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