Abdominal bloating
Bloating; Meteorism
Abdominal bloating is a condition in which the belly (abdomen) feels full and tight. Your belly may look swollen (distended).
Causes
Common causes include:
- Swallowing air
- Constipation
-
Gastroesophageal reflux
(GERD)
Gastroesophageal reflux
Gastroesophageal reflux disease (GERD) is a condition in which the stomach contents leak backwards from the stomach into the esophagus (the tube from...
-
Irritable bowel syndrome
Irritable bowel syndrome
Irritable bowel syndrome (IBS) is a disorder that leads to abdominal pain and bowel changes. IBS is not the same as inflammatory bowel disease (IBD)...
-
Lactose intolerance
and problems digesting other foods
Lactose intolerance
Lactose is a type of sugar found in milk and other dairy products. An enzyme called lactase is needed by the body to digest lactose. Lactose intoler...
- Overeating
-
Small bowel bacterial overgrowth
Small bowel bacterial overgrowth
Small bowel bacterial overgrowth is a condition in which very large numbers of bacteria grow in the small intestine.
- Weight gain
You may have bloating if you take the oral diabetes medicine acarbose. Some other medicines or foods containing lactulose or sorbitol, may cause bloating.
More serious disorders that may cause bloating are:
-
Ascites
and tumors
Ascites
Ascites is the build-up of fluid in the space between the lining of the abdomen and abdominal organs.
-
Celiac disease
Celiac disease
Celiac disease is a condition caused by damage to the lining of the small intestine. This damage comes from a reaction to eating gluten. This is a ...
- Dumping syndrome
-
Ovarian cancer
Ovarian cancer
Ovarian cancer is cancer that starts in the ovaries. The ovaries are the female reproductive organs that produce eggs.
- Problems with the pancreas not producing enough digestive enzymes (pancreatic insufficiency)
Home Care
You may take the following steps:
- Avoid chewing gum or carbonated drinks. Stay away from foods with high levels of fructose or sorbitol.
- Avoid foods that can produce gas, such as Brussels sprouts, turnips, cabbage, beans, and lentils.
- Do not eat too quickly.
- Stop smoking.
Get treatment for constipation if you have it. However, fiber supplements such as psyllium or 100% bran can make your symptoms worse.
You may try simethicone and other medicines you buy at the drugstore to help with gas. Charcoal caps can also help.
Watch for foods that trigger your bloating so you can start to avoid those foods. These may include:
-
Milk and other dairy products that contain
lactose
Lactose
Lactose is a type of sugar found in milk and other dairy products. An enzyme called lactase is needed by the body to digest lactose. Lactose intoler...
- Certain carbohydrates that contain fructose, known as FODMAPs
When to Contact a Medical Professional
Call your health care provider if you have:
- Abdominal pain
- Blood in the stools or dark, tarry looking stools
- Diarrhea
- Heartburn that is getting worse
- Vomiting
- Weight loss
References
Azpiroz F. Intestinal gas. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease . 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 17.
McQuaid KR. Approach to the patient with gastrointestinal disease. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine . 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 132.
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Abdominal ultrasound - illustration
The test is done in the ultrasound or radiology department. A conducting paste is applied to your abdomen while you are lying down. The transducer (a hand-held instrument) is then moved over your abdomen.
Abdominal ultrasound
illustration
Review Date: 5/21/2016
Reviewed By: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.