4. Bloating and Gas: The Unsettling Duo in Microscopic Colitis
Almost everyone has felt the discomfort of bloating at some point. But combine that with gas, and you’ve got a duet that can be downright distressing for those with Microscopic Colitis. It feels like the stomach is inflated, akin to a balloon filled to its brim, creating a sense of fullness.
The science behind this is intriguing. The inflamed colon struggles with the absorption of certain gases like hydrogen, leading to their accumulation. This trapped gas creates a sensation of bloating and frequent passage of gas, which can be both uncomfortable and embarrassing.
Food plays a pivotal role here. Fermentable carbohydrates, commonly known as FODMAPs, can be harder to digest for some. As these travel down the gut, they become fodder for gut bacteria, which ferment them, producing gas. This exacerbates the bloating and flatulence experienced by many with the condition.
The sensation isn’t static either. It can ebb and flow throughout the day, often peaking after meals. Some might notice a visible distension in their abdomen, while others might not. But the internal turmoil, the sensation of being “filled up,” is universally unsettling.
Social implications are worth noting. The unpredictability of gas and bloating can make social situations tricky. It’s not just a physical symptom; it’s an emotional challenge, navigating daily life while managing these unsettling sensations. (4)
