Gas? Bloating? Distention?

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Gas, bloating, and distension is a symptom with diagnostic value as it can happen for a variety of reasons. The digestive system is a significant player in treating chronic diseases, and gas, bloating, and distension are indicators of areas that need to be addressed to get the immune system under control. If bloating or distension occurs immediately after a meal, it is probably due to stomach issues, often caused by a lack of hydrochloric acid in the digestive juices. If it occurs 2-4 hours after a meal, it may indicate a pancreas issue, often related to improper production of digestive enzymes. If it is more than 4 hours after a meal, it may be related to gallbladder or liver issues. The transcript emphasizes the importance of identifying the root cause of gas, bloating, and distension to address underlying digestive problems effectively.

Martin P. Rutherford, DC
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So today it's a topic, and the topic 
is gas, bloating, and distension.   Get a lot of questions on this, and it's a good 
question. It's one of those symptoms that really   Has a diagnostic value because it can happen for a 
variety of different reasons. Most people come in   And go, "Well, yeah, I have gas every time I eat 
beans," or something like that. Or I ask people,   "Do you have any digestive problems?" And they 
go, "Well, no, not really." I say, "Do you have   Bloating or distension?" And they go, "Well, no." 
And then I'll go, "Do you have gas?" They go,   "Well, yeah, everybody's got gas though." 
Well, no, everybody does not have gas. You   Have gas. That's why you're here.
So basically gas, bloating, distension.   It's abnormal. Gas, bloating and distension 
is abnormal. In my world, in my practice   Of treating mostly chronic diseases and chronic 
fatigue and chronic pain, the digestive system   Is a huge, huge player in the vast majority 
of those. And gas, bloating, distension are   Significant indicators of maybe what areas 
you need to delve into sooner than later   Relative to getting that digestive 
chain under control, because 75% of your   Immune system is there, and when you're 
treating the things that I'm treating,   It's nice to get the immune system 
under control as quickly as possible.  So if you get bloating or distension… If you 
get gas or bloating immediately following a meal,   Then you probably have stomach issues. 
The biggest stomach issue that causes   The bloating and distension, or the gas and 
bloating, I'm sorry, out of the stomach,   Is usually going to be a lack of hydrochloric 
acid in the digestive juices. That's important   Because if you have a lack of hydrochloric acid 
in your stomach, it's kind of the keys to the   Digestive kingdom. Proper hydrochloric acid 
function kind of sets off the digestive chain   With your pancreas and your gallbladder and 
your intestines and so on and so forth. It   Sterilizes your food. There's a lot of things 
that that can mean, and I am talking about gas   And bloating immediately following a meal, 
maybe during a meal, but definitely immediately   Following a meal. What's immediately following 
a meal? I would say within minutes, within   15 minutes, 30 minutes, something like that.
Then there's gas and distension and bloating,   Let's say, two to three to four hours 
later. So you have this bolus of food   Sitting there for a while, and then it moves 
down into the next part, past your stomach,   In the upper part of your intestines. This 
is where the pancreas hooks in. And so it   Takes a little time to get there. There's a little 
different chemical reaction. It's not as immediate   As the stomach, but if you're getting that 
bloating like two hours later, you're probably   Looking at a pancreas issue. There's a lot of 
different things that can go on with the pancreas.  The vast majority of them are not going to be 
pancreatitis or they're not going to be diabetes   Type 1 or so on and so forth. It's usually going 
to be another digestive issue. Maybe it was that  

The stomach wasn't good at talking and it didn't 
tell the pancreas to work right. But usually   That's going to indicate pancreas. What is the 
pancreas usually significant for? In most of you,   It's going to be significant because it's not 
putting out its digestive enzymes properly.  And yes, it also could be significant in that 
if you're getting that bloating and distension,   I would say more bloating and gas again right at 
this point, then it could also have an implication   That your pancreas is not functioning well, and 
that could have an implication on functional   Blood sugar abnormalities. In other words, you 
don't have diabetes type 2, but maybe you're   Pre-diabetic or maybe you have low blood sugar. 
All this from knowing that you have had bloating   And gas, two to four hours, three to four hours.
If it's more than four hours, it's more like four   Or five hours, now you're probably looking 
at gallbladder. You want to know it's your   Gallbladder, then you can kind of look in and see 
and think about, "Do I problems digesting fatty   Foods? Do they give me indigestion? Do they give 
me the gas? Do they give me the bloating and the   Gas?" And that's gallbladder. You can have itchy 
skin. The number one thing you probably would be   Looking for would be that you also don't digest 
your foods properly. So from that perspective,   Gas and bloating, couple of hours, like four 
hours later, more than likely it's going to   Be in that area of the gallbladder.
And then the next one would be liver.   Now, if you get bloating all over. You just 
feel like you're bloated all over, not just in   Your abdomen, but you get puffy in your hands and 
maybe in your face and so on and so forth. That's   Potentially a sign of liver issues. There's 
a number of different other symptoms that you   Can look for for liver. But liver, it can be 
a player if the bloating that you're getting   Is general, if it's like more or less all over.
Then, the number one thing that I'm always   Looking for in gastrointestinal health is 
if the person has bloating or distension,   And this is where the distension… The distension 
usually occurs more with this syndrome, bloating   Or distension after eating fibers or starches or 
sugars, or bloating or distension after you eat   Certain probiotics or certain supplements. This 
is kind of a semi-immediate type of a thing. So   If it's immediate and it's those specific foods 
or nutrients, then you might start thinking   About the fact that you might have something 
called small intestinal bacterial overgrowth,   Which is a big deal to have.
And frankly,   Having bloating, gas, bloating, or 
distension after eating starches,   Fibers or sugars is a really good 
parameter to use as to whether the   Person has small intestinal bacteria overgrowth, 
because the small intestinal bacteria overgrowth   Hydrogen breath test is not that accurate. 
And so a lot of people get false negatives   Where they are told that they don't have it, the 
small intestinal bacterial growth by the test,   But they have all the symptoms of it. So a lot of 
people will just say, "Oh, well, I read it all and  

I saw it online. I saw Dr. Roseberg, I saw a 
million other people talk about it. I thought   It was SIBO, but I took the test and it wasn't."
If you have those symptoms, then it would be a   Good policy to hedge your bets towards treating 
yourself for small intestinal bacteria. You   Got nothing to lose if you're losing natural 
antibiotics and you're doing the diet properly,   The FODMAP diet, and other things that need to 
be done for SIBO. But the point is that that's   A good diagnostic tool to understand what that 
particular type of bloating and distension is.   Bloating and distension after starches, fibers or 
sugars, certain probiotics, certain supplements.  Obviously you can get bloating after certain foods 
like beans, and usually that's something that you   Are usually aware of because you've had 
the experience of doing that for a while.   Is that diagnostic of anything? Well, it could be. 
It could be diagnostic of you having a sensitivity   To that food, or it could just be the food 
itself. But gas, bloating and distension,   It's unusual for me to not see that in somebody 
who comes in here. So those are pretty solid   Diagnostic parameters. They're not always going 
to be a hundred percent right, but they'll kind   Of get you off in the right direction of starting 
to explore the digestive problem of gas, bloating,   And distension that you apparently haven't figured 
out yet because you're looking at this video. So   That's gas, bloating, and distention.