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The Real Reason for Frequent Abdominal Gas
Blog September 10, 2025

The Real Reason for Frequent Abdominal Gas

Dr. Yeonseung Choe
Dr. Yeonseung Choe
Chief Director

“My stomach gets bloated even if I eat just a little.”

This is a common complaint among patients. Some attribute it to carbonated drinks, while others blame flour. However, the actual cause cannot be explained by a single factor.

First, Intestinal Fermentation.

Carbohydrates that are not fully absorbed in the small intestine descend to the large intestine, where they are broken down by bacteria, producing gases such as hydrogen, methane, and carbon dioxide. Typical examples include lactose intolerance, Irritable Bowel Syndrome (IBS), and FODMAP sensitivity.

Second, Rhythm of Intestinal Motility.

In cases of stress or an irritable bowel, the timing of gas expulsion can be disrupted, making the same amount of gas feel more uncomfortable.

Third, Digestive Enzymes and Gastrointestinal Function.

If stomach acid is low or enzymes are insufficient, food cannot be fully broken down, which increases fermentation.

Fourth, Lifestyle Habits.

Eating quickly, chewing gum, drinking beverages through a straw, and smoking all increase air swallowing and exacerbate gas.

Fifth, Psychological Tension.

An imbalance in the autonomic nervous system can disrupt intestinal motility, causing gas to accumulate easily.

Caution

If you experience sudden weight loss, bloody stools, or persistent abdominal pain, it is not a simple gas problem, and medical consultation is absolutely necessary.

Self-Management Tips

  • Keep a food diary to track trigger foods
  • Eat slowly for at least 15 minutes
  • Gut balance: beneficial bacteria, traditional Korean medicine/probiotics if needed
  • Restore intestinal motility rhythm through diaphragmatic breathing and relaxation training

Key Takeaways

  • Abdominal gas is a collaborative result of dietary, enzymatic, microbial, motility, and stress factors

  • Identify personal patterns through food diaries and lifestyle adjustments

  • If "red flag" symptoms are present, immediate examination is necessary

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Dr. Yeonseung Choe

Dr. Yeonseung Choe Chief Director

I have met many patients who came after visiting multiple medical institutions and departments for persistent or recurrent conditions. Symptoms normally handled by different specialties—such as abdominal pain, headaches, palpitations, dizziness, and insomnia—may overlap in one person. Sometimes there is no clear improvement despite taking medication for each symptom, and being unwell gradually becomes part of daily life. In these cases, I look beyond individual diagnoses and examine how the symptoms connect and change together. Asking only about the most uncomfortable symptom today does not reveal the full course. I look at when the body first began to change and what happened after illness, surgery, childbirth, or starting and stopping medication. I also review changes in weight, diet, and sleep, then trace which symptoms improved with previous treatment and which remained. Test results, diagnoses, and the course of previous treatment are important for understanding the current condition. Clinical research in modern Korean medicine, physiological and pathological research in modern medicine, and observations recorded in classical Korean medicine texts offer different perspectives on the same body. Rather than fitting a patient into one perspective, I consider what each can and cannot explain and look for clues that connect symptoms and treatment histories that were previously considered separately.

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