If you are somebody who experiences frequent abdominal bloating and discomfort you are not alone! In fact, bloating is the biggest complaint of people who have Irritable Bowel Syndrome; which affects up to 15% of the US population. For readers in the Dallas-Fort Worth area, our local gastroenterologists at Digestive Health Centers are here to help diagnose and treat your bloating. Although there are many diseases that can cause bloating such as Inflammatory Bowel Disease or Celiac, we focus on the most common causes of bloating that people experience. Some bloating and gas is normal – in fact, most people produce .52.5 liters of gas per day. It’s when this gas becomes trapped in the intestines that cause all the problems.
What’s Causing My Bloating?
The three most common sources of bloating are swallowed air, carbohydrate intolerance, and small bowel bacterial overgrowth.
Swallowed Air Causes Bloating
Swallowed air is a common cause when we eat too fast, chew gum, or drink through a straw. Fortunately, most of this swallowed air is expelled as belching and usually doesn’t cause significant discomfort.
Bloating Caused by Bacterial Overgrowth
Another cause of bloating is when bacteria start to live where they shouldn’t; in the small bowel. If you experience stress, get sick or even take antibiotics, bacteria can start to grow in the small intestine and this is called Small Intestinal Bacterial Overgrowth (SIBO). In SIBO the small intestine, which is supposed to be a relatively sterile environment, becomes infiltrated by bacteria that feed off the food we eat and produce gas. This gas then gets trapped in the intestines causing severe bloating and pain.
Carbohydrate Intolerance Can Cause Bloat
Carbohydrate intolerance or malabsorption is another common cause of bloating that often is missed. The two most common types are lactose intolerance and fructose intolerance. In those people who are deficient in these enzymes, those foods will not be broken down properly and colonic bacteria will ferment them to produce excessive gas. One study found that up to one third of patients with suspected IBS had fructose intolerance.
How to Stop Feeling Bloated
Although the three causes mentioned are the most common, a thorough workup still needs to be done to make sure nothing more serious is going on. Remember, serious diseases like IBD, Celiac, and even some cancers can present with bloating as the only symptom.
Once this is determined, then thankfully, for most people the bloating can be controlled.
The first step is talking with your doctor to figure out which type of bloating you have:
If You are Swallowing Air, Try THIS:
Eat slower, don’t drink through a straw, don’t talk while eating, don’t chew gum.
If You Have SIBO, Try THIS:
Take a round of antibiotics like Xifaxan, or try natural treatments like Atrantil. You can also try a diet low in starches like SCD and FODMAP.
If You Have Carbohydrate Intolerance, Try THIS:
Remove lactose from your diet, then fructose (including high fructose corn syrup). If this doesn’t help, consider the FODMAP diet.
Get More Help from Digestive Health Centers
Stop the discomfort and bloating that feels like a beach ball in your belly! Our experienced gastroenterologists are here to help you address a range of GI problems, from common issues like bloating to more complex conditions. At Digestive Health Centers, we have convenient office locations throughout the DFW Metroplex, including Dallas and Plano, making it easier than ever to get the care you need. Contact us today to schedule an appointment and take the first step toward ending your pain.