Bloated belly: What's it, symptoms, diagnostics, treatment, prevention

Synonyms: bloated belly; abdominal distention; bloated belly

Abdomen – swollen; Swollen belly; Swelling in the abdomen; Abdominal distention; Distended abdomen

What is bloating

A bloated abdomen is characterized by a sharp increase in volume in the abdomen and may be accompanied by a feeling of discomfort or pain..

Causes of bloating

Bloating is most often caused by overeating., not a serious illness.. This issue can also be caused by the following reasons:

  • Swallowing air or gases
  • Accumulation of fluid in the abdomen (it could be a sign of a serious medical problem)
  • Gas in the intestines due to eating high-fiber foods (eg, fruits and vegetables)
  • Irritable Bowel Syndrome
  • Lactose intolerance
  • Ovarian cyst
  • Partial intestinal obstruction
  • Pregnancy
  • Premenstrual syndrome (PMS)
  • Hysteromyoma
  • Weight gain

Home care for bloating

Abdominal distention, caused by overeating, disappear, when the body digests food. Eating less food will help prevent bloating.

With bloating, caused by swallowing air:

  • Avoid excessive consumption of carbonated drinks.
  • Avoid chewing gum or sucking on hard candies.
  • Don't drink through a straw or sip on a hot drink.
  • Eat slowly.

With bloating, caused by malabsorption, try changing your diet and limiting your milk intake. Consult your doctor.

For irritable bowel syndrome:

  • Need to reduce stress.
  • Increase the amount of food you eat, containing dietary fiber.

For other causes of bloating, follow treatment, prescribed by your doctor.

When to see a doctor for bloating

Call your doctor, if:

  • Bloating gets worse and doesn't go away.
  • Bloating is accompanied by other unexplained symptoms.
  • Your stomach hurts when you press it.
  • you have a high temperature.
  • You have severe diarrhea or bloody stools.
  • You can't eat or drink anymore 6-8 hours.

What to Expect When Seeing a Doctor for Bloating

The doctor will conduct a physical examination and ask questions about the medical history, eg, how and when did the problem occur.

The doctor will also ask about other symptoms., that you may have, eg:

  • Absence of a menstrual cycle
  • Diarrhea
  • Excessive tiredness
  • Excessive gas or belching
  • Irritability
  • Vomiting
  • Weight gain

Procedures and tests, which can be prescribed by a doctor for bloating, include:

  • CT of the abdomen
  • Abdominal ultrasound
  • Blood tests
  • Colonoscopy
  • Esophagogastroduodenoscopy (ESOPHAGOGASTRODUODENOSCOPY)
  • Paracentesis
  • Sigmoidoscopy
  • Fecal
  • X-ray of the abdomen

Sources

  1. Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Abdomen. In: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Seidel’s Guide to Physical Examination. 9th ed. St Louis, MO: Elsevier; 2019:chap 18.
  2. Landmann A, Bonds M, Postier R. Acute abdomen. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. Philadelphia, PA: Elsevier; 2022:chap 46.
  3. McQuaid KR. Approach to the patient with gastrointestinal disease. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 123.

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