Bloating is one of the most common symptoms of IBS and SIBO, and one of the most uncomfortable. Along with frequent diarrhea or constipation, bloating is probably the symptom that drives most clients to seek help.
Luckily, with some concerted effort, bloating is one of the symptoms that responds well to dietary and lifestyle habit interventions. In today’s post, I’m going to share my top 6 tips for natural bloating relief to reduce bloating due to IBS or SIBO.
What Are the Primary Causes of Bloating?
There are really just a few primary causes of bloating. A huge one is bacterial overgrowth in the intestines. Bacteria eat and excrete, just like we do. Their excretion is gas.
Some bacterial gases that can cause bloating include methane, hydrogen, and hydrogen sulfide. This last one can cause rotten egg farts, and bad breath.
Bacteria generally like to feed on sugars or starches, and this is why a diet like the Low FODMAP diet, that reduces the amount of certain fermentable starches, often helps you feel better if you suffer from bloating. Another microbiome culprit of bloating is yeasts, like candida.
The other main cause of bloating is constipation or slow gut motility. When your gut slows down, this can make it more likely for gases to build up before they are released, and this can make you feel super uncomfortable!
Some people have bloating so severe that they look pregnant by the end of the day.
Therefore my natural bloating relief tips are going to address these root causes.
Natural Bloating Relief Tips
Natural Bloating Relief Tip # 1: Stress
The first thing I want to talk about is stress. You might roll your eyes at me, but stress is a huge trigger for digestive symptoms of any kind. Stress puts your body into fight or flight mode. When this happens, your digestion slows or stops. To keep your digestion moving well, you want to be in the “rest and digest” state. To tame stress, identify your triggers, address the things you can, and create a plan to manage the stress from things you can’t control. Managing this type of stress includes meditation or mindfulness practices, physical activity, laughing regularly, therapy, and doing things you love. You owe it to yourself to handle this first.
Natural Bloating Relief Tip #2: Identify Your Food Triggers
You can make a lot of forward progress with bloating by investing time to identify your food triggers. This helps you get your symptoms under control relatively quickly. One of the easiest ways to figure out your food triggers is to work closely with a Food-Symptom Diary. (If you don’t already have mine, you can grab your free copy here and get right to work.)
Once you are feeling a little better, you can turn your attention to healing deeper layers of gut dysfunction, and hopefully expand your food choices again to a more normal template. Here are some food types that may be contributing to your symptoms to consider:
FODMAPs: FODMAPs are types of carbohydrates that feed bacteria, and may lead to a symptom flare. The goal is not to avoid ALL high FODMAP foods, but to identify the particular ones that flare your symptoms. Check out my video Low FODMAP Diet for IBS and the blog Your IBS Diet Plan in Context for instructions on how to do this.
Histamine foods: Histamine foods can aggravate your gut symptoms, including bloating. Check out my video Histamine Intolerance and IBS and blog Is Histamine Intolerance Causing Your Digestive Symptoms for more information about how to identify your histamine triggers.
High Carb Diet: Too much carbohydrate, sugar, and starch may be your issue. Most of this may be covered by considering FODMAP foods, but in some cases, it may be more broad than that. See if reducing your carbs while increasing your proteins and fats helps.
Too Much Fiber: Too much fiber, especially too much too fast can lead to bloating. You can reduce your intake of fiber (or prebiotics), or back off entirely until you work through other root causes.
Too Much Fat: Some people experience bloating if they eat too much fat. Some are sensitive to animal protein, while others are sensitive to industrial seed oils like canola, soy, and cottonseeed, which can easily become rancid. And for some of you, no matter what the fat is, your gall bladder is struggling to produce enough bile to help break down your fats. Figuring out which situation applies to you can help you make the right choices.
Natural Bloating Relief Tip #3: Support Basic Digestive Function
No matter your digestive troubles, you should always be supporting your basic digestive function. For a more in depth discussion of how to do this, check out my video Digestion Tips for IBS and SIBO. But here are the top three to get you started:
Stomach Acid: Stomach acid greatly helps your digestive tract keep moving, and so helps with bloating. You can support stomach acid by using a little apple cider vinegar or lemon juice in water before meals, or by using betaine hydrochloric acid (HCL) capsules.
Enzymes: Enzymes help your food break all the way down, which may reduce the symptoms of bloating. If carbs are a problem, look for enzymes with amylase. If fats are a problem, make sure you are getting lipase or ox bile. And if proteins aggravate your bloating, make sure there is some protease in there (and you did follow the previous step of stomach acid, too, right? This helps protein break down fully.)
The RIGHT Probiotics (usually no histamine producers): Probiotics are important for good digestive and immune function, but the wrong kinds can aggravate bloating. This is especially true if you are struggling with methane-dominant SIBO or histamine intolerance. Make sure to choose probiotics that don’t have histamine producing strains. Check out my video Probiotics Guide for IBS and SIBO for more information.
Natural Bloating Relief Tip #4: Get Your Gut Moving
Oftentimes bloating is closely related to how quickly your food is moving through your intestines. The more slowly it is moving through, the more bloating you are likely to have. Check out these tips for helping your digestion move along at a normal pace.
Exercise: The physical jostling of exercise helps move the bowels, and it also creates beneficial biochemical changes. At least a daily walk helps keep things moving.
Stretching and Yoga: My colleagues and friends, Ben and Rupali Brown, owners of Pali Yoga in Eureka, CA shared this with me about yoga poses that are beneficial for bloating (You can read their whole post with photos of the poses over on their blog here):
“Simple yoga poses can go along way towards helping to relieve the symptoms of belly bloating. By practicing a range of asanas, we get our bodies moving, which increases blood flow and aids in the expulsion of gas and excessive fluid retention. There are both physical and mental results of these poses that will positively effect belly bloating.
Simple inversions, such as headstand and handstand, calm the nervous system and give gas an easy pathway out of the body. Twisting, like in Supta Matsyendrasana (reclined twist pose) stimulates your internal organs and helps you move internal stagnation. Forward folds, such as uttanasana (standing forward fold), apasana (knees to chest pose), malasana (yogic squat), balasana (child’s pose) can also put direct pressure on the abdomen to help expel gas. More poses that can help include Setubandhasna (Bridge Pose) and Marjariasana Pose (Cat Pose) can be helpful as well.
Additionally, breathing in a way that encourages abdominal contraction on the exhale and dilation on the inhale will increase peristaltic motion. Lastly the benefits of calming the nervous system and reducing anxiety will have perhaps the greatest impact on the healthy functioning of our digestive system, discouraging the over-production of gases in the first place. We encourage practicing these poses and holding each for approximately thirty seconds, and repeating as needed.”
Prokinetics (ginger, LDN): Certain herbal or pharma consumables help encourage intestinal motility. These include Ginger, and low-dose naltrexone (LDN). A few commercial products that help include MotilPro by Pure Encapsulations, and Iberogast by Iberogast, and Motility Activator by Integrative Therapeutics. (You can find these products in my online supplement dispensary at FullScript.)
Massage: Loving up your belly with a little massage oil every now and then can encourage your motility. And come on, this isn’t so hard! It feel’s nice! The main thing is to always work in a clockwise direction, because this is the direction of flow for your large intestine. Try small circles all around the perimeter of your belly.
Adhesions: If chronic constipation and slow motility are a huge contributor to your bloating, you may have abdominal adhesions or scar tissue physically pulling on your intestines and slowing their flow. The gold standard for this work is the Clear Passage Clinics. There are several around the country, and they have had amazing success treating abdominal adhesions in their patients. Or look for a massage therapist or physical therapist in your area who specializes in working with adhesions.
Enemas: Regular enemas can help keep things moving. This particular tip has been a HUGE help for me. If you make a mistake with a trigger food and you’re really uncomfortable, a simple water enema, or enema with some medicinal components can relieve the pressure and allow the gas to move out quickly.
Vagus Nerve Support: The vagus nerve is the super communication highway between your brain and your gut. It is a major contributor to gut motility, so encouraging vagus nerve function can keep your gut moving. Check out my video Digestion Tips for IBS and SIBO for more information about how to stimulate the vagus nerve.
Natural Bloating Relief Tip #5: Correctly Identify Infections and Treat, In the Right Order, for a Long Enough Time
Gut infections and dysbiosis can be a significant contributor to bloating. Parasites, bacteria, and yeasts can aggravate the lining of your gut, produce excess gas and toxins, and blow you up like a balloon, especially the bacterial infections. For more information on this topic, check out my video Gut Microbiome Testing for IBS and SIBO.
Parasites: Parasites, if present, must be addressed first. To skip over this step will usually render any other attempts to deal with bacterial or yeast infections ineffective. Parasites are also somewhat difficult to find with culturing or microscopy stool samples, DNA-PCR analysis can find parasites much more reliably.
SIBO: A very frequent underlying cause to ongoing bloating is SIBO, or Small Intestinal Bacterial Overgrowth. Testing is relatively simple, and treatment includes many of the things I’ve discussed here. If you are having trouble locating a practitioner who offers SIBO testing, please schedule an assessment session with me to discuss.
Yeasts: Yeasts like Candida may be aggravating your bloating, but can only be addressed after any parasites or bacterial problems have been cleared up. Stool testing with a DNA-PCR analysis, like the GI-MAP really helps to identify the level of yeast, and is superior to stool testing that attempts to culture the microorganisms. Yeasts are very difficult to culture.
Natural Bloating Relief Tip #6: Absorb Gases
One last possible way to help is to use binders or herbs that help to absorb the excess gasses that are causing pressure. You may not want to choose this route if you struggle with constipation, as binders may slow things down. Here are two options.
Atrantil: A product designed by a gastroenterologist, this three-herb formula can really help reduce bloating. (I don’t have any affiliation with Atrantil, I’ve just used it and found that it worked).
Binders like clay and activated charcoal: These can also be really valuable, but must be taken on an empty stomach and away from food. The one I use is called GI Detox, by Bio-Botanical Research (also no affiliation).
Conclusion
I hope that all these bloating tips can help you find some relief from your bloating, no matter the cause. Now that you know what to try, where will you focus your attention first? Leave me a comment or a question below.
If all this information feels overwhelming, know that you don’t need to stress about it. I’m here to help you! If you need some extra help sorting out how to make sense of this for your unique situation, I encourage you to do one of two things:
Download your free copy of Roadmap to Gut Recovery to see all this stuff in a context that makes even more sense. Or,
Schedule a free assessment session with me to find out how I think you should proceed.
