Did you know, how you experience bloating can say a lot about what is going on in your gut? Bloating and distension can give us clues as to what is going on in your gut and how to best help! This week I interview Tamara Duker Freuman, RD on IBS symptom language and why it's KEY to understanding what a patients bloating means. Plus, we cover different gut disorders and how bloating and distension present with each - getting clear on how to discuss bloating with patients so you can 'sleuth out' what is going on! Tamara Duker Freuman is a registered dietitian and is nationally known for her expertise in digestive health and medical nutrition therapy for gastrointestinal diseases.  She works out of East River Gastroenterology & Nutrition (www.eastrivergastro.com), a private Manhattan-based practice known for its expertise in disorders of the gut-brain axis and specialized diagnostics. In addition to her clinical work, Tamara is a high-profile nutrition writer whose advice on healthy living and dietary management of digestive disease has been read by hundreds of thousands of people each month. Tamara is the author of one of my favorite books - The Bloated Belly Whisperer. If you haven’t read it, you absolutely need to. Today, she is here to talk to us about everything bloating related. We talk about: Tamara’s background and how she became interested in digestive disorders The difference between bloating and distension and why they occur How bloating and distension relate to IBS symptom management The symptoms of constipation-induced bloating The symptom of upper gut bloating / early onset bloating  Functional dyspepsia what it is, and how it is different from IBS The symptoms of impaired gastric accommodation Whether bloating is always related to food If ‘I feel bloated’ is the new ‘I feel fat’ and what people should know about the intersection of body image and bloating Body dysmorphia, how to identify it in patients and the different treatment approaches to consider Connect with Tamara on her website at www.eastrivergastro.com on Instagram @tamarafreuman or on Twitter or on her Facebook here as well!