<human>: I am 70 yrs old with PBC, portal hypertension and symptoms of : bloating, gassy burping, nausea, weight loss, inability to eat(I get very hungry) but am only able to take a few bites of anything. I can eat sweets which is weird! I have stumped my PCP, my gastroenterologist and my liver specialist. I ve had blood work, an MRI of my head, my stomach and a throat swallow study; all of which were normal. I am scheduled for a SIBO breath test this coming Monday. Can you help???
<bot>: Hi, A certain degree of bloating is normal but in case of excessive bloating, it may be a sign of food allergy, hiatal hernia, IBS or inflammatory bowel diseases.  So you should do gastroenterology work up but first try to change your dietary habits, it means: eat smaller meals but more frequently, avoid fried and spicy food, take mental tea, avoid alcohol and coffee, eat probiotics and milk products, boiled food and vegetables.  Also, there are medications such as Florian, Magnesium oxide or certain Laxatives which may relieve such symptoms of this continue.  If there is no improvement on these measures, you should consider doing diagnostic tests such as colonoscopy, anal sphincter manometry and food allergy testing. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.  Rammstein, General Surgeon