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Gastroenterology (Expert Forum)
Rumbling after eating
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Rumbling after eating
by tropicbreeze, Mar 08, 2003 12:00AM
It seems that 90% of the time right after I eat my stomach (lower right quadrant) constantly rumbles and makes a lot of gurgeling noises. This last probably an hour after I eat. It doesn't matter if I eat something small or a large meal or spicy or mild.
Lately I've been more hungry than normal. My routine is: protien shake at 7:30am then a banana around 9:30 then I'm hungray again at 11:30. I eat lunch at 12:30 then by 4:30 I'm hungry again, but don't eat until 8 p.m. and I wake up starving.
I've gained 10 lbs in 6 months (mostly in the last 3 months). I can't seem to get filled up.
My stomach looks like it is bloated all the time.
I'm not sure what is going on.
I'm 42 1/2 yrs old, weigh 144 lbs and am 5/6".
I'd appreciate any advise you may have.
Lately I've been more hungry than normal. My routine is: protien shake at 7:30am then a banana around 9:30 then I'm hungray again at 11:30. I eat lunch at 12:30 then by 4:30 I'm hungry again, but don't eat until 8 p.m. and I wake up starving.
I've gained 10 lbs in 6 months (mostly in the last 3 months). I can't seem to get filled up.
My stomach looks like it is bloated all the time.
I'm not sure what is going on.
I'm 42 1/2 yrs old, weigh 144 lbs and am 5/6".
I'd appreciate any advise you may have.
Doctor's Answer
by Kevin Pho, MD, Mar 08, 2003 12:00AM
, Mar 08, 2003 12:00AM
Hello - thanks for asking your question.
Frequent complaints attributed to gas are abdominal distension and crampy abdominal pain. Such pain may be perceived in areas that the gas may become trapped, such as bends in the colon, which occur naturally in the area under the liver (upper to mid right part of the abdomen), and in the area under the spleen (upper to mid left part of the abdomen).
There are several disorders that are related to increased gas/bloating:
Irritable bowel syndrome — One of the most common examples is a disorder known as irritable bowel syndrome (IBS). Its cardinal symptoms are abdominal pain and altered bowel habits, but these symptoms have no identifiable cause. Many patients also complain of visible abdominal distension although they do not have increased amounts of gas in the intestine.
Functional dyspepsia — Dyspepsia describes recurrent or persistent pain or discomfort that is primarily located in the upper abdomen. People with functional dyspepsia tend to have increased sensitivity to distension in the upper intestines.
Aerophagia — Chronic, repeated belching usually results from habitual swallowing of large amounts of air (ie, aerophagia). Aerophagia is typically an unconscious process occurring with anxiety.
Lactose intolerance — Lactose intolerance is caused by an impaired ability to digest lactose, the principle sugar in dairy products. Clinical symptoms of lactose intolerance include diarrhea, abdominal pain, and flatulence after ingestion of milk or milk-containing products.
Diseases associated with increased gas — A number of diseases can cause impaired absorption of carbohydrates (carbohydrate malabsorption), which can lead to increased gas. Carbohydrate malabsorption can occur in patients with celiac disease (a disease caused by intolerance to a protein contained in wheat), short bowel syndrome, and those who have rare primary disorders of the enzymes needed to digest specific forms of carbohydrates.
There are a variety of tests your personal physician may consider to evaluate the chronic bloating:
- Examination of stool to detect the presence of blood, abnormally increased levels of fat (steatorrhea), or the presence of Giardia lamblia.
- A lactose tolerance test, during which patients are provided with a test dose of lactose by mouth.
- X-ray examination of the small intestine.
- Upper endoscopy, sigmoidoscopy, or colonoscopy
- Breath or blood tests for carbohydrate malabsorption.
- Antibody tests for celiac disease.
I strongly suggest continued followup with your personal physician.
I stress that this answer is not intended as and does not substitute for medical advice - please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Frequent complaints attributed to gas are abdominal distension and crampy abdominal pain. Such pain may be perceived in areas that the gas may become trapped, such as bends in the colon, which occur naturally in the area under the liver (upper to mid right part of the abdomen), and in the area under the spleen (upper to mid left part of the abdomen).
There are several disorders that are related to increased gas/bloating:
Irritable bowel syndrome — One of the most common examples is a disorder known as irritable bowel syndrome (IBS). Its cardinal symptoms are abdominal pain and altered bowel habits, but these symptoms have no identifiable cause. Many patients also complain of visible abdominal distension although they do not have increased amounts of gas in the intestine.
Functional dyspepsia — Dyspepsia describes recurrent or persistent pain or discomfort that is primarily located in the upper abdomen. People with functional dyspepsia tend to have increased sensitivity to distension in the upper intestines.
Aerophagia — Chronic, repeated belching usually results from habitual swallowing of large amounts of air (ie, aerophagia). Aerophagia is typically an unconscious process occurring with anxiety.
Lactose intolerance — Lactose intolerance is caused by an impaired ability to digest lactose, the principle sugar in dairy products. Clinical symptoms of lactose intolerance include diarrhea, abdominal pain, and flatulence after ingestion of milk or milk-containing products.
Diseases associated with increased gas — A number of diseases can cause impaired absorption of carbohydrates (carbohydrate malabsorption), which can lead to increased gas. Carbohydrate malabsorption can occur in patients with celiac disease (a disease caused by intolerance to a protein contained in wheat), short bowel syndrome, and those who have rare primary disorders of the enzymes needed to digest specific forms of carbohydrates.
There are a variety of tests your personal physician may consider to evaluate the chronic bloating:
- Examination of stool to detect the presence of blood, abnormally increased levels of fat (steatorrhea), or the presence of Giardia lamblia.
- A lactose tolerance test, during which patients are provided with a test dose of lactose by mouth.
- X-ray examination of the small intestine.
- Upper endoscopy, sigmoidoscopy, or colonoscopy
- Breath or blood tests for carbohydrate malabsorption.
- Antibody tests for celiac disease.
I strongly suggest continued followup with your personal physician.
I stress that this answer is not intended as and does not substitute for medical advice - please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
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