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Bloating

Bloating is when your tummy feels full, tight or bigger than usual, most often because of a lot of gas in your gut. It is common: nearly 18% of adults report bloating at least once a week, in a 26-country study that included the UK. Most bloating settles on its own. Bloating that does not is worth looking at.

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Bloating

Overview

What Is Bloating?

Bloating is a feeling of fullness or swelling in your tummy, and it usually comes with other signs. The NHS lists these as [2]:

  • your tummy feels full or bigger than usual
  • you have tummy pain or discomfort
  • your tummy is rumbling or making noises
  • you're farting more than usual

It is a symptom rather than a diagnosis. The same feeling can come from what you ate last night or from something that has been building for months, and the two can feel identical from the inside. Finding out which one you have is what an assessment is for.

When Should You Seek Assessment for Bloating?

Bloating is rarely an emergency on its own. What matters is what comes with it, and the NHS sets three levels accordingly [2].

Call 999 or go to A&E if you have bloating with a swollen stomach and [2]:

  • you have a stomachache that is severe and came on very suddenly
  • you're vomiting blood or your vomit looks like ground coffee
  • you have severe difficulty breathing - you're gasping, choking or not able to get words out

Do not drive to A&E. Ask someone to drive you or call 999 and ask for an ambulance. Bring any medicines you take with you [2].

Ask for an urgent GP appointment or call 111 if [2]:

  • you have bloating with vomiting (being sick), diarrhoea or constipation
  • you have bloating with a stomachache
  • you have a high temperature (fever), or feel hot, cold or shivery
  • you have a swelling or lump in your tummy
  • you cannot pee, poo or fart
  • you have a burning feeling in your chest caused by stomach acid travelling up towards your throat (acid reflux)

See a GP, and consider booking an assessment, if [2]:

  • you feel bloated regularly
  • you've tried changing your diet but keep feeling bloated
  • you have bloating and unintentional weight loss
  • you have bloating and also have blood in your poo

LivingCare is a specialist outpatient service and is not an emergency care facility. If your symptoms are sudden or severe, call 999.

That third tier is where most people reading this will be, and it is the one most easily left for another month. Regular bloating that has not shifted when you changed what you eat is the point at which it is worth someone looking properly. To be seen privately, book a Gastroenterology Consultation.

What Might Be Causing My Bloating?

The most common reason for bloating is having a lot of gas in your gut. That can be caused by some food and drinks, such as some vegetables and fizzy drinks, or by swallowing air when you eat [2].

It can also be caused by a problem with your digestion, such as constipation, food intolerance, coeliac disease or irritable bowel syndrome (IBS) [2]. Some people feel bloated around the time of their period [2]. These are the everyday explanations, and between them they cover most bloating.

Sometimes, bloating that does not go away can be a sign of something more serious, such as ovarian cancer [2]. That is one of the reasons persistent bloating is worth having assessed rather than lived with: an assessment is how the less likely causes get ruled out as well as the likely ones. Where the cause sits outside the digestive system, the specialist will say so and point you to the right service.

Bloating also rarely arrives on its own. Where it comes with pain, our Abdominal Pain page covers that symptom, and where your bowel habit has changed alongside it, our Changes in Bowel Habit page does the same.

How Bloating Is Assessed

A gastroenterology consultation is the starting point - the specialist reviews your symptoms and arranges only the tests they call for.

That can mean no tests at all. Treatment for bloating is often not needed, and where it is needed it depends on the cause [2]. Where tests are called for, they may include blood tests, imaging such as an ultrasound, CT or MRI scan, or a Colonoscopy - a camera test that looks at the lining of the bowel. Which of these applies, if any, is the specialist's judgement to make with you.

Self-pay, with no GP referral needed. If you are using medical insurance, your insurer may ask for a GP referral letter. You can book a Gastroenterology Consultation directly, or read more about our Gastroenterology service.

References

  1. Ballou S, Singh P, Nee J, Rangan V, Iturrino J, Geeganage G, Löwe B, Bangdiwala SI, Palsson OS, Sperber AD, Lembo A, Lehmann M - Prevalence and Associated Factors of Bloating: Results From the Rome Foundation Global Epidemiology Study, Gastroenterology 2023;165(3):647-655.e4: https://pmc.ncbi.nlm.nih.gov/articles/PMC10527500/
  2. NHS - Bloating: https://www.nhs.uk/conditions/bloating/

Medically reviewed by: Dr N. Chandra, Consultant Endoscopist. Last reviewed: 09/10/26

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Common Questions Relating To

Bloating

Why do I seem to bloat more than other people?

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What can I do at home to ease bloating?

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Does bloating always need treatment?

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