Bloating and Nutrient Absorption Issues in Gastrointestinal Health - Gastroenterology and Hepatology

Share to:

Bloating and intestinal absorption issues?


Hello, doctor.
A few years ago, I had issues with irritable bowel syndrome, but it gradually improved.
However, for the past four months, I have been experiencing frequent bloating and irregular eating habits.
Often, after having lunch, I feel bloated until the evening, which leads me to eat very little.
After recovering from a cold, I noticed that my cheeks have become sunken, and no matter how much I eat, it doesn't seem to improve.
I still feel hungry in my stomach, and my weight hasn't changed (I am 161 cm tall and weigh 55 kg).

1) Do I have a problem with malabsorption in my intestines?
2) Why are my cheeks sunken? Is it related to intestinal absorption, or could there be other reasons? How can I improve this? Thank you.

Miss Ni, 20~29 year old female. Ask Date: 2016/01/01

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, Miss: It is likely not malabsorption (as there is no diarrhea or weight loss), but it is still advisable to have a check-up at the gastroenterology clinic.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2016/01/01

More Info


Understanding gastrointestinal health, particularly issues like bloating and nutrient absorption, is crucial for maintaining overall well-being. Your symptoms, including persistent bloating and facial changes, warrant a closer examination of potential underlying conditions.

1. Bloating and Nutrient Absorption: Bloating can be caused by various factors, including dietary choices, gastrointestinal disorders, and even stress. Given your history of irritable bowel syndrome (IBS), it’s possible that your current symptoms are linked to this condition. IBS can lead to altered bowel habits and discomfort, often exacerbated by certain foods or stress. Additionally, if your intestines are not effectively absorbing nutrients, this could lead to feelings of hunger despite adequate caloric intake. Malabsorption can occur due to conditions like celiac disease, lactose intolerance, or infections, which can affect the intestinal lining and its ability to absorb nutrients properly.

2. Facial Changes: The appearance of sunken cheeks or facial hollowness can be indicative of several issues. One possibility is dehydration or weight loss, which can occur if your body is not absorbing nutrients effectively. This can lead to a loss of subcutaneous fat, giving the face a gaunt appearance. Additionally, nutritional deficiencies, particularly in proteins, vitamins, and minerals, can contribute to changes in skin and fat distribution. If your body is not receiving adequate nutrition, it may prioritize essential functions over cosmetic appearance, leading to such changes.

3. Improving Your Condition: To address these issues, consider the following steps:
- Dietary Adjustments: Focus on a balanced diet rich in whole foods, including fruits, vegetables, lean proteins, and whole grains. Avoid processed foods, excessive sugars, and high-fat meals, which can exacerbate bloating. Keeping a food diary may help identify specific triggers that worsen your symptoms.

- Hydration: Ensure you are drinking enough water throughout the day. Dehydration can lead to digestive issues and affect your overall health.

- Regular Meals: Eating smaller, more frequent meals can help manage bloating and improve nutrient absorption. This approach can also help regulate your appetite and prevent feelings of extreme hunger.

- Consult a Specialist: Given your symptoms and history, it would be beneficial to consult a gastroenterologist. They may recommend tests to evaluate for malabsorption syndromes or other gastrointestinal disorders. Tests could include blood tests, stool tests, or imaging studies to assess your digestive health.

- Consider Nutritional Supplements: If you are diagnosed with specific deficiencies, your doctor may recommend supplements to help restore balance. However, it’s essential to do this under medical supervision to avoid potential interactions with other medications or conditions.

- Stress Management: Since stress can exacerbate gastrointestinal symptoms, consider incorporating stress-reducing techniques such as yoga, meditation, or regular physical activity into your routine.

In summary, your symptoms of bloating and facial changes could be interconnected and may indicate underlying gastrointestinal issues, including potential malabsorption. A comprehensive approach involving dietary changes, hydration, regular meals, and professional medical advice will be essential in addressing your concerns and improving your overall gastrointestinal health.

Similar Q&A

Managing Bloating and Diarrhea: Insights from Gastroenterology

Hello Doctor: I have a constitution that easily leads to diarrhea, but in the past six months, in addition to the diarrhea issue, I have also experienced severe bloating. Sometimes I feel bloated on an empty stomach, but after eating, the situation improves a bit; however, there ...


Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! The symptoms you described are collectively referred to as "dyspepsia," which can be divided into two categories: "organic," meaning there is a disease affecting the gastrointestinal organs themselves, and "functional," indicating that there a...

[Read More] Managing Bloating and Diarrhea: Insights from Gastroenterology


Managing Bloating, Constipation, and Unformed Stool: A Guide for Health Professionals

Hello, Doctor. I am currently 25 years old and started my master's degree abroad last September. I am here to inquire about my health due to concerns about high medical costs. I am a nutritionist and have been following a nutritionally complete vegan diet for about two years...


Dr. Chen Shidian reply Gastroenterology and Hepatology
Fecal occult blood testing can be performed; if the results are normal, dietary adjustments should be made based on the FODMAP food list, and weight should be monitored.

[Read More] Managing Bloating, Constipation, and Unformed Stool: A Guide for Health Professionals


Understanding Long-Term Bowel Issues: Insights and Dietary Impact

Hello, doctor. Thank you for your enthusiastic response to my previous question. Some doctors have simply referred me to a gastroenterologist without addressing my concerns, but I appreciate your patience in listening to my issues. I previously underwent examinations at a large h...


Dr. Cai Xiuwen reply Nutrition
Hello! You mentioned that the food consumed the previous day directly affects the characteristics of bowel movements. Therefore, I recommend that regardless of what you eat, you should ensure an adequate intake of dietary fiber, such as fruits and vegetables. Regarding the mucus-...

[Read More] Understanding Long-Term Bowel Issues: Insights and Dietary Impact


Understanding Gastrointestinal Issues: Diarrhea, Bloating, and Dietary Changes

Hello, I have been experiencing gastrointestinal issues recently and would like to consult a physician. 1. My bowel movements have been watery, very loose, and unformed for the past three months. 2. I have recently noticed that I feel bloated after eating, and the discomfort last...


Dr. Chen Shidian reply Gastroenterology and Hepatology
It is likely caused by dietary digestion/peristalsis abnormalities. If there is no blood in the stool, it should not be considered an emergency. If necessary, some intestinal regulating medications may be used.

[Read More] Understanding Gastrointestinal Issues: Diarrhea, Bloating, and Dietary Changes


Related FAQ

Gastrointestinal Bloating

(Gastroenterology and Hepatology)

Flatulence

(Gastroenterology and Hepatology)

Digestion

(Gastroenterology and Hepatology)

Belching

(Gastroenterology and Hepatology)

Obesity

(Gastroenterology and Hepatology)

Ibs

(Gastroenterology and Hepatology)

Jaundice

(Gastroenterology and Hepatology)

Diarrhea

(Gastroenterology and Hepatology)

Gerd

(Gastroenterology and Hepatology)

Bowel-Related

(Gastroenterology and Hepatology)