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Why am I tired and gassy?

Bloating, nausea, and tiredness can occur due to a wide range of causes. Temporary explanations can include eating rich or salty meals, eating too much, or short-term stress. Longer-term causes include conditions such as IBS, SIBO, and gastroparesis.

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In this article, we look at the causes of bloating, nausea, and tiredness , and what people can do to relieve these symptoms. They may have a stomach ache or pass more gas than usual. In some cases, salty foods and carbohydrates can make someone feel sleepy or bloated. People with a bloated stomach, nausea, and tiredness may find their stomach feels enlarged, tight, and uncomfortably full. If a person is bloated and feels sick and tired, changing their eating habits may help. However, if these symptoms persist no matter what someone eats, it could be a sign of an underlying health condition. There are many reasons why a person might have a bloated stomach and be feeling sick and tired. Read on for some potential causes.

Eating habits

There are several ways a person’s eating habits and diet can contribute to feeling bloated, nauseous, or tired.

These include:

eating too quickly

eating large portions

drinking carbonated drinks

eating foods high in salt

eating a lot of carbohydrates

Eating moderate portions of food slowly and mindfully may aid digestion and ease symptoms.

Constipation

Constipation occurs when someone has less frequent bowel movements than usual. The bowel movements they do have may feel difficult, uncomfortable, or painful.

Other symptoms of constipation include:

bloating

feeling sluggish

stomach pain

According to John Hopkins Medicine, constipation is the most common digestive condition in the United States.

Constipation has a range of causes, including:

sudden changes in diet or lifestyle

pregnancy

dehydration

not eating enough fiber

medication that has constipation as a side effect

Treatment for constipation depends on the cause but often involves dietary and lifestyle changes. If these do not work, a doctor may prescribe a laxative.

Stress

Stress and anxiety can affect the nerves of the digestive system, slowing down the movements of the intestines. This may cause people to feel bloated, nauseous, and tired.

Stress can also contribute to constipation, as well as other gastrointestinal conditions.

The American Institute of Stress list a wide range of other symptoms that stress can cause, including:

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nervous habits, such as fidgeting

muscle tension or pain

cold or sweaty hands and feet

insomnia or nightmares

headaches or jaw clenching

changes in appetite

frequent illness, such as colds or flu

Stress can be difficult to manage. However, there are many ways someone can relieve stress, such as:

deep breathing exercises

yoga or meditation

journaling

prayer

massage or self-massage

It is a good idea for people to experiment with different stress management techniques to find what helps.

Small intestinal bacterial overgrowth

Small intestinal bacterial overgrowth (SIBO) occurs when too many bacteria grow in the small intestine.

SIBO can cause:

bloating and gas

diarrhea or constipation

stomach pain

nausea

fatigue

People with SIBO often have low motility, meaning the small intestine does not push food through the digestive tract as it should.

Diverticulitis, abdominal surgery, and adhesions can also make SIBO more likely.

There are several types of SIBO, and the type someone has will determine their treatment. Doctors may prescribe an antibiotic or combination of antibiotics. People with SIBO may feel relief from symptoms by following a low FODMAP diet. FODMAP stands for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols. These are compounds that bacteria ferment, sometimes causing SIBO symptoms.

Learn more about the low FODMAP diet.

Irritable bowel syndrome

Irritable bowel syndrome (IBS) describes a group of symptoms that affect the gastrointestinal tract, including :

abdominal pain and cramping

diarrhea or constipation

bloating

white mucus in stools

Because of the range of causes, treatment for IBS varies. The low FODMAP diet, reducing stress, and medications that alleviate the symptoms can help someone manage the condition. A variety of factors can cause IBS. Stress, early life trauma, and bacterial infections may play a role. Some people with IBS also have SIBO, food intolerances, or mental health conditions.

Gastroparesis

Gastroparesis means stomach paralysis and occurs when the stomach cannot contract. This causes food to sit in the stomach, disrupting digestion. According to the American College of Gastroenterology, gastoparesis can cause the following symptoms:

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bloating

nausea

feeling full quickly

heartburn

vomiting

abdominal pain

Abdominal pain of gastroparesis occurs under the ribs, especially in the center of the upper abdomen. As a result of these symptoms, a person may lose weight or not get enough nutrients, which can result in tiredness. People often manage gastroparesis by changing their diet. Foods high in fat or fiber take longer to digest. Switching to softer foods, such as nutritional drinks, soups, and stews, can help.

Dumping syndrome

Dumping syndrome happens when food empties from the stomach too quickly.

The International Foundation Gastrointestinal Disorders state that dumping syndrome can occur after people have had surgery to remove part of the stomach. It may also occur in people with other digestive conditions.

Along with bloating, nausea, and fatigue, the symptoms of dumping syndrome include:

abdominal cramping

diarrhea

vomiting

dizziness

cold sweats

Symptoms may appear during or straight after eating, or 1–3 hours after eating. Dietary changes can often help people to relieve symptoms.

Changes can include:

eating smaller meals more frequently

increasing complex carbohydrates, such as whole grains

increasing foods high in soluble fiber, such as apples, carrots, and oats

increasing protein

It can help to talk to a dietician so that a person with dumping syndrome can maintain their weight.

Ovarian cancer

According to the Centers for Disease Control and Prevention (CDC) , persistent bloating for 2 weeks or more can be a sign of ovarian cancer in females.

People may also experience:

unusual vaginal bleeding

pelvic pain or pressure

feeling full quickly while eating

difficulty eating

constipation or more frequent bowel movements

more frequent urination

If people have any of these symptoms, they should see their doctor right away. A doctor can request tests to determine if these symptoms are due to cancer or another condition.

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