What causes bloating?

Written by: Dr Patrick Wilson
Published: | Updated: 06/06/2023
Edited by: Aoife Maguire

Bloating is something which we all suffer with, causing discomfort as we try to go about our daily lives. Renowned consultant physician and gastroenterologist Dr Patrick Wilson explains more about what causes bloating and how to relieve the pain provoked by the condition. 

 

How are we affected by intestinal gas?

Intestinal gas in the stomach can cause swelling of the abdomen and excessive belching and flatulence, leaving patients with a bloated stomach and in pain. The amount of gas that remains inside the digestive tract is the amount that enters minus what comes out. 

 

Where does excess gas come from?

Digestive gas comes from what we eat and drink. There are particular foods that are known to especially cause gas pain and flatulence. Then, there is also intestinal gas produced in the digestive tract itself during the reaction of stomach acids with other substances.

 

Common causes of excess gas:

Bloating is caused by excessive air swallowing, medically called aerophagia. It’s natural to swallow some air by breathing, talking or eating, and a lot more air is swallowed when we are nervous, when we eat too fast, when we chew badly or when we breathe through our mouth. Smoking, chewing gum or eating sweets greatly increases the amount of air accumulated. There are also certain food and drink which can wreak havoc on the stomach. 

 

Foods that cause a bloated stomach:

  • Legumes – white beans, lentils, chickpeas
  • Drinks that contain gas – soft drinks, beer, cava
  • Wheat
  • Broccoli and other cruciferous vegetables – cabbage, Brussels sprouts
  • Onions
  • Dairy products – milk, cheese, yogurt, butter
  • Apples
  • Garlic

 

Bloating remedies:

  • Hot water with a slice of lemon
  • Celery
  • Watermelon
  • Rosemary and turmeric

 

Additionally, in certain diseases and conditions, the intestine is unable to absorb some sugars, so that a significant amount of gas produced comes from the intestine itself. This would be the case of patients with celiac disease, or where the body is deficient in absorbing lactose or suffers the malabsorption of sugars.

 

How is intestinal gas eliminated?

The gas is not only expelled by belching or through flatulence, it is also absorbed along the digestive tract, and passes into the blood. Sometimes the gas can be retained, causing swelling, because bowel movements are too slow. This happens in some cases of constipation. This does not happen to everyone as some of us have a more sensitive intestine, whilst others are more robust

 

It’s also beneficial to get enough sleep and at least 30 minutes of physical activity every day to keep the fluid moving in the body. If sitting at a desk all day, make sure to move the legs or take a short walk around the office every hour. If your bloating is becoming a chronic problem, consult a gastroenterologist.

 

 

If you would like to book a consultation with Dr Wilson, you can do so by visiting his Top Doctors profile today.

By Dr Patrick Wilson
Gastroenterology

Dr Patrick Wilson is a leading consultant physician and gastroenterologist based in London who specialises in treatment for abdominal pain, acid reflux and IBS alongside endoscopies, colonoscopies and pancreatic cancer. He privately practises at Nuffield Health at St Bartholomew's Hospital and his NHS base is Barts Health NHS Trust.

Dr Wilson takes a holistic approach to his clinical consultations, providing a supportive environment that enables his patients to get back to full health.

He has an impressive educational and training history. He qualified with honours from the University of Leicester and University of Warwick in 2005 (MB ChB) and underwent higher specialist training in gastroenterology and hepatology at King's College, St George' and Guy's and St Thomas' Hospitals. As part of this he went on to complete a period of advanced endoscopy training in Melbourne, Australia. 

Further to the treatments mentioned above, Dr Wilson also expertly treats dyspepsia, Barrett's oesophagus and hepato-pancreato-biliary disease (HPB), alongside diarrhoea, constipation and bloating. Dr Wilson is the endoscopy lead for the department of gastroenterology and hepatology at Barts Health, and is passionate about high-quality diagnostic and therapeutic endoscopy of the oesophagus, stomach, colon and pancreas, especially regarding early diagnosis and cancer screening

He is part of an active research team, and is committed to furthering research and knowledge within his field. His clinical research in hepato-pancreato-biliary and endoscopy is published in peer-reviewed journals and he presents his work both nationally and internationally. 

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