Do you suffer from gas and bloating that's downright uncomfortable?

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Call us directly: 727-335-0400

Have you been told to:
just put up with it?
take probiotics?
try a gas pill?

Gas and bloating isn't just a nuisance, it's can be a warning from your body of a hidden imbalance. We don't want to just "band-aid" it.

Causes:
1. SIBO - small intestinal bacterial overgrowth - excess bacteria in your small intestine ferment food in the wrong place, causing gas/bloat, constipation or diarrhea.
2. Food intolerances or Malabsorption - undigested carbohydrates and fats reach your colon and produce gas.
3. Motility issues - in the stomach it's called gastroparesis, and constipation is another indicator of motility problems. Slowed movement through your digestive tracts means the gas and intestinal contents hang around too long, intensifying your symptoms of gas and bloat.
4. Hormone influences and Stress - stress and anxiety (common with hiatal hernia) can modify how your body reacts. Your nerves can be more sensitive within your intestine causing your to feel even mild amounts of gas and bloat more acutely. 
Stress also activates your fight or flight nervous system which slow digestive rate and motility.
Stress alters your microbiome allowing for more bad bacteria, increased fermentation of food and increased bloat and gas as a result.

Evaluation
A good in-depth health history
Rule out celiac disease and thyroid disease plus any inflammatory bowel disease
Test the microbiome for dysbiosis - presence of bad bacteria
Endoscopy
Motility tests - called gastric emptying study
Trials of therapeutic diets to evaluate for food intolerances.

Treatment
Rebalance your microbiome
Optimize motility - an easy first step is to hydrate and increase the amount of soluble fiber in your diet
Start breathing techniques like box breathing

You don't have to suffer with this.
If you'd like help we're here for you. The best next step is to contact us for a consultation and then we can determine if what we do is a good fit for you. Call 727-335-0400.

References:
Lacy BE et al., Pathophysiology, Evaluation, and Treatment of Bloating (2011) PMC

Crucillà et al., Functional Abdominal Bloating & Gut Microbiota (2024) 

MDPIStanghellini V, Tack J. Gastroduodenal disorders of sensation and motility. Gastroenterology. 2004;126(6):1721-1737.

Hasler WL, Gas and Bloating (PMC article) — overview of causes, when it's abnormal 
PMC

“Gas, Bloating, and Belching: Approach to Evaluation and Management” — AAFP review of differential causes 
American Academy of Family Physicians

“Management of Chronic Abdominal Distension and Bloating” (CGH journal) — therapeutic strategies 
CGH Journal

Lacy BE et al. Pathophysiology, evaluation, and treatment of bloating. Gastroenterology & Hepatology. 2011;7(11):729-739. 

Camilleri M. Fat-induced changes in upper GI function: relevance to dyspepsia. Am J Clin Nutr. 2005;82(4):777-784.

Wedlake L et al. Systematic review: the prevalence of idiopathic bile acid malabsorption as diagnosed by SeHCAT scanning in patients with diarrhoea-predominant IBS. Aliment Pharmacol Ther. 2009;30(7):707-717. 

Keller J, Layer P. Human pancreatic exocrine response to nutrients in health and disease. Gut. 2005;54(Suppl 6):vi1–vi28. 

#bloating #guthealth #hiatalhernia 

Disclaimer: The information provided in this video is intended for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of your physician or other qualified health provider with any questions you may have regarding your health, medical condition, or treatment option