Persistent bloating for several years, along with a feeling of tightness in the stomach even when you are eating healthy and staying active, suggests that the issue is likely related to gut motility, digestion patterns, or sensitivity of the intestines, rather than any serious disease. This type of long-term bloating is commonly seen in conditions like IBS (Irritable Bowel Syndrome), functional dyspepsia, excess gas trapping, or food intolerances, and all of these are treatable with the right approach.
Even though you are eating greens, salad, and drinking good amounts of water, sometimes these foods can increase gas production if your digestive enzymes or gut motility are not optimal. Walking and yoga help, but may not be enough if the root cause is slow digestion or bacterial imbalance.
Next Steps
1. Digestive enzyme support
A digestive enzyme tablet or syrup (like Aristozyme or Unienzyme) once or twice daily after meals can significantly improve digestion and reduce gas formation.
2. Antispasmodic + anti-gas combination
A tablet like Dicyclomine + Simethicone (Cyclopam / Colimex) during episodes of tightness helps release trapped gas and relaxes the intestines.
3. Evaluate for common triggers
Even healthy foods can trigger bloating in some people:
Milk,curd (lactose intolerance)
Wheat,chapati (gluten sensitivity)
Excess raw salads
Lentils, dals, chole/rajma
Carbonated drinks
These can be tested by eliminating them for 10 days and observing changes.
4. Probiotics
A 2–4 week course of probiotics can correct bacterial imbalance in the gut, which is a major cause of chronic bloating.
5. Acid control
If you have acidity or upper abdominal tightness, a once-daily PPI (Pantoprazole/Esomeprazole) for 2 weeks can help.
6. Stress management
Long-standing bloating is strongly linked with stress because the gut and brain are connected. Even mild stress can slow bowel movement and worsen gas.
Health Tips
If symptoms are worsening, associated with weight loss, vomiting, blood in stools, or severe constipation, then a few tests like ultrasound, stool test, H. pylori test, or endoscopy may be needed. But from your description, it sounds more like a functional, not dangerous problem.