Why do I feel bloated even after small meals?

Doctor's Answers 1

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Dr Jarrod Lee

Gastroenterologist

The commonest cause of bloating is a food intolerance. The problem is not the size of the meal, but that you are probably eating food that you are not able to digest without being aware of it. The undigested food is then metabolized to hydrogen and methane gases by gut bacteria and causes bloating.

Certainly reducing carbonated drinks will help to reduce the gas, but the most important thing is to identify what you are eating that you are intolerant to and that, hence, causes bloating.

Our clinics employ 2 strategies for our bloated patients:

1. Hydrogen/ methane breath testing to look for sugar intolerance or bacterial overgrowth, which are common causes of bloating.

2. Seeing a specialist dietitian for a low FODMAP diet, to help to identify specific food intolerances.

You may want to consider these strategies if your symptoms become troublesome. They are available in the larger public hospital and in established digestive group practices.

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Your symptoms are very common and many people suffer from them daily. However, there are a couple of things that I would like to bring up in your case that are worth considering as I suspect your complaints might not be from a single problem. Irritable bowel syndrome encompasses a myriad of symptoms but a common feature would be the relation of the abdominal pain or discomfort to defecation. Most people find relief with passing motion or gas, albeit temporary. Your complaints of prolonged, persistent abdominal bloating warrants further consideration of other medical and non-medical causes.

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