Gastroenterologist Questions Bloating

Why do I feel bloated around my upper stomach?

Every night I end up feeling bloated around the upper part of my stomach. In the morning, it seems to settle on its own. What is the cause for this bloating and what can I do for it?

5 Answers

There are multiple causes which would need evaluation.
This is most likely related to your diet or what is called aerophagia, in which you swallow air. Not knowing what you do and your diet/habits, it is hard to tell but most likely that is the reason.
Can be multiple factors. Could be dietary, medication, or some underlying G.I. path, all a general need for a formal history and physical examination, blood work, and probably other studies.
Bloating can be a difficult problem. We don't understand it well, but there are several possible causes:

1. Certain foods that we don't digest well can draw fluid into the small bowel lumen causing distention and bloating. Fluid, not gas, is causing the bloating.
2. Upper GI dysmotility (abnormal persistalsis) causes poor handling of foods ingested resulting in bloating.
3. Recent research has shown that some patients actually involuntarily contract their diaphragm and relax the abdominal wall muscles resulting in significant bloating and increased abdominal girth. This is often described as "my stomach looks like I'm 6 months pregnant."
4. Small bowel bacterial overgrowth. In my experience, this is not a common cause of bloating.



#1 is probably the most common cause. Can treat by trying the Low FODMAP
diet to eliminate carbs that are poorly digested. See:
https://rmdietetic.com/the-best-low-fodmap-resources/

#2 and #4 would need GI evaluation for possible prescription therapy.

#3 is still being investigated and treatments with biofeedback are
experimental.


Hope this helps.
Hi. Not sure of your age or other associated medical conditions you may have. Bloating at night may be due to having a late or large meal and going to bed soon thereafter. Try avoiding late, large meals to see if the condition improves, and if not then see your doctor please.