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):
  • Heartburn
  • Bacterial Dysbiosis
  • Adrenal Fatigue
  • Food Allergies
  • Delayed Gastric Emptying
  • Stomach Cancer
  • Atrophic Gastritis
  • Ovarian Cancer

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:
pain/burning behind breastbone
abnormal vaginal discharge
confirmed delayed gastric emptying
prednisone use
meal-induced pain for under a week
afternoon headaches
bitter taste in mouth
nausea for 1-3 months
sinusitis
poor cold weather tolerance
history of hyperthyroidism
sugar/sweet craving
... and more than 150 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
Heartburn 96% Confirm
Atrophic Gastritis 18% Unlikely
Adrenal Fatigue 16% Unlikely
Bacterial Dysbiosis 1% Ruled out
Ovarian Cancer 1% Ruled out
Food Allergies 1% Ruled out
Delayed Gastric Emptying 1% Ruled out
Stomach 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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