Stomach bloating in the upper abdomen

A pressure or swollen feeling under the ribs may occur after eating, when the stomach is distended, or when gas collects in the upper bowel. Reflux, indigestion, constipation, and sensitivity to foods can overlap with this sensation. Lactose intolerance and other food intolerances may cause symptoms after particular foods. Coeliac disease and irritable bowel syndrome can produce bloating with changes in bowel habits. Helicobacter pylori infection is another possible cause of upper digestive symptoms, but symptoms alone cannot confirm it.

Notice whether symptoms follow large or fatty meals, fizzy drinks, rapid eating, or lying down soon after food. Try slower eating, modest portions, and a relaxed walk after meals. Avoid tight clothing around the abdomen and limit chewing gum if it increases swallowed air. Keep track of pain location, burning, nausea, bowel changes, and food timing. Avoid repeatedly taking over-the-counter remedies without checking that they suit you, particularly if you take other medicines.

Book an appointment if upper-abdominal bloating recurs, disrupts eating, or is accompanied by persistent indigestion, vomiting, difficulty swallowing, reduced appetite, weight loss, black stools, or ongoing bowel changes. Seek urgent care for severe or rapidly worsening pain, a rigid abdomen, vomiting blood, fainting, or chest pressure with breathlessness.

Ask whether the pattern fits indigestion, reflux, food intolerance, or another digestive problem, and whether testing for Helicobacter pylori or coeliac disease is suitable. Mention all medicines, supplements, and any recent change in symptoms.