Abdominal Pain and Bloating: IBS, Food Intolerance, or SIBO?

Overview

This pairing is the hallmark of functional GI disorders. The gut's nervous system (enteric nervous system) becomes hypersensitive, amplifying normal digestive signals into pain, while altered gut motility or bacterial fermentation produces excessive gas and bloating.

Possible Causes

IBS

common

Visceral hypersensitivity causes the small intestine and colon to overreact to normal distension from food and gas.

View Condition Details

Food Intolerance

common

Lactose, fructose, or FODMAP sensitivity causes osmotic fluid shifts and bacterial fermentation producing gas.

SIBO

less-common

Bacterial overgrowth in the small intestine ferments food prematurely, producing gas within 30-60 minutes of eating.

When It Is Serious

Unintentional weight loss, blood in stool, progressive worsening, onset after age 50, or family history of GI cancer require thorough investigation.

When It's Likely Benign

Symptoms that fluctuate with diet, worsen during stress, and improve after bowel movements are typical of IBS.

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Medically Reviewed for Accuracy

Medical Advisory Board
Last reviewed: March 20, 2026

Content is aligned with established clinical guidelines from authoritative medical institutions, including MedlinePlus (U.S. National Library of Medicine), the CDC, the NIH, and the NHS. All content is reviewed by our medical advisory board for accuracy and safety.