👨‍⚕️ Dr. BOSS 的聊天室｜Episode 11：胃脹氣的原因與改善

👨‍⚕️ Dr. BOSS 的聊天室｜Episode 11：胃脹氣的原因與改善 BOSS Doctor’s Chatroom｜Episode 11: Understanding and Managing Bloating 副標 / Subtitle 👨‍⚕️ Dr. BOSS × 🐨 Koala | 胃脹氣：胃與腸道氣體的互動 👨‍⚕️ Dr. BOSS × 🐨 Koala | Bloating: How Stomach and Intestinal Gas Interact --- 🟦 對話稿 Dialogue（中英對照） Koala： BOSS醫生，為什麼有時候吃完飯會覺得胃脹氣呢？ Doctor BOSS, why do I sometimes feel bloated after meals? BOSS 醫生： 胃脹氣主要是因為 胃與腸道氣體互相影響。有些是胃本身的原因，有些是腸道產生氣體造成。 Bloating mainly occurs due to interactions between stomach and intestinal gases. Some causes are from the stomach itself, others from gas produced in the intestines. Koala： 那胃和腸道的原因有什麼不同呢？ What’s the difference between stomach-related and intestine-related bloating? BOSS 醫生： 胃脹氣通常來自 吞入空氣或胃蠕動慢，像吃太快、喝碳酸飲料就會打嗝或上腹膨脹；腸道氣體則是 食物被腸道菌分解產氣，常伴隨腹脹、排氣或腸鳴。 Stomach bloating usually comes from swallowed air or delayed gastric emptying, such as eating too fast or drinking carbonated drinks, causing burping or upper abdominal swelling. Intestinal gas is from fermentation of food by gut bacteria, often with abdominal distension, gas, or bowel sounds. --- 🟦 胃脹氣來源 / Causes of Bloating（中英對照） 1. 胃相關 Stomach-related 吞入空氣 Aerophagia：吃太快、喝氣泡飲、緊張講話 Swallowing air while eating fast, drinking carbonated drinks, or talking under stress 胃排空延遲 Delayed gastric emptying：胃蠕動慢，食物滯留 Slower stomach movement, food stays longer 消化不良 Dyspepsia：食物分解不完全 Undigested food in the stomach 2. 腸道相關 Intestine-related 小腸或大腸氣體 Excess intestinal gas：食物被腸道菌發酵 Fermentation of food by gut bacteria 腸躁症 IBS：腸道過敏或蠕動異常 Irritable bowel syndrome, abnormal gut motility 乳糖不耐症 Lactose intolerance：乳糖發酵產氣 Gas from lactose fermentation --- 🟦 胃脹氣症狀 / Symptoms（中英對照） 上腹膨脹 Upper abdominal swelling 打嗝 Burping 腹部悶脹 Fullness or discomfort 腹鳴 Bowel gurgling 放屁 Increased gas / flatulence --- 🟦 改善方法 / Tips for Relief（中英對照） 1. 飲食習慣 Eating habits 吃慢、細嚼慢咽 Eat slowly and chew well 避免碳酸飲料 Avoid carbonated drinks 少量多餐 Eat smaller, more frequent meals 2. 飲食選擇 Food choices 減少高氣體食物 Reduce gas-producing foods (豆類、洋蔥、十字花科蔬菜) 注意乳糖攝取量 Monitor lactose intake 均衡膳食，攝取益生菌 Balanced diet with probiotics 3. 生活方式 Lifestyle 適量運動 Regular physical activity 維持規律作息 Maintain consistent routine 放鬆心情、減壓 Relaxation and stress management --- 🟦 小知識 Mini Note（中英對照） Koala： 那為什麼有的人吃完飯就脹，有的人不會呢？ Why do some people bloat after meals while others don’t? BOSS 醫生： 因為每個人的胃腸蠕動速度、腸道菌叢組成、吞氣習慣都不同，所以氣體產生與排出方式也不一樣。 Each person has different gastric emptying speeds, gut microbiota, and swallowing habits, so the amount and handling of gas varies.