Those abnormal muscle movements — and the bloating that accompanied them — occurred because the nerves of the gut and abdominal wall were overly reactive to otherwise normal amounts of pressure from inside the intestines (called visceral hypersensitivity.)
Thus, even small amounts of gas produced during natural digestion can cause discomfort and distention.
What can I do to relieve it?
Experts often recommend that patients first try to identify, then eliminate, anything in their diet or lifestyle that might be triggering their bloating — or, as I like to say, “What floats your bloat.” Certain foods, particularly those rich in insoluble fiber like cruciferous vegetables, lentils and beans, are classic offenders.
Other common triggers include fermented drinks like beer and kombucha, the artificial sweetener sucralose, as well as onions and fruits. Occasionally, certain behaviors like drinking carbonated beverages, chewing gum or smoking can raise the risk of bloating by increasing the amount of air you swallow, and cutting back on them can help.
With so many potential triggers, it can be hard — or even harmful — to experiment with identifying and eliminating problematic foods on your own, so seeking the guidance of a nutritionist is recommended, Dr. Harer said.
In some cases, fixing the underlying cause of your bloating may require more than just dietary and lifestyle tweaks. Patients with gastroparesis or significant constipation may benefit from a drug called prucalopride, which helps empty the stomach and expel waste through the colon. (Experts don’t recommend at-home interventions that empty your gut, like colonic irrigation, because they can cause trauma or tears to the gastrointestinal tract.) For those with over-reactive intestines, certain medications can help dampen those heightened responses, making patients less likely to react with bloating.
Infrequent stool, straining or feeling like you haven’t ever quite fully “emptied” can also contribute to bloating. These symptoms may result from improper coordination of the pelvic floor, which can be improved with specialized physical therapy.
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