Bloating and Gas: Solutions for Digestive Discomfort

Q: Bloating and Gas: Solutions for Digestive Discomfort

Hello： Based on your description, it seems that you may have "functional gastrointestinal disorder." However, it is essential to first rule out the possibility of any organic lesions. <br>Therefore, you may undergo a barium enema examination (which is less painful). <br>If no les

I often feel bloated in my abdomen with a sensation of gas movement inside?

Dear Dr.
Yang Pei-Zhen,
I have a history of chronic constipation and often experience a feeling of bloating with gas movement in my abdomen.
To improve my condition, I have increased my intake of fiber-rich foods, avoided milk, legumes, and fermentable foods, and engaged in moderate exercise for over eight months.
My bowel movements have improved, but the bloating and gas sensation remain the same.

After switching to "Greenfield Organic Nutrition & Revitalex" for three months, my bowel movements became more regular, occurring once a day.
However, the bloating and gas sensation have intensified.
After meals, I experience discomfort and a dull pain around 4 cm above my navel and on both sides, accompanied by the need to burp and release gas, which has a foul odor.
Recently, I have also been experiencing sour belching.
My doctor mentioned that this could be due to indigestion or slow gastrointestinal motility and prescribed medications such as Metoclopramide and Maxalen, which have been ineffective.
I also tried Dusphatalin (which provided slight relief for burping and gas) and recently started taking Cerekinon and digestive medications, but the bloating persists.
Could you please advise on what might be causing these issues and what steps I can take to improve my condition? Thank you for taking the time to respond.

Wang, 30~39 year old female. Ask Date: 2003/12/17

Dr. Yang Peizhen reply Gastroenterology and Hepatology

Hello: Based on your description, it seems that you may have "functional gastrointestinal disorder." However, it is essential to first rule out the possibility of any organic lesions.
Therefore, you may undergo a barium enema examination (which is less painful).
If no lesions are found, we will need to focus on your daily lifestyle, diet, and medications.
Increasing physical activity, avoiding irritants and greasy foods, and reducing emotional stress can all be beneficial.
Sincerely, Dr.
Yang Pei-Chen, Director of the Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/12/17

More Info

Bloating and gas can be uncomfortable and distressing symptoms, often linked to various digestive issues. Your experience of habitual constipation, along with the sensation of gas movement in your abdomen, suggests that there may be underlying factors contributing to your discomfort. Let's explore the potential causes and solutions for your symptoms.

Understanding Bloating and Gas
Bloating is often caused by the accumulation of gas in the gastrointestinal tract, which can result from several factors, including:
1. Dietary Choices: Certain foods are known to produce gas, including beans, lentils, cruciferous vegetables (like broccoli and cabbage), and carbonated beverages. Even though you have been avoiding some of these foods, it’s important to consider other dietary habits that might contribute to bloating.

2. Food Intolerances: Lactose intolerance (reaction to dairy) and fructose malabsorption (reaction to certain fruits and sweeteners) can lead to bloating and gas. If you suspect that dairy or other specific foods might be causing your symptoms, consider keeping a food diary to track your intake and symptoms.

3. Eating Habits: Eating too quickly, not chewing food thoroughly, or talking while eating can lead to swallowing air, which contributes to bloating. Try to eat slowly and mindfully to reduce the amount of air you swallow.

4. Gut Motility: Slow gastrointestinal motility can lead to gas buildup and bloating. This can be exacerbated by conditions such as irritable bowel syndrome (IBS) or other functional gastrointestinal disorders.

5. Medications: Some medications, including certain antidepressants and pain relievers, can affect gut motility and contribute to bloating and constipation. It’s important to discuss any medications you are taking with your healthcare provider to determine if they could be contributing to your symptoms.

Solutions for Digestive Discomfort
Here are some strategies you can implement to help alleviate your bloating and gas:
1. Dietary Adjustments: Continue to focus on a high-fiber diet, but also consider incorporating soluble fibers (found in oats, apples, and citrus fruits) which can help regulate bowel movements without causing excessive gas. Additionally, try to identify and eliminate any foods that may be triggering your symptoms.

2. Probiotics: Introducing probiotics into your diet can help balance gut bacteria and improve digestion. Foods like yogurt, kefir, sauerkraut, and probiotic supplements may be beneficial.

3. Hydration: Ensure you are drinking enough water throughout the day. Proper hydration can help with digestion and prevent constipation.

4. Regular Exercise: Physical activity can stimulate digestion and help alleviate bloating. Aim for at least 30 minutes of moderate exercise most days of the week.

5. Mindful Eating: Practice mindful eating by slowing down during meals, chewing food thoroughly, and avoiding distractions. This can help reduce the amount of air swallowed and improve digestion.

6. Medication Review: Since you mentioned taking medications like Metilium and Maxalen without relief, it may be worth discussing with your doctor the possibility of adjusting your treatment plan. They may recommend alternative medications or additional therapies to address your symptoms.

7. Consult a Specialist: If your symptoms persist despite these interventions, consider consulting a gastroenterologist. They can perform tests to rule out conditions such as IBS, food intolerances, or other gastrointestinal disorders.

Conclusion
Bloating and gas can be complex symptoms with multiple contributing factors. By making dietary adjustments, practicing mindful eating, and staying active, you can improve your digestive health. However, if your symptoms continue or worsen, it’s essential to seek professional medical advice to explore further diagnostic options and treatment plans. Your health is important, and addressing these symptoms can significantly enhance your quality of life.

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