Bloating & Excess Gas

Bloating and excess gas are common digestive symptoms that can cause a swollen abdomen, trapped wind, excessive burping and abdominal discomfort. While occasional bloating is often linked to diet or eating habits, persistent symptoms may be worth investigating to rule out an underlying digestive condition and identify the most effective approach to treatment. 


Common causes of bloating and gas

  • Irritable bowel syndrome (IBS) 
  • Constipation 
  • Food intolerances 
  • Swallowing excess air 
  • Diet-related triggers 
  • Coeliac disease 
  • Small intestinal bacterial overgrowth (SIBO) 

When to seek medical advice 

  • Symptoms lasting several weeks 
  • Frequent or recurring bloating 
  • Symptoms affecting your daily life 
  • Ongoing abdominal discomfort 
  • Changes in bowel habits 

Seek urgent medical advice if you experience 

  • Unexplained weight loss 
  • Blood in your stools (poo) 
  • Persistent vomiting 
  • Difficulty swallowing 
  • Severe abdominal pain 

Relevant diagnostic tests 

  • Blood tests 
  • Stool tests 
  • Breath testing 
  • Gastroscopy (a procedure using a camera to examine the upper digestive tract) 
  • Colonoscopy (a procedure using a camera to examine the large bowel) 
  • Flexible sigmoidoscopy (a procedure using a camera to examine the lower part of the large bowel) 
  • Ultrasound, CT or MRI scans 

Understanding Bloating & Excess Gas: Common Signs & Profile 

Most people experience stomach bloating and gas from time to time. Symptoms may develop after eating, gradually increase throughout the day or come and go depending on diet, lifestyle and digestive health. 

Common descriptions include: 

  • A swollen or bloated abdomen (often referred to as a distended stomach) 
  • A feeling of fullness or tightness in the tummy 
  • Trapped wind pain 
  • Pressure in the abdomen 
  • Excessive flatulence (passing wind more often than usual) 
  • Frequent burping 
  • Gurgling or rumbling noises from the bowel 
  • Discomfort after eating 
  • Clothing feeling tighter around the waist 

Accompanying symptoms 

Depending on the cause, bloating and excess gas may occur alongside: 

  • Abdominal pain or cramping 
  • Constipation 
  • Diarrhoea 
  • Changes in bowel habits 
  • Nausea 
  • Loss of appetite 
  • Feeling full quickly when eating 

While occasional symptoms are common, persistent bloating should not be ignored, particularly if it is new, worsening or affecting your daily life. 


What Causes Bloating & Excess Gas? 

There are many possible causes of stomach bloating and gas, ranging from simple dietary triggers to underlying digestive conditions. 

Swallowing excess air 

Eating too quickly, chewing gum, drinking fizzy drinks or talking while eating can increase the amount of air swallowed, contributing to bloating and burping. 

Certain foods 

Some foods naturally produce more gas when digested, including: 

  • Beans and pulses 
  • Lentils 
  • Onions 
  • Broccoli 
  • Cabbage 
  • Brussels sprouts 
  • Artificial sweeteners 
  • Fizzy drinks 

Food triggers vary from person to person. 

Overeating 

Large meals can place additional strain on the digestive system and may cause temporary bloating, fullness and discomfort. 

Stress and anxiety 

The digestive system and brain are closely connected. Stress can affect digestion and may worsen symptoms such as bloating, abdominal discomfort and changes in bowel habits. 

Common digestive conditions 

Irritable bowel syndrome (IBS) 

IBS is one of the most common causes of recurring bloating. Alongside bloating, people may experience: 

  • Abdominal pain 
  • Diarrhoea 
  • Constipation 
  • Mixed bowel habits 

Food intolerances 

Difficulty digesting certain foods can lead to excess gas production and bloating. 

Examples include: 

  • Lactose intolerance 
  • Fructose intolerance 
  • Sensitivity to certain carbohydrates (FODMAPs) 

Constipation 

When stools remain in the bowel for longer than usual, gas can become trapped and contribute to bloating and abdominal swelling. 

Coeliac disease 

Coeliac disease can cause symptoms such as bloating, diarrhoea and fatigue when the body reacts to gluten. 

Less common or serious conditions 

Although less common, persistent bloating may sometimes be associated with: 

  • Inflammatory bowel disease (IBD) 
  • Small intestinal bacterial overgrowth (SIBO) – excess bacteria in the small bowel 
  • Diverticular disease – a condition affecting the lining of the large bowel 
  • Gastroparesis – a condition where the stomach empties more slowly than normal 
  • Bowel cancer and other cancers affecting the digestive system 

Most cases are not caused by a serious condition, but ongoing symptoms are worth discussing with a healthcare professional. 


When Should You See a Doctor for Bloating & Excess Gas? 

While occasional bloating is usually nothing to worry about, it’s worth speaking to a healthcare professional if symptoms persist, worsen or affect your quality of life. 

Seek medical advice if you experience: 

  • Bloating that does not improve 
  • Ongoing abdominal discomfort 
  • Frequent trapped wind pain 
  • Changes in bowel habits 
  • Persistent diarrhoea 
  • Persistent constipation 
  • Difficulty eating 
  • Feeling full unusually quickly 

Red flag symptoms 

Urgent medical advice may be recommended if bloating occurs alongside: 

  • Unexplained weight loss 
  • Blood in your stools 
  • Black or tarry stools 
  • Persistent vomiting 
  • Difficulty swallowing 
  • Severe or sudden abdominal pain 
  • Anaemia (often caused by low iron levels) 
  • A new abdominal lump or swelling 

If symptoms are severe or rapidly worsening, it’s important to seek urgent medical advice through NHS 111, your GP or emergency services as appropriate. 


Diagnosing the Cause of Bloating & Excess Gas 

Many people feel anxious about digestive investigations. Understanding what to expect can help make the process feel more manageable. 

Initial consultation 

A gastroenterologist will ask you: 

  • When your symptoms started 
  • Whether your symptoms are linked to food 
  • How often you experience bloating 
  • Your bowel habits 
  • Any recent changes to your diet 
  • Any family history of digestive conditions 
  • Any other symptoms you’ve noticed 

These questions help build a clearer picture of what may be causing your symptoms. 


Diagnostic tests & procedures 

  • Blood tests: Used to identify signs of inflammation, nutritional deficiencies or coeliac disease. 
  • Stool tests: Can help detect infection, inflammation and other bowel conditions. 
  • Breath testing: Used to investigate lactose intolerance and small intestinal bacterial overgrowth (SIBO). 
  • Gastroscopy: Allows specialists to examine the oesophagus, stomach and upper digestive tract. 
  • Colonoscopy: Examines the large bowel to help identify inflammation, polyps and other bowel conditions. 
  • Flexible sigmoidoscopy: Assesses the lower part of the bowel and may be appropriate for certain symptoms. 
  • Imaging scans: Ultrasound, CT or MRI scans may be recommended if further investigation is needed. 

How is Bloating & Excess Gas Treated? 

Treatment depends on the underlying cause of your symptoms. 

Self-care & home remedies 

Many people experience improvement through simple lifestyle measures, including: 

  • Eating more slowly 
  • Avoiding large meals 
  • Limiting fizzy drinks 
  • Drinking plenty of water 
  • Keeping a food diary 
  • Staying physically active 
  • Identifying dietary triggers 

Medical & prescription treatments 

Depending on the cause, treatment may include: 

  • Medication for IBS 
  • Constipation treatments 
  • Medication for acid reflux 
  • Treatments for diarrhoea 
  • Therapies for food intolerances 

Your specialist will recommend the most appropriate approach based on your symptoms and diagnosis. 

Specialist interventions 

If an underlying condition is identified, targeted treatment may help reduce bloating and improve your overall digestive health. 

The good news is that many causes of bloating respond well to treatment once the underlying issue has been identified. 


Private Digestive Care at Clarity 

Living with ongoing bloating and digestive discomfort can be frustrating, particularly when symptoms interfere with your confidence, social plans or daily routine. 

At Clarity, our digestive health specialists provide: 

  • Fast access to consultant gastroenterologists, without long waiting lists 
  • Comprehensive investigations to help identify what’s causing your symptoms 
  • Access to advanced diagnostic tests and procedures when needed 
  • Personalised treatment plans tailored to your individual needs 
  • Ongoing support throughout your diagnosis and treatment 

From your first appointment through to diagnosis and treatment, our skilled team at Clarity is committed to helping you get the answers, support and treatment you need.

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