Bloating: Causes, Symptoms, and Solutions for Relief - Gastroenterology and Hepatology

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Could you please provide more details about the issue of bloating?


Hello, doctor.
I have a problem with bloating, which usually starts after lunch.
Recently, I have started exercising, and it's strange that whenever I experience bloating while running, I can hear a gurgling sound on the left side of my stomach.
I visited a gastroenterologist who performed an initial ultrasound examination and said everything was fine.
The medication prescribed by the doctor is effective, but I often feel hungry.
What could be the reason for that gurgling sound? Is it caused by the bloating?

mmkk, 40~49 year old female. Ask Date: 2019/03/19

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Consider undergoing a gastroscopy.

Reply Date: 2019/03/19

More Info


Bloating is a common gastrointestinal issue that many people experience, and it can be particularly uncomfortable and distressing. Understanding the causes, symptoms, and potential solutions for relief can help you manage this condition more effectively.


Causes of Bloating
Bloating can occur for a variety of reasons, including:
1. Dietary Choices: Certain foods are known to cause gas and bloating. These include beans, lentils, carbonated beverages, cruciferous vegetables (like broccoli and cabbage), and high-fat foods. Dairy products can also cause bloating in individuals who are lactose intolerant.

2. Eating Habits: Eating too quickly, not chewing food thoroughly, or talking while eating can lead to swallowing air, which contributes to bloating. Additionally, large meals can stretch the stomach and cause discomfort.

3. Food Intolerances: Conditions like lactose intolerance or fructose malabsorption can lead to bloating. If your body has difficulty digesting certain sugars, it can result in gas production and bloating.

4. Gut Health: An imbalance in gut bacteria can lead to bloating. Conditions like irritable bowel syndrome (IBS) or small intestinal bacterial overgrowth (SIBO) can also be culprits.

5. Physical Activity: While exercise is generally beneficial for digestion, certain activities, especially high-impact exercises like running, can sometimes exacerbate bloating if the stomach is full.


Symptoms of Bloating
The primary symptom of bloating is a feeling of fullness or swelling in the abdomen. Other symptoms may include:
- Abdominal pain or discomfort
- Excessive gas (flatulence)
- Rumbling or gurgling sounds in the stomach (which you mentioned as "water sounds")
- Changes in bowel habits, such as constipation or diarrhea

Solutions for Relief
1. Dietary Adjustments: Keeping a food diary can help identify foods that trigger your bloating. Consider reducing your intake of gas-producing foods and see if your symptoms improve. Eating smaller, more frequent meals can also help.

2. Mindful Eating: Slow down while eating, chew your food thoroughly, and avoid talking while eating to minimize air swallowing.

3. Hydration: Drinking plenty of water can aid digestion and help prevent constipation, which can contribute to bloating.

4. Probiotics: These can help restore a healthy balance of gut bacteria. You might consider incorporating probiotic-rich foods like yogurt, kefir, or fermented vegetables into your diet.

5. Physical Activity: Regular exercise can help stimulate digestion and reduce bloating. However, if running exacerbates your symptoms, you might want to try gentler forms of exercise, such as walking or yoga.

6. Over-the-Counter Remedies: Medications like simethicone can help relieve gas and bloating. However, it's essential to consult with your healthcare provider before starting any new medication.

7. Consult a Specialist: Since you've already seen a gastroenterologist, it may be beneficial to follow up if your symptoms persist. They may suggest further testing or dietary changes tailored to your specific situation.


Conclusion
Bloating can be a frustrating condition, but understanding its causes and symptoms can empower you to take steps toward relief. Since you mentioned experiencing "water sounds" in your stomach, this could be related to the movement of gas and fluid in your digestive tract, often exacerbated by bloating. If your symptoms continue or worsen, it’s crucial to seek further evaluation from a healthcare professional to rule out any underlying conditions. Remember, managing bloating often requires a combination of dietary changes, mindful eating practices, and possibly medical intervention.

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