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Food and bloating: 5 myths checked against the research

Food and bloating: 5 myths checked against the research

Some food rules get repeated so often that they start to sound like science. Bread bloats you because of gluten. Beans are off-limits. Sourdough is always easier. When your gut is sensitive, following the wrong rule can mean cutting out good foods for no reason, or missing the real trigger.

Here are five common beliefs about food and bloating, checked against what the research found.

Myth 1: "If bread bloats me, gluten must be the problem"

Fact: in a careful trial, fructans, not gluten, were what triggered symptoms.

Foods that contain gluten, a protein, often contain fructans too, a type of fermentable carbohydrate. A Norwegian team separated the two. They recruited 59 people who followed a gluten-free diet because they believed gluten made them unwell, after celiac disease had been ruled out. Each person ate muesli bars containing gluten, fructans or neither, for a week at a time, without knowing which.

Overall symptom scores were highest during the fructan week, and bloating scores were significantly higher with fructans than with gluten. Symptom scores with gluten didn't differ from placebo (Skodje et al., 2018).

The important caveat: celiac disease is a separate, serious condition that needs proper testing. If you haven't been tested, talk to your doctor before cutting out gluten.

Myth 2: "Beans will always make you gassy"

Fact: fewer people noticed extra gas than you might expect, and it varied by bean.

Researchers at Arizona State University looked at three feeding studies in which adults ate half a cup of beans every day for 8 or 12 weeks. Fewer than half reported more gas during the first week with pinto beans or baked beans, and only 19% did with black-eyed peas. Between 3% and 11% reported more gas even on the control diets, which had no beans at all (Winham and Hutchins, 2011).

The authors concluded that worries about gas from beans may be exaggerated, and that responses vary from person to person and bean to bean. If beans bother you, try a small portion of one type rather than ruling out the whole group.

Myth 3: "Sourdough is automatically easy to digest"

Fact: it may be gentler for some people, but the evidence in humans is thin.

Sourdough fermentation can partly break down some grain components that cause problems for a small group of people. But a 2023 review pointed out that how much this happens depends heavily on the starter's microbes, the processing conditions and how acidic the dough becomes. It also noted that most of the claimed benefits of sourdough rest on chemical and lab analyses rather than studies in people (D'Amico et al., 2023).

In practice, that means one sourdough loaf can be quite different from another. If you're testing whether bread bothers you, test one specific loaf for a couple of weeks rather than assuming anything labeled sourdough will behave the same way.

Myth 4: "More fiber always means less bloating"

Fact: in a large feeding trial, a high-fiber diet made bloating more likely.

In the DASH-Sodium trial, 412 adults ate either a high-fiber diet with 32 grams of fiber a day or a lower-fiber diet with 11 grams. The high-fiber diet increased the risk of bloating by 41%, and the effect was larger in men than in women (Peng et al., 2019).

That doesn't make fiber a bad idea. The researchers still described high-fiber diets as healthful, and suggested that lowering sodium could partly offset the extra bloating. The practical lesson is to increase fiber gradually and pay attention to the type. Here's why one popular added fiber, inulin, can make bloating worse.

Myth 5: "Sugar-free sweets are gentler on your stomach"

Fact: sugar-free gum can contain sorbitol, which isn't always well absorbed.

In a placebo-controlled study, 21 healthy people and 20 people with IBS took 10 grams of sorbitol or mannitol, two sugar alcohols. Only 33% of the healthy participants and 40% of those with IBS completely absorbed the sorbitol. Both sugar alcohols significantly increased digestive symptoms in the IBS group, but not in the healthy group. The same team found sorbitol in certain fruits and in sugar-free gum (Yao et al., 2014).

If sugar-free gum or mints are a daily habit, check the label for ingredients ending in "-itol," such as sorbitol and mannitol, and see whether cutting back for two weeks changes anything.

What works better than food rules

Notice the pattern: in almost every case, the answer depends on the dose, the specific food and your own gut. A two-week test of one change, with a simple 0 to 10 bloating score each afternoon, tells you more than any rule you read online, including the ones in this article.

And some symptoms shouldn't be handled with food experiments at all. See a doctor if bloating is new and happens most days, especially with early fullness, pelvic pain or urinary urgency, or if you have blood in your stool, weight loss you can't explain, anemia or a family history of colon cancer, IBD or celiac disease.

Sources

  1. Skodje GI, Sarna VK, Minelle IH, et al. Fructan, rather than gluten, induces symptoms in patients with self-reported non-celiac gluten sensitivity. Gastroenterology. 2018;154(3):529-539.e2. PMID 29102613
  2. Winham DM, Hutchins AM. Perceptions of flatulence from bean consumption among adults in 3 feeding studies. Nutr J. 2011;10:128. PMID 22104320
  3. D'Amico V, Gänzle M, Call L, et al. Does sourdough bread provide clinically relevant health benefits? Front Nutr. 2023;10:1230043. PMID 37545587
  4. Peng AW, Juraschek SP, Appel LJ, Miller ER 3rd, Mueller NT. Effects of the DASH diet and sodium intake on bloating: results from the DASH-Sodium trial. Am J Gastroenterol. 2019;114(7):1109-1115. PMID 31206400
  5. Yao CK, Tan HL, van Langenberg DR, et al. Dietary sorbitol and mannitol: food content and distinct absorption patterns between healthy individuals and patients with irritable bowel syndrome. J Hum Nutr Diet. 2014;27 Suppl 2:263-75. PMID 23909813

This article is for general information and isn't medical advice. Don't remove gluten or other major food groups before talking with your healthcare provider, especially if celiac disease hasn't been ruled out.