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Possible causes can include: Irritable bowel syndrome (IBS diagnosis) Ulcerative colitis, a form of inflammatory bowel disease (IBD), where the inner lining of the large bowel is inflamed and develops ulcers Crohns disease, the other form of IBD, where some parts of your colon are inflamed Too much bacteria in your small intestine (called small intestinal bacterial overgrowth, or SIBO) Gastroesophageal reflux disease Food intolerances, especially lactose or fructose intolerance Producing too much gas (dysbiosis and fermentation) Weight gain Stress or anxiety Delays in your food and drink moving on from your stomach (called gastroparesis) Eating too quickly, so that you swallow too much air (called aerophagia) Feeling bloated is no fun, but once you know whats going on you can start to manage your symptoms and the underlying causes

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doi:10.1136/bmj.328.7455.1529