What are the symptoms of small intestinal bacterial overgrowth (SIBO)?

Looking at the response to PPI (proton pump inhibitor) and antacid, your problem is likely related to gastric acid production since both medicine reduce the acid load in your stomach. Partial treatment response may mean too short a treatment duration. This is especially so if we are dealing with ulcers in your stomach or duodenum. Having said that, persistent gastric pain should not be taken too lightly. A common test to investigate persistent gastric discomfort is endoscopy which involved inserting a flexible tube into your stomach to inspect the stomach lining.

The commonest cause of bloating is a food intolerance. The problem is not the size of the meal, but that you are probably eating food that you are not able to digest without being aware of it. The undigested food is then metabolized to hydrogen and methane gases by gut bacteria and causes bloating. Certainly reducing carbonated drinks will help to reduce the gas, but the most important thing is to identify what you are eating that you are intolerant to and that, hence, causes bloating. Our clinics employ 2 strategies for our bloated patients: 1.