Bloating After Meals

What Causes Bloating After Meals?

Bloating after meals can have various causes, ranging in severity from 'troubling' to 'generally fatal'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose bloating after meals, we could:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "bloating after meals" as a symptom.  Here are eight of many possibilities (more below):
  • Food Allergies
  • Ovarian Cancer
  • Multiple Chemical Sensitivity
  • Adrenal Fatigue
  • Gluten Sensitivity
  • Atrophic Gastritis
  • Heartburn
  • Crohn's Disease

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
mild hypogastric discomfort
mild meal-induced pain
having a CFS diagnosis
major joint pain/swelling/stiffness
bloating caused by many foods
prednisone use
mild abdominal discomfort
mild epigastric discomfort
dairy product consumption
slightly painful urination
history of adult allergies
frequent stools
... and more than 180 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of bloating after meals:
Cause Probability Status
Adrenal Fatigue 98% Confirm
Crohn's Disease 21% Unlikely
Gluten Sensitivity 17% Unlikely
Atrophic Gastritis 5% Ruled out
Heartburn 2% Ruled out
Food Allergies 2% Ruled out
Multiple Chemical Sensitivity 0% Ruled out
Ovarian Cancer 0% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

If you indicate occasional problems caused by eating, regular problems caused by eating or frequent problems caused by eating, The Analyst™ will ask further questions including this one:
Does your belly feel full and tight ("bloated") after eating a normal-sized meal?
Possible responses:
→ No / rarely / only if I eat too much / don't know
→ Bloating is (also) present before meals
→ Occasionally - several times a year
→ Regularly - at least once a month
→ Frequently - after most or all meals
Based on your response to this question, which may indicate absence of meal-related bloating, meal-related bloating or frequent meal-related bloating, The Analyst™ will consider possibilities such as:
IBS (Irritable Bowel Syndrome)

Bloating can occur at any time for IBS sufferers but especially after or during a meal as the digestive system will be under an increased workload.  Bloating is extremely common in IBS sufferers, with one study of 337 IBS patients finding that 83% experienced bloating.  Therefore, the absence of meal-related bloating would tend to rule out IBS, although not completely.

Lactose Intolerance

"An estimated 50 million Americans experience intestinal discomfort after consuming dairy products.  Symptoms include bloating, stomach pain, cramps, gas, or diarrhea." [Postgraduate Medicine 1994;95(1)]

Ovarian Cancer

Gastrointestinal symptoms, such as gas, indigestion, nausea, or changes in bowel movements, are sometimes early warning signs.

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