What is Bloating and Gas Evaluation?
Bloating and gas evaluation is the clinical assessment of symptoms related to abdominal distension, pressure, and excessive intestinal gas. These symptoms may result from diet, digestive disorders, gut microbiome imbalance, or impaired motility. Evaluation helps determine whether symptoms are functional, dietary, or caused by underlying disease and guides appropriate treatment strategies.
When is Evaluation Recommended?
Evaluation is recommended for patients with persistent or disruptive symptoms, or signs suggesting an underlying disorder. Common indications include:
- Chronic or recurrent bloating
- Excessive gas or belching
- Abdominal discomfort or visible swelling
- Symptoms triggered by eating or specific foods
- Unexplained diarrhea or constipation
- Unintentional weight loss
- Food intolerances or sensitivities
- Long-standing IBS or suspected SIBO
Patients with severe or sudden symptoms should seek urgent care.
How is Evaluation Performed?
The evaluation begins with a detailed symptom and dietary history to identify patterns and triggers. A physical examination may assess tenderness, distension, or bowel abnormalities. Diagnostic testing can include stool studies, SIBO breath testing, celiac screening, lactose intolerance testing, or blood work to assess inflammation and malabsorption. In some cases, imaging or endoscopy may be performed to exclude structural disease. Results guide dietary changes, medications, or targeted treatments.
What to Expect After Evaluation?
Most evaluation procedures are noninvasive and require little to no recovery time. Patients can resume daily activities immediately. Recovery depends on additional procedures, such as endoscopy or imaging, which may involve brief observation or sedation effects.
What are the Risks of Evaluation?
Evaluation is generally safe, but potential risks may include:
- Temporary discomfort during testing
- False negative or inconclusive results
- Mild reactions to test solutions or medications
What are the Benefits of Evaluation?
Evaluation may help by:
- Identifying digestive intolerances or microbiome imbalance
- Diagnosing conditions like SIBO, IBS, or celiac disease
- Guiding personalized dietary and medical treatment
- Reducing symptoms and improving daily comfort