What Causes Bloating and How to Understand It

Bloating can be analyzed from two main perspectives. Upper or middle abdominal bloating is often linked to Qi stagnation according to Traditional Chinese Medicine (TCM). This can result from emotional stress affecting liver function, leading to impaired flow of Qi, or from weak digestive system performance causing sluggish movement of energy in the stomach and spleen. These imbalances may lead to symptoms such as bloating, reduced appetite, nausea, or even vomiting — especially in children whose digestive systems are still developing.

Lower abdominal bloating is more commonly seen in clinical practice, and TCM associates this with downward migration of damp-heat. In women, conditions like pelvic inflammatory disease or adnexitis may cause such discomfort. Similarly, men might experience lower abdominal bloating due to prostatitis or other urogenital issues.

Understanding the root cause is essential for effective relief. Depending on the location and nature of the bloating, different treatment strategies may be applied. For example, herbal remedies aimed at regulating Qi and reducing dampness are often used in TCM, while dietary adjustments and lifestyle changes also play a significant role in managing symptoms.

If bloating persists or is accompanied by severe pain, fever, or changes in bowel habits, seeking medical attention is highly recommended to rule out any serious underlying conditions.