AARP Hearing Center
Key takeaways
- Belly bloat is a common feeling of fullness caused by gas or fluid, and it can have many causes.
- Digestion changes with age; constipation and food intolerance can make symptoms worse.
- Certain foods, especially when added suddenly, are more likely to trigger discomfort.
Belly bloat sounds like it feels. Your belly swells with gas and fluid pushing out from inside, making it feel as if you are wearing a heavy inner tube around your middle.
Bloating, a sensation of fullness in your abdomen, is a tricky topic, says Dr. Lin Chang, vice-chief of the division of digestive diseases at UCLA Health. “Bloating is such a common symptom that can be associated with multiple different diseases or disorders,” she explains, that it is often not used in diagnostic criteria, as it doesn’t help distinguish one condition from another.
What causes belly bloat?
The root cause of your bloat could stem from various issues, or a combination of them, including a lack of fiber in your diet, a food intolerance, irritable bowel syndrome (IBS) or small intestine bacterial overgrowth, or a serious condition such as colon cancer. If you’ve already gotten the clear from a colonoscopy — recommended starting at age 45 — it is likely that this disagreeable symptom comes from a classic gastrointestinal problem. Constipation, one of the main reasons so many people experience gas and bloating, gets more common as you age. Chronic constipation affects between 8 and 12 percent of Americans, the American Gastroenterological Association reports.
A 2023 report estimates that constipation affects nearly 19 percent of people over 60 years old. Experts say there are a number of reasons digestive issues that tend to affect older people. “With age, we produce less stomach acid, which is responsible for activating certain enzymes that help break down foods,” says Sandra J. Arévalo, director of community health and wellness at Montefiore Nyack Hospital in Nyack, New York. “When these enzymes are not being activated and the food remains longer in the stomach, then there’s more gas that remains for a longer period of time in the digestive tract,” she says.
Caroline West Passerrello, a registered dietitian nutritionist and spokesperson for the Academy of Nutrition and Dietetics, likes to think about bloating in terms of how our bodies process foods instead of defining a food as “good” or “bad.” For example, garlic and onions contain fermentable carbohydrates that your body doesn’t fully digest, so your gut bacteria ferments them and produces gas. Sugar alcohols, often found in sugar-free snacks and sugar-free gum, aren’t well absorbed in the body. They can draw water into your gut and become fermented, causing bloating.
"These aren’t foods you necessarily need to avoid altogether. Instead, it’s about recognizing patterns, portion sizes and your individual tolerance. Bloating is often a signal of altered digestion, so paying attention to how your body responds can help guide more personalized choices," Passerrello says.
1. Milk, cheese or other dairy foods
Developing lactose intolerance later in life is very common, says Arévalo. With age, we produce less and less of the enzyme we need to digest the lactose (a type of sugar) in milk, she explains. Besides bloating, dairy digestion problems can cause gas, pain and diarrhea.
Luckily, there is an easy over-the-counter remedy. You can supplement the missing enzyme, lactase, with products such as Lactaid.
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