Understanding Bloating: Causes, Diagnoses, and Treatments with Dr. Dennis Hughes In this episode, Dr. Dennis Hughes and Nurse Practitioner Sophie Mengele & Karen Spaulding discuss the various causes, diagnostic methods, and treatments for bloating. The conversation includes insights into symptoms and potential underlying conditions such as celiac disease, SIBO, and pancreatic exocrine insufficiency. Dr. Hughes also explains diagnostic approaches, including the importance of ruling out severe conditions and details about specific tests like the breath test for bacterial overgrowth and stool tests for enzyme deficiencies. The episode emphasizes the significance of a comprehensive workup and the potential life-changing impact of proper diagnosis and treatment for persistent bloating and related gastrointestinal issues.
00:00 Introduction and Episode Overview
01:00 Meet the Guests: Dr. Dennis Hughes and Sophie Mengel
01:22 Understanding Bloating: Symptoms and Causes
03:00 Diagnostic Approaches to Bloating05:08 The Role of Diet in Bloating
07:04 Celiac Disease vs. Gluten Sensitivity
15:58 Small Intestinal Bacterial Overgrowth (SIBO)20:09 Understanding Pancreatic Exocrine Insufficiency (PEI)21:48 Functional Dyspepsia and IBS: Emotional Connections23:11 The Brain-Gut Connection
23:48 Testing for Bacterial Overgrowth
26:08 H. Pylori: Symptoms and Treatment
31:59 Constipation and Colon Health
35:35 Hydration and Constipation in Older Adults
38:17 Conclusion: Addressing Digestive Issues
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