Abdominal pain and bloating may be an indicator of bowel obstruction.
Small intestinal bacterial overgrowth syndrome (SIBO) has a symptom of bloating and linked to pancreatic exocrine deficiency (ie., absence of anti-bacterial effect) and immunodeficiency (eg., IgA deficiency).
Stomach bloating symptoms suffered in SIBO and Irritable Bowel Syndrome (IBS) can be similar, so an accurate assessment would be needed to differentiate the cause for bloating. This can be performed by faecal microbiota and hydrogen breath test analysis. Non- Alcoholic SteatoHepatitis (NASH) suffers are more likely to experience SIBO than healthy individuals.
The autonomic nervous system and brain-gut communication is involved in IBS. Cardio-sympathetic/vagal balance can be deficient due to stressful situations. Reducing patient’s stress levels can be a critical factor for success treatment of IBS.
Caffeine and artificial sweeteners may prevent recovery from IBS.
In Ayurveda, bloating is associated with excess kapha (water) in the stomach area. IBS sufferers benefit from removing alcohol and greasy foods from their diet. Grains and bread may add ‘damp’ to the digestive fire to induce a slowing and undesirable effect on the digestive system, and ‘monarch constitutional’ types who are predisposed to sluggish systems.