Your story fits a functional gut + pelvic floor problem, not a dangerous disease: Pelvic floor dyssynergia → anal sphincter tightens instead of relaxing → incomplete emptying Trapped stool + trapped gas → persistent bloating & pressure Anxiety → keeps the nervous system in “fight-or-flight,” which directly shuts down gut motility Gas disappearing when fasting = fermentation + gas trapping, not food intolerance Odorless gas = air + non-sulfur fermentation, very typical in IBS-C / pelvic floor disorders This is not laziness, inflammation, cancer, or something you’re missing. It’s a brain–gut–pelvic floor loop that got triggered after that severe constipation episode at 21.
Hello, Thank you for explaining your situation. What you are experiencing is real, common, and treatable — even though it feels overwhelming right now. You are not imagining this, and you are not “failing treatment.” From your description, this does not sound like a simple gas problem, it sounds like a functional bowel + pelvic floor coordination issue.
Gas without odor = not infection, not SIBO, not cancer. Symptoms improving with fasting = functional disorder, not structural disease. Carnivore / gluten-free / dairy-free not helping = confirms this is not food intolerance. This is a mechanical + nervous system issue, not food toxicity.
About Biofeedback- You’ve only done 3 weeks. Biofeedback usually takes 6–12 weeks to show improvement. Early weeks feel like “nothing is happening”, this is normal. Do NOT stop biofeedback early. It is the most effective treatment for your exact symptoms.
Here is my advise for you -
1. Continue pelvic floor biofeedback.
2. Add daily diaphragmatic breathing (10–15 min, 2×/day)- This helps relax: Anal sphincter, Pelvic floor, Vagus nerve. Technique: One hand on chest, one on belly, Chest stays still, belly rises, Slow nasal inhale, long mouth exhale. This is medical therapy, not “relaxation advice”.
3. Post-meal positioning for gas release- After meals: Walk 10–15 minutes, Avoid sitting immediately, Try left-side lying with knees bent. This helps gas move forward, not downward.
4. Probiotics often worsen your type of bloating, stopping them is correct.
5. Hemorrhoids are NOT the main cause. They are a result, not the driver. Treating them alone will not fix gas.
Don’t keep eliminating foods endlessly. Don’t chase more supplements. Don’t over-strain during bowel movements. Don’t self-diagnose SIBO repeatedly.
Your anxiety did not cause this, but it maintains it. CBT specifically for gut–brain disorders helps more than general anxiety meds.
This condition does improve. Many patients recover significantly with time + biofeedback. You are not damaged permanently. Depression feelings are common, but this is not a hopeless condition.
Seek urgent care if: Weight loss continues despite adequate intake. Blood in stool. Night-time diarrhea. Fever or anemia.
You are dealing with a functional pelvic floor + gut sensitivity disorder, not a mystery disease. You are already on the right treatment path, it just hasn’t had enough time yet.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine
Hello dear See as per clinical history you have taken a lot of medication. Even you have followed diet control also. I doubt probably there is ibs or gerd chances. I suggest you to please get following tests done for confirmation and share result with gastroenterologist for better clarity. Please donot take any medication or precautions without consulting the concerned physician Esr CBC Stomach USG Colonoscopy Endoscopy Serum ferritin Lft Rft Anascopy if recommended by gastroenterologist Hopefully you recover soon Regards
Hello dear Thanks for the kind response See colonoscopy is indicated for ibs, chronic abdominal pain or constipation. So just to point out these reasons I have suggested. I think probably the microbial flora are variant in your gut. However you have already taken probiotics for improvement I suggest you please follow my instructions for improvement. In case of no improvement then investigation are must Regards
thank you so much for your reply doctor but i never had a gerd for my whole life i dont know why,me and my sister eat the same food,she gets gerd and i dont also i dont have pain so can you please explain why do i have to do colonoscopy? i just have gas all the time
Based on the history and symptoms, the most likely diagnosis is pelvic floor dyssynergia with functional bloating and visceral hypersensitivity, possibly triggered by past constipation and worsened by chronic anxiety. The bloating and gas are not due to food intolerance, infection, or serious disease, but rather due to impaired relaxation of the pelvic floor muscles and increased gut sensitivity. This condition is benign and treatable, though improvement is gradual. Continued pelvic floor biofeedback therapy, along with relaxation-based techniques and gut–brain modulation, is essential for recovery.
thank you so much for your reply, how can i treat visceral hypersensitivity?
Hello Ayhaza Thank you for sharing all these details—it really helps me understand how persistent and frustrating your symptoms are. You’ve already tried a lot of the standard treatments, so let’s focus on what might still help and what steps you can take next.
What’s likely happening:
Since your constipation is mostly resolved but you still have bloating, gas, and a feeling of incomplete evacuation, this could be a form of functional bowel disorder—like functional bloating or irritable bowel syndrome (IBS), especially if all tests for other causes (thyroid, celiac, infections, etc.) have been normal. Sometimes, the gut nerves and muscles don’t coordinate well, leading to these symptoms even when stools are regular.
What you can try next:
1. Low FODMAP Diet:
- Many people with bloating and gas benefit from a diet low in fermentable carbohydrates (FODMAPs). These are found in foods like onions, garlic, beans, wheat, apples, and dairy. You can try eliminating these for 2–4 weeks and see if symptoms improve, then reintroduce them one by one.
2. Peppermint Oil Capsules:
- Enteric-coated peppermint oil can help reduce bloating and gas for some people. It relaxes the gut muscles and reduces spasms.
3. Mind-Gut Connection:
- Stress and anxiety can worsen gut symptoms. Practices like yoga, meditation, or even gut-directed hypnotherapy have shown benefit in IBS and functional bloating.
4. Continue Biofeedback:
- Biofeedback can take several weeks to show results, so don’t lose hope yet. Consistency is key.
5. Review Medications:
- Some medicines can worsen bloating or slow gut movement. If you’re on any, check with your doctor if they could be contributing.
6. Specialist Consultation:
- If you haven’t already, a gastroenterologist can help rule out rare causes (like small intestinal bacterial overgrowth—SIBO, or motility disorders) and may suggest tests like a hydrogen breath test.
You’re not alone in this—many people struggle with these symptoms, and sometimes it takes a bit of trial and error to find what works.
Recommendation -
Take Rifaximin 400 mg - once a day after food for 7 days - it will help you related to ibs .
Secondly - Search yoga and exercise for ibs ( nabhi kaise theek kre ) on YouTube - you will get some exersise for that… do it empty stomach for 7 days.
After 7 days Then tell me future about it .
Thank you and get well soon
Diagnosis is often made based on symptoms (bloating, gas, diarrhea/constipation) and ruling out other conditions, especially if testing isn’t conclusive. Or stool sample can also be substitute for that .
But firstly before going for any testing i recommend you to go with those youtube search for sure it will help you out because it’s very common in India and nothing to Worry about that .
thank you so much for your reply, for Rifaximin i cant buy it here in algeria without an order from a doctor,and for sibo test we also dont have it here, how can i know if i truly have sibo??
Given your situation, it’s clear that you’ve been dealing with this for quite some time and tried various approaches without much relief. There’s a few things to consider that could potentially address root causes and help with the flatulence and bloating. First, diet modifications—since you’ve already experimented with excluding gluten, lactose, and even tried a carnivore diet, and since fasting seems to reduce your symptoms, it’s important to evaluate what specific foods may be causing issues. Keeping a detailed food and symptom diary can help identify any patterns; recording what you eat and how your symptoms change can provide insights into triggers that you might not have noticed yet. Consider trying an elimination diet under the guidance of a nutritionist or dietitian. Secondly, continue focusing on managing anxiety, as stress can influence gut function significantly. You mentioned you’re already on medication, but cognitive-behavioral therapy (CBT) might assist further in managing anxiety-related symptoms. Biofeedback can take time to show benefits, so give it more time while integrating relaxation techniques like deep breathing exercises, which can help lower anxiety and may improve intestinal muscle coordination. Given your bowel movements and sensations are linked to a “lazy colon” diagnosis and sensations of incomplete evacuation, working with a pelvic floor therapist could be beneficial. They can provide exercises specifically aimed at improving coordination of muscles involved in defecation, which may improve your sense of complete evacuation and reduce gas buildup. Increase your fiber intake gradually, as a sudden increase may worsen bloating; aim for foods that don’t cause gas for you but offer bulk to your stools. Hydration is key—ensure adequate fluid intake, as it can help reduce symptoms of bloating and aid bowel function. Lastly, given the persistence of your symptoms and previous evaluations, you might require further investigation such as tests for small intestinal bacterial overgrowth (SIBO) or motility studies—these detect underlying issues not typically found with basic exams. It’s critical to rule out these or other functional disorders with your gastroenterologist. Remember that comprehensive approaches often yield results over time and consistency is vital.
