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Hindustan Times
5 days ago
- General
- Hindustan Times
Stress and other surprising causes of bloating: Doctors share gut health tips that could change your life
Feeling bloated or gassy is a frequent cause for complaint and many people think they have overdone it on a meal or suspect they have a touch of indigestion. While these are common suspects —particularly in those that eat a high amount of beans, lentils, cabbage, broccoli, cauliflower, sprouts or dairy —we have to consider a wider and sometimes more serious scope of reasons why you are feeling these symptoms. In an interview with HT Lifestyle, Dr Rajesh Bathini, Consultant – Gastroenterology at Manipal Hospital in Vijayawada, shared that while indigestion is what many people think of when they think of bloating, the problem is really more complicated. He said, 'Some foods (such as high-fiber vegetables and dairy products in those who are lactose intolerant) will provoke bloating, yes. Other gastrointestinal diseases, in particular, peptic ulcer disease, medically caused by Helicobacter pylori infection, GERD and IBS may also be involved.' He added, 'Systemic diseases, such as unstable diabetes, thyroid or medication complications (aspirin or iron supplements) also interfere with the clinical view and conditions such as heart failure or heart attacks may, occasionally, have symptoms that are more related to just abdominal bloating. Symptom onset can rarely be an indicator of underlying gastrointestinal cancers, such as esophageal, gastric or pancreatic, when the presentation is limited to a mere bloated sensation prior to the progression to more specific manifestations.' Bringing his expertise to the same, Dr Gyanaranjan Rout, Consultant – Medical Gastroenterologist in Bhubaneswar, pointed out that while dietary factors such as overeating, chewing gum or drinking carbonated beverages are common triggers, chronic bloating could be a symptom of a larger issue. He revealed, 'Bloating could also be a sign of IBS, lactose intolerance, celiac disease or SIBO. Hormonal imbalances, especially in women, is another reason that may cause one to bloat. Less frequently acknowledged is the contribution of psychological stress and anxiety that can cause distress to affect the gastrointestinal physiology and symptoms.' According to Dr Anurag Shetty, Consultant – Medical Gastroenterology at KMC Hospital in Mangalore's Dr BR Ambedkar Circle, gas and bloating are two issues commonly perceived as nuisances connected to diet and are a result of a complicated web of body mechanics. He explained, 'Gut-brain axis dysfunction in IBS stimulates visceral hypersensitivity, so that normal gas volumes feel inappropriately unpleasant.' Dr Anurag Shetty elaborated, 'Malabsorptive conditions, such as lactose intolerance, can ferment poorly digested food which can give rise to more gas. Furthermore, disrupted gut motility as observed in chronic constipation can lead to fermentation and bloating. Hormonal changes such as those associated with menstruation or menopause very often cause the women to retain water and feel bloated.' Dr Rajesh Bathini advised that any patient with new or worsening symptoms — particularly with warning signs such as unplanned weight loss, fatigue, loss of appetite or anemia — should promptly seek medical care. Dr Gyanaranjan Rout suggested, 'Changes in lifestyle, including keeping a food diary, drinking plenty of water, physical exercise and stress management can identify triggers and offer relief but if they do not help, you may need to consult your doctor to make sure a more serious underlying condition is not responsible for your pain.' Abdominal bloating can be quite harmless but if it persists or you are experiencing more unpleasant symptoms, then don't ignore it. However, the key is knowing when symptoms point to something more serious. Listening to your instincts and acting fast to consult with a medical professional can help to make a very real difference in staying on top of your health. Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.


Hans India
31-05-2025
- Health
- Hans India
Advanced endoscopic procedure to treat oesophagealtumour
Vijayawada: Manipal Hospital here has treated a rare and symptomatic oesophagealtumour in a 54-year-old male patient. The patient had been experiencing intermittent, non-progressive difficulty in swallowing for over six months, without any weight loss or appetite changes—symptoms that initially ruled out oesophageal malignancy as a primary concern. Dr Rajesh Bathini, consultant (Medical Gastroenterology), and his team performed a cutting-edge procedure known as STER (Submucosal Tunnelling and Endoscopic Resection) to restore the natural health of the patient. Dr Rajesh Bathini stated, 'This advanced technique involved creating a submucosal tunnel 5 cm above the lesion, followed by careful dissection and retrieval of the tumour using precision endoscopic tools after freeing the lesion from its attachments. The mucosal entry was subsequently sealed with endoclips to ensure complete closure and healing. STER is a technically demanding procedure that requires a high degree of expertise and specialised equipment. Successfully managing this case reflects our clinical capabilities and opens up new avenues for treating similar cases in a less invasive manner.' The patient experienced complete relief from his symptoms immediately after the procedure and was discharged the very next day. Hospital Director Dr Sudhakar Kantipudi remarked, 'This case underscores the importance of expert clinical judgment combined with access to state-of-the-art endoscopic technology.'