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Stomach Bloating or Abdominal Distension
A
bloated stomach is often caused by a sudden increase in
fiber from vegetables,
fruits and beans. If this is the cause of your bloating, you might ease up on
these foods and reintroduce them more gradually into your diet. Alternatively,
persevere and the bloated feeling should pass within a matter of days.
Possible causes of bloating include:
The most common causes of chronic stomach bloating are irregular digestive
processes which produce gases at a much higher rate than normal.
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Pre-menstrual Tension (PMT) - The symptoms tend to disappear or greatly
improve once the bleeding actually starts.
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Contraceptive
pill
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Too much alcohol
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Salt, or processed foods in your diet - even a small amount of excess
sodium causes bloating.
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Too little
protein
in diet.
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Doctors believe that bloating is usually the result of an intestinal
disorder, such as irritable bowel syndrome (IBS). The cause of IBS is
unknown, but may involve abnormal movements and contractions of intestinal
muscles and increased pain sensitivity in the intestine. These disorders may
give a sensation of bloating because of increased sensitivity to gas.
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Carbonated
Drinks- Fizzy drinks, including soda pop and spritzers, increase bloating
because the carbon dioxide trapped in the bubbles creates gas, which slows
down stomach emptying.
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Water intake: Many
women believe that drinking too much water will give them puffy abs, but
just the opposite is true. Even though we associate water with being
bloated, drinking more water can help to flush sodium out of the body, and
that reduces the bloat.
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Lactose Intolerance- sometimes your stomach is unable to digest the
lactose--or milk sugar--in dairy foods leading to bloating.
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Food
allergies can cause your stomach to puff out, too. But this is a reaction of
the immune system involving the whole body, and usually hives and runny nose
are the more prominent symptoms.
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Any disease that causes intestinal inflammation or obstruction, such as
Crohn's disease or colon cancer, may also cause abdominal bloating. In
addition, people who have had many operations, adhesions (scar tissue), or
internal hernias may experience bloating or pain.
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Finally, eating a lot of fatty food can delay stomach emptying and cause
bloating and discomfort.
How Stomach Bloating Happens:
Digestion
is a series of chemical reactions that break down food into components from
which we derive energy and nutrients. The remaining material is waste and is
delivered further down the intestinal tract for elimination.
Some of those waste products are odourless gases and under normal
circumstances the amounts are managed easily by the elasticity of the intestinal
canal. That is, the small volumes of methane, oxygen and nitrogen do not overly
stretch the gut wall and pass along painlessly. Known as flatulence, we all
experience this as a normal part of digestion.
But when different gases are produced - as with food intolerance - often at
higher temperatures and pressures the result can be extremely painful, smelly
and debilitating.
Foods that may cause gas include:
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Beans
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Vegetables, such as broccoli, cabbage, brussels sprouts, onions,
artichokes, and asparagus
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Fruits, such as pears, apples, and peaches
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Whole grains, such as whole wheat and bran
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Soft drinks and fruit drinks
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Milk and milk products, such as cheese and ice cream, and packaged foods
prepared with lactose, such as bread, cereal, and salad dressing
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Foods containing sorbitol, such as dietetic foods and sugarfree candies
and gums
Known as stomach bloating, the large pockets of sulphur-bearing gases
(hydrogen sulphides and/or mercaptans) stretch the gut wall past its comfortable
elastic limit and we feel pain and a 'blowing up' or expansion in the abdomen.
It may even become difficult to put on clothes like jeans or suit trousers
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Eat
plenty of fresh fruit and vegetables, fill up on pasta, rice and beans.
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Drink at least eight 8-ounce glasses of water per day. Beverages
with little or no calories, caffeine or sodium, including herbal tea, are
best.
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Avoid regular soft drinks and soups with lots of sodium. If you
are eating plenty of water-rich foods such as fruits, vegetables and
low-sodium soups, you can get half of your water requirements from foods,
according to a 1998 NAS Food and Nutrition Board report. Avoid carbonated
drinks. Fizzy drinks, including soda pop and spritzers, increase bloating
because the carbon dioxide trapped in the bubbles creates gas, which slows
down stomach emptying.
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Choose fresh, natural foods over fast, commercial or packaged foods.
Instead of ordering french fries (265 milligrams of sodium), have a baked
potato (8 milligrams). Instead of a pickle (1,730 milligrams!), enjoy a
fresh cucumber (6 milligrams). And beware of cured meats: Three ounces of
ham packs in 1,009 milligrams of sodium, compared to just 48 milligrams for
the same amount of roast pork.
Soups
are also notoriously high in sodium; some canned varieties contain more than
1,100 milligrams per cup.
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Read
labels
carefully and stick with low-sodium brands like Healthy Choice.
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Exercise
may help release hormones that encourage bowel activity,
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Approach milk with respect. Just because milk and dairy products
cause bloating doesn't mean you have to give them up. You can drink
lactose-free milk, which tastes sweeter, or add liquid lactase to your dairy
products, says Dr. Perman. Both the more easily tolerated milk and the
digestive enzyme are available at many supermarkets and health food stores.
Nonfrozen yogurt and aged cheeses such as Romano have only small amounts of
lactose in them, so you may be able to eat them without a problem, says Dr.
Perman.
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Take
a
PMS
supplement. Prior to menstruation, the female abdomen often becomes the
repository of all fluids, much like camels' humps. Women who take
supplements containing the
B-complex
vitamins and also
magnesium
and
calcium
seem to have fewer complaints about bloating.
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Avoid too-hot or too-cold foods. You may be unconsciously drawing
in air when tasting foods that are extreme in temperature, beverages and
chewing gum can also make you swallow air, so it's a good idea to avoid them
as well.
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Skip the stimulants. Coffee, tea and chocolate can all overexcite
the digestive tract.
Fat
is another food that's often hard to digest and may stimulate spasms--and
consequently bloating--in the bowel
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Keep a bloat diary. People have different reactions to specific
foods . A diary will help you identify your own troublemakers so you can
reduce portions or eliminate them.
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Get a diagnosis. Bloating can signal any of several serious
digestive diseases. If none of these self-help remedies provides help, see
your doctor for a thorough exam.
Dated 25 May 2012
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