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Real members of myPBCteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
May 26
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myPBCteam

Yes, bloating and gas are very common with PBC β€” you're definitely not alone! Many myPBCteam members report the same thing, even when their liver tests look normal.

Here are some PBC-related reasons why bloating can happen:

- Impaired bile flow β€” when bile can't flow properly, fat digestion is affected, which can cause Show Full Answer

Yes, bloating and gas are very common with PBC β€” you're definitely not alone! Many myPBCteam members report the same thing, even when their liver tests look normal.

Here are some PBC-related reasons why bloating can happen:

- Impaired bile flow β€” when bile can't flow properly, fat digestion is affected, which can cause digestive discomfort
- Fat malabsorption β€” undigested fat can lead to bloating, diarrhea, and greasy stools
- Portal hypertension β€” as PBC progresses, fluid can build up in the abdomen (called ascites), which causes a distended belly
- Ursodiol (Urso) β€” a common PBC medication that some people find causes gas and bloating as a side effect It's worth mentioning that bloating from gas is different from bloating caused by fluid buildup (ascites). Ascites can be a sign of disease progression, so if your belly feels unusually swollen or hard, it's a good idea to mention it to your doctor. An ultrasound can help tell the difference.

Since your liver tests are normal, the bloating is likely digestive in nature, but always worth flagging with your care team just to be safe!

May 26

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