Chronic Bloating & Distension Treatment
Waking up flat and ending the day looking pregnant. Cutting food after food with nothing to show for it. Chronic bloating is one of the most common — and most dismissed — GI complaints there is.
What actually causes chronic bloating
In most patients with normal investigations, chronic bloating comes from a combination of visceral hypersensitivity (normal gas volumes feeling enormous), impaired gas handling by the gut, and a reflex called abdomino-phrenic dyssynergia — where the diaphragm pushes down and the abdominal wall relaxes in response to meals, producing visible distension without excess gas. These are signalling and reflex problems, not dietary failures.
Why elimination diets keep failing
If the core problem is how your gut senses and reflexively responds to normal contents, removing more foods can't fix it — and progressively restrictive diets often worsen the gut's reactivity while shrinking your nutrition and your life. Diet has a role, but it cannot correct a sensitized brain-gut axis.
How brain-gut treatment helps
Gut-directed hypnotherapy and CBT reduce the visceral hypersensitivity that makes normal gas painful and retrain the autonomic reflexes behind visible distension. Evidence in IBS — where bloating is a cardinal symptom — shows meaningful and durable improvement with these therapies.
Your pathway
We assess your bloating against Rome IV criteria, identify overlapping IBS, dyspepsia or constipation that may be driving it, and begin structured virtual treatment with validated tracking — anywhere in Manitoba, no referral required.
Start your assessment
Virtual care across Manitoba · Self-referrals welcome · Response within 2 business days
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