and even how well you chew your food. Foods that are high in carbohydrates, particularly those that are difficult to digest, can lead to increased gas production. Additionally, if you are consuming fewer fruits and vegetables, you may not be getting enough fiber, which is essential for healthy digestion. A low-fiber diet can lead to constipation, which can exacerbate feelings of bloating and discomfort.

The fact that you mentioned having only three bowel movements in the past week and that your stools are pellet-like suggests that you may be experiencing constipation. Constipation can lead to a buildup of stool in the intestines, which can cause bloating and discomfort. When stool remains in the colon for an extended period, it can also ferment, leading to the production of gas and foul-smelling flatulence.

Your symptoms of nausea and dizziness could be related to several factors. Nausea can occur when the stomach is distended or when there is an imbalance in the gut flora due to dietary changes. Dizziness may also be a result of dehydration, especially if you have been consuming less water. Proper hydration is crucial for maintaining digestive health and overall well-being.

Given your current symptoms, it would be advisable to consider the following steps:
1. Dietary Changes: Gradually increase your intake of fiber-rich foods, such as fruits, vegetables, and whole grains. Fiber helps to promote regular bowel movements and can alleviate constipation. Additionally, consider reducing your intake of gas-producing foods, such as beans, lentils, and certain cruciferous vegetables (like broccoli and cabbage), at least until your symptoms improve.

2. Hydration: Ensure you are drinking enough water throughout the day. Adequate hydration is essential for digestive health and can help prevent constipation.

3. Regular Meals: Try to eat smaller, more frequent meals rather than large meals. Eating too quickly or consuming large portions can lead to bloating and discomfort.

4. Physical Activity: Regular physical activity can help stimulate bowel movements and reduce feelings of bloating. Even light exercise, such as walking, can be beneficial.

5. Monitor Symptoms: Keep a food diary to track what you eat and how it affects your symptoms. This can help identify any specific foods that may be triggering your discomfort.

6. Consult a Healthcare Provider: If your symptoms persist or worsen, it is essential to consult a healthcare professional. They may recommend further evaluation, such as blood tests or imaging studies, to rule out any underlying conditions.

In summary, your symptoms of bloating, nausea, and changes in bowel habits may be related to dietary choices and hydration levels. By making some adjustments to your diet and lifestyle, you may find relief from these uncomfortable symptoms. However, if the issues continue, seeking medical advice is crucial to ensure there are no serious underlying conditions.

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