Digestive Health

Digestive health · Bloating and gas: Bloating & Gas

A calmer belly, by finding what’s really behind the bloating.

Work with a Registered Dietitian to find what’s behind your bloating, belching or gas, and ease it without cutting out healthy foods for good. In person in Ottawa and Gatineau, or online anywhere in Ontario and Quebec.

A woman at the table looking uncomfortable over a bowl of cereal
Start with the simple causesPace. Portions. Then specific foods.

Start with understanding

What bloating is, and where food fits in

Bloating is the feeling of pressure, fullness or trapped gas in your belly. Sometimes the belly also visibly swells, which is called distension. Gas itself is normal: gut bacteria make it every day as they break down food. Bloating becomes a problem when it is frequent, painful, or gets in the way of meals, clothes and plans.

Why it happens

Food plays a big part. Eating quickly, fizzy drinks and gum add swallowed air. Some carbohydrates, such as lactose and other FODMAPs, are fermented by gut bacteria and make more gas. Constipation keeps gas and stool in the gut longer. And in conditions such as IBS, the gut is more sensitive to normal amounts of gas. Finding which of these applies to you is what makes the plan work.

Who we see

We work with adults who have bloating, belching or gas most days, with or without a diagnosis such as IBS or lactose intolerance. If your bloating is new and persistent, or comes with other symptoms, see your doctor first.

Your path forward

Three steps, from simple to specific

Many people feel better after the first step. We only remove foods when there is a good reason to test them.

  1. 01

    Step 1 · first weeks

    Look at how you eat

    Eating pace, meal size, fizzy drinks, gum, sugar-free products and regular bowel movements are the most common, easiest things to change.

    • Slower meals
    • Fewer fizzy drinks
    • Regular bowel movements
  2. 02

    Step 2 · if it continues

    Test the likely foods

    If bloating continues, we test the carbohydrates most likely to cause it, such as lactose or other FODMAPs, with a short, structured trial.

    • A lactose test
    • A short low-FODMAP trial
    • One change at a time
  3. 03

    Step 3 · long term

    Keep variety and comfort

    You keep the foods and portions you tolerate, with a plan for meals out, travel and the occasional bad day.

    • Portions that work for you
    • A plan for flare-ups
    • The widest diet you tolerate

Every bloating is different

Bloating doesn’t look the same for everyone

When and how your symptoms show up points to the cause and the changes most likely to help.

Pattern 01

Bloating that builds through the day

What it feels like

A flatter belly in the morning that swells and feels tight by the evening.

Where nutrition often starts

Meal size and timing, the type of fibre you eat, and a short low-FODMAP trial if IBS is part of the picture.

Bloating can have causes beyond food, such as hormonal changes, some medications, or how the belly muscles respond to gas. Your doctor can check for these.

Support for your everyday

How we support you between visits

We use clinical software that links what you eat to how you feel, so your plan targets the real cause instead of a long list of foods.

A food and symptom journal we review together

You log meals and symptoms in our patient portal. Your dietitian looks for patterns, with checks that avoid reading too much into a few bad days.

Lactose matched to your tolerance

If lactose bothers you, recipes are checked for the amount of lactose in your portion against the amount you tolerate, so you avoid only what you need to.

Recipes checked at your portion

When you avoid specific foods or follow a low-FODMAP diet, the recipes we suggest are checked against your list at the portion you’ll actually eat.

Low-FODMAP support built in

If you start a low-FODMAP trial, each FODMAP group is tracked through elimination and reintroduction, and your recipes follow your results.

Putting it into practice

Everyday habits that help

Eat slowly and chew well

Eating quickly or on the go makes you swallow more air. Sitting down for meals and putting your fork down between bites helps.

Go easy on fizzy drinks and gum

Carbonated drinks add gas, and chewing gum makes you swallow air. Try still water or herbal tea instead.

Check sugar-free products

Sweeteners such as sorbitol, mannitol and xylitol in gum, candy and some drinks are fermented in the gut and can cause gas and bloating.

Change fibre gradually

Fibre is good for you, but a sudden increase can cause gas. Add it slowly over a few weeks and drink enough fluids.

Keep moving

Physical activity helps gas move through the gut. A short walk after meals can ease bloating.

Don’t cut healthy foods for good

Legumes, vegetables and whole grains often cause gas but are good for your gut. Smaller portions usually work better than avoiding them.

WORKING WITH YOUR DIETITIAN

How we work on it together

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  1. 01

    Assessment

    We review when your bloating happens, your bowel habits, medications, a typical week of eating, and any tests or diagnoses you already have.

  2. 02

    First changes

    We start with the simplest changes most likely to help, then decide together whether to test specific foods such as lactose or FODMAPs.

  3. 03

    Long-term plan

    We build a plan around the foods and portions that work for you, and adjust it as your symptoms change.

FAQ

Common questions

Is bloating normal?

Some bloating after a large meal is normal, and so is passing gas several times a day. It’s worth looking into when bloating happens most days, is painful, or affects what you eat and do.

Which foods cause bloating?

Common culprits include legumes, onion, garlic, wheat, some fruits, cabbage-family vegetables, dairy if you are lactose intolerant, and sugar-free products. Everyone reacts differently, and portion size often matters more than the food itself.

Should I get a food sensitivity test?

IgG food sensitivity tests sold online or in some clinics aren’t recommended: they measure normal exposure to foods, not intolerance. A structured elimination and reintroduction with a dietitian is more reliable.

Do probiotics or digestive enzymes help?

The evidence for probiotics in bloating is mixed. Some enzymes help in specific cases: lactase for lactose intolerance, and alpha-galactosidase for gas from legumes. We can review a product with you.

Could it be SIBO?

Small intestinal bacterial overgrowth (SIBO) is one possible cause, diagnosed by your doctor, usually with a breath test, and treated medically. We can support your diet alongside that treatment, but a very restrictive diet on your own isn’t a good substitute.

Is it covered by insurance?

Many private insurance plans cover services from a Registered Dietitian. We provide receipts for you to submit. Check your plan for coverage details.

Can I meet online?

Yes. Online appointments by secure video are available anywhere in Ontario and Quebec. You log your meals and symptoms in our patient portal, and we go over them together at each visit.

Let’s take the next step

Get a plan built around your digestion.

Start with a free initial consultation, in person in Ottawa or Gatineau, or online anywhere in Ontario and Quebec.

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