What should you know about bloating in upper abdomen?

Notice whether the sensation is central or under one side of the ribs, and whether it is linked with meals. Gas, indigestion, constipation and food reactions can cause pressure. Acid Reflux may cause fullness with heartburn or regurgitation. Coeliac Disease, Food Intolerance and Irritable Bowel Syndrome can present with bloating, although the same symptom can have many explanations. Pain that is localised, prolonged or associated with fever needs clinical attention.

For a short period, eat calmly and chew thoroughly, avoid gulping drinks, reduce fizzy beverages and remain upright after meals. Keep normal hydration and gentle movement. Write down the timing, food portions, pain, stool pattern and any menstrual or medication link. A clinician may recommend targeted changes or tests rather than a broad elimination diet. Nutrition Counselling may be useful when food restriction is becoming stressful.

Seek a routine appointment if symptoms are new and persistent, repeatedly disturb daily life or are accompanied by ongoing diarrhoea, constipation, vomiting, reduced appetite or weight loss. Seek urgent care for sudden severe pain, a hard distended abdomen, blood in vomit or stool, fainting or breathing difficulty.

Ask which features make reflux, food intolerance or a bowel condition more likely, and whether your medicines could contribute. Take your diary and describe the exact site and quality of discomfort.