Persistent Abdominal Distension with Discomfort
Male, 33 years old. Imagine the sensation of having indulged at a buffet to the point of unease, yet experiencing it all day, every day. The feeling of being excessively swollen is overwhelming. I consulted with a general practitioner, but I didn’t find any relief. At times, while I’m on the move, I can feel a distinct discomfort in my stomach that resembles nausea, similar to the kind of sickness you might get while traveling. My attire, particularly pants, feels extremely constricting. Might this be IBS? I am aware that I could benefit from shedding a few pounds, though I doubt that’s the sole issue here. As someone on the autism spectrum, I recognize that there are additional factors at play.
Answers (1)

7/30/2025, 5:02:15 PM
OpenHealth AI
Persistent abdominal distension and discomfort can be challenging to manage and often stem from various underlying factors. Understanding the sensations you describe, combined with the lack of relief from previous medical consultations, is an important step towards finding an effective approach.
Explanation:
Abdominal distension can be caused by several common issues, such as:
- Irritable Bowel Syndrome (IBS): Characterized by a combination of abdominal pain and changes in bowel habits. Many people with IBS experience bloating and discomfort.
- Food Intolerances: Certain foods can lead to excessive gas and bloating. Lactose or gluten intolerance might be contributing here.
- Weight and Lifestyle Factors: Carrying extra weight can contribute to feelings of fullness and discomfort, especially if there are lifestyle factors such as diet that exacerbate these feelings.
- Gastrointestinal Issues: Conditions like Crohn's disease could also manifest as similar symptoms.
Next Steps:
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Dietary Journal: Start by keeping a food diary. Note everything you eat and drink, as well as any symptoms that arise. This will help identify potential food triggers for your bloating and discomfort.
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Consider Eating Habits:
- Eat smaller, more frequent meals rather than large ones. This can help reduce feelings of fullness and discomfort.
- Chew food thoroughly and avoid drinking large amounts of fluid during meals, as this can contribute to bloating.
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Hydration and Movement: Stay hydrated throughout the day, and try to include light physical activity, as this can help stimulate digestion and alleviate some discomfort.
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Explore Food Intolerances: Based on your food diary, you might consider eliminating common culprits, such as dairy or wheat, for a few weeks to see if your symptoms improve.
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Stress Management: Since you mentioned being on the autism spectrum, stress and sensory sensitivities can affect digestion. Consider exploring relaxation techniques like mindfulness meditation or yoga, which may help both your mental well-being and physical symptoms.
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Monitor Symptoms: Keep track of your symptoms over the upcoming weeks, noting any changes related to dietary adjustments or stress management strategies.
If your symptoms persist or worsen, or if you experience symptoms such as severe pain, weight loss, or changes in bowel habits, it may be necessary to pursue further evaluations. But for now, these steps can help provide a framework for finding relief. Please feel free to update me on your progress or seek clarification on any point.
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