[35F] Experiencing chronic bloating and associated shortness of breath

Patient Description

A 35-year-old female is reporting chronic bloating that causes her stomach to become notably distended and hard to the touch, occurring almost daily regardless of dietary intake. This bloating appears to be impacting her diaphragm, leading to shortness of breath rated at a severity of 4 out of 10. The shortness of breath is all-day and is alleviated by taking Gas-X, hot showers, and asthma medication. The patient has noticed a correlation between the resolution of bloating and the improvement of shortness of breath. There is no mention of other symptoms or relevant medical history at this time.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause bloating, gas, and abdominal pain. It's usually long-term and can cause discomfort but doesn't lead to serious disease.

    • Treatment for IBS often includes dietary changes, medication, and stress management.
  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that affects the ring of muscle between your esophagus and your stomach. It can cause bloating and shortness of breath.

    • Treatment for GERD often includes lifestyle changes and over-the-counter medications.
  • Gastritis: This is an inflammation of the stomach lining that can cause bloating and shortness of breath.

    • Treatment for gastritis often includes antacids and other medications to decrease stomach acid.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Avoid foods that trigger your symptoms. This can include foods high in fat, spicy foods, or certain types of carbohydrates.
  2. Try to eat smaller, more frequent meals instead of three large meals a day.
  3. Try over-the-counter remedies for gas and bloating, such as simethicone (Gas-X).
  4. Practice relaxation techniques, such as deep breathing exercises, to help manage your shortness of breath.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms worsen or do not improve with home treatment.
  • If you experience severe abdominal pain.
  • If you have difficulty swallowing or experience chest pain.
  • If you notice blood in your stool or vomit.

Remember, I'm an AI and this advice is based on the information you provided. It's always important to consult with a healthcare provider for an accurate diagnosis.

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10 mo ago

People Also Ask


What are common causes of chronic bloating and how can they be managed?

Common causes of chronic bloating include conditions like Irritable Bowel Syndrome (IBS), Gastroesophageal Reflux Disease (GERD), and gastritis. Management often involves dietary changes, medications, and stress management techniques.


How does bloating affect breathing and what can be done to alleviate this symptom?

Bloating can push against the diaphragm, leading to shortness of breath. Alleviating bloating with medications like simethicone, taking hot showers, and using asthma medication can help improve breathing.


What lifestyle changes can help manage symptoms of IBS or GERD?

Lifestyle changes for managing IBS or GERD include avoiding trigger foods, eating smaller meals, practicing stress management techniques, and using over-the-counter medications to reduce symptoms.


When should someone with bloating and shortness of breath see a doctor?

You should see a doctor if your symptoms worsen, do not improve with home treatment, or if you experience severe abdominal pain, difficulty swallowing, chest pain, or notice blood in your stool or vomit.


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