Bloating is one of the most common symptoms that I see, if not THE SINGLE MOST COMMON COMPLAINT I HEAR IN PRACTICE (but anxiety is up right there....).

 Honestly, I see great results with bloating and feel confident that I can help improve this complaint, but over the years I have realized that there are different "types" of bloating - - there can be gas production, food reactivities, intestinal inflammation, uterine/ovarian inflammation, maldigestion, water retention, or all-of-the-above could be happening at the same time - and all these can lead to the feeling of abdominal distention and make someone say "I just feel BLOATED!"

I used to think that almost all bloating was fermentation of foods from imbalanced gut bacteria (dysbiosis - my next podcast episode!!!), but as I've helped hundreds of cases of bloating throughout the years, I now realize that not all "bloating" is the same thing - there is fermentation and gas production yes, which can come from Small Intestinal Bacterial Overgrowth (SIBO), and this is STILL the single-most common driver, but what if it's NOT SIBO? What if it's SIFO (fungal overgrowth)? What if it's LOW bacteria in the gut? What if they have H. pylori or a parasite? What if it's not from gut dysbiosis? What are the MECHANISMS THAT MAY BE INVOLVED? How can we test for these things, and WHAT CAN WE DO?!?!

In this podcast I discuss how I approach these cases, what the mechanisms might be, and how I differentiate bloating from foods vs. bloating from inflammation vs. bloating from histamine vs. bloating from water retention vs. bloating from hormone cycles - and how I might  address each of these differently so that someone comes back in and says "MY BLOATING IS GONE!", which is a great thing to hear :)