Bloating: Common but incompletely understood
Bloating is a sensation of abdominal fullness. Distension is a visible or measurable increase in abdominal size. People often describe abdominal symptoms as bloating, especially if those symptoms don't seem to be relieved by belching, passing gas or having a bowel movement.
The exact connection between intestinal gas and bloating is not fully understood. Many people with bloating symptoms don't have any more gas in the intestine than do other people. Many people, particularly those with irritable bowel syndrome or anxiety, may have a greater sensitivity to abdominal symptoms and intestinal gas, rather than an excess amount.
Nonetheless, bloating may be relieved by the behavioral changes that reduce belching, or the dietary changes that reduce flatus.
When to see your doctor
Excessive belching, passing gas and bloating often resolve on their own or with simple changes. If these are the only symptoms you have, they rarely represent any serious underlying condition.
Consult your doctor if your symptoms don't improve with simple changes, particularly if you also notice:
- Persistent or severe abdominal pain
- Bloody stools
- Changes in the color or frequency of stools
- Unintended weight loss
- Chest discomfort
- Loss of appetite or feeling full quickly
These signs and symptoms could signal an underlying digestive condition. Intestinal symptoms can be embarrassing — but don't let embarrassment keep you from seeking help.
June 08, 2017
- Gas in the digestive tract. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/gas-digestive-tract. Accessed Jan. 13, 2017.
- Abraczinskas D. Intestinal gas and bloating. http://www.uptodate.com/home. Accessed Jan. 13, 2017.
- Gas-related complaints. Merck Manual Professional Version. http://www.merckmanuals.com/professional/gastrointestinal-disorders/symptoms-of-gi-disorders/gas-related-complaints. Accessed Jan. 13, 2017.
- Feldman M, et al. Intestinal gas. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Jan. 13, 2017.
- Wilkinson JM (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 29, 2017.