Chronic bloating is more than just a discomfort—it is a physiological sign that your digestive system is out of balance. As a UK-trained Consultant Gastroenterologist (MBBS London, FRCP UK) with a special interest in GI Physiology, I provide advanced, personalized care for patients across the UAE suffering from persistent abdominal swelling and gas.
The London-Dubai Clinical Advantage
"In my practice, I find that bloating in Dubai often results from a unique combination of high-stress environments, dietary shifts, and specific gut motility issues. Having practiced in London and now Dubai, I use GI Physiology to identify the 'why' before we treat the symptoms." — Dr. Pranab Gyawali
Primary Causes of Bloating & Ga
Effective treatment begins with an accurate diagnosis of these common drivers found in my Dubai clinic:
- Intestinal Gas: Breakdown of undigested food or aerophagia (swallowing air).
- SIBO (Small Intestinal Bacterial Overgrowth): Excessive bacterial fermentation in the small bowel.
- Food Intolerances: Specific reactions to Lactose, Fructose, or Sucrose malabsorption.
- Gut Microbiome Dysbiosis: Disrupted bacterial balance leading to chronic gas production.
- Motility Issues: Conditions like Gastroparesis where the gut moves too slowly.
- Functional Dyspepsia & IBS: Hypersensitivity to normal intestinal gas volumes.
Personalized Treatment & Management
My clinical approach focuses on long-term relief through three key pillars:
1. Dietary Modification: Implementing structured Low-FODMAP protocols and identifying specific food triggers such as carbonated drinks, beans, and cabbage.
2. Pharmacological Support: Targeted use of prokinetics to improve motility or medical-grade antibiotics (Rifaximin) for SIBO.
3. Microbiome Restoration: DNA-guided probiotics and enzymes to optimize gut flora and reduce fermentation.
Diagnostic Checklist: Red Flag
Seek a formal medical evaluation if your bloating is accompanied by these 'Red Flag' symptoms:
- Unintentional weight loss
- Persistent pain that wakes you up at night
- Sudden changes in bowel habits
- Iron deficiency (Anemia) or chronic fatigue
- Visible abdominal distension that does not resolve
Featured Gut Health Vlog
Educational insights from Dr. Gyawali’s clinical library for UAE patients:
- Why Bland Diets Don't Heal Your Gut
- Foods to Avoid Before Flying
- How Poor Sleep Affects Your Gut
- Stress & the Gut-Brain Axis
- Vaping & Gut Inflammation
- Coke Zero vs Regular Coke
- Impact of Ultra-Processed Foods
- Morning Coffee & Reflux
- Hair Loss & Iron Deficiency
- Late-Night Eating in Dubai
- The Truth About Mold & Candida
Clinical Procedures & Diagnostic
Advanced investigations commonly used for a professional bloating work-up:
- Gastroscopy | Colonoscopy
- Hydrogen & Methane Breath Test (SIBO)
- Gut Microbiome Analysis
- Lactose & Fructose Breath Testing
- Anorectal Manometry
- Capsule Endoscopy
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Request an Appointment
If you wish to discuss your symptoms further or would like to make an appointment, please use the booking form on this page. Expect a response within 12 business hours.