Flatulence (Gas)
Chapter 13. Abdominal Problems

Flatulence is passing gas through the anus. For the average adult this happens about 6-20 times per day. What causes gas to be released this way? Often the cause is swallowing air. It also comes from intestinal bacteria that produce carbon dioxide and hydrogen (both odorless, by the way) in the course of breaking down carbohydrates in the food you eat. The tiny amounts of other, more pungent gases gives flatus its characteristic odor. Eating certain foods, like peas, beans, and certain grains produces more gas than eating other foods. All roughages in the diet will produce flatulence. A high-roughage diet, especially, will do this. When increasing dietary fiber in your diet, do so gradually. This will lessen the increase of flatus. Gas may signal a variety of other problems worth looking into. These include:
Lactose intolerance (inability to properly digest milk, cheese, and other dairy products)
Bacterial overgrowth in the intestines (often caused by certain antibiotics)
Abnormal muscle contraction in the colon.

Questions to Ask

Is the flatulence accompanied by severe, steady pain in the upper abdomen, nausea and vomiting, or yellowing of the skin or eyes?
Has the flatulence occurred only after taking a prescribed antibiotic?

Self-Care Tips

Eliminate or go easy on food items that often cause gas. Well-known offenders include:
Apples
Apricots
Beans and peas (dried, cooked)
Bran
Broccoli
Brussels sprouts
Cabbage
Cauliflower
Dairy products (for persons allergic to lactose)
Eggs
Eggplant
Onions
Popcorn
Prunes
Raisins
Sorbitol

{Note: Eliminate or go easy on only the foods that affect you personally. With the exception of sorbitol, the foods listed provide nutrients, so should not be cut out altogether.}

Keep a list of all the foods you eat for a few days and note when and the number of times you have gas. If you notice that you have excess gas after drinking milk, for example, try cutting down on it, or eliminate it from your diet. See if the flatulence persists. Do the same for other foods that you think are causing you to have gas.
If you are lactose-intolerant use lactose-reduced dairy foods or add an over-the-counter lactose-enzyme product such as Lactaid. This can be in drops or tablet form that you add to or take with dairy products to help you digest the lactose they contain.
Avoid swallowing air at mealtimes.
Don't drink through straws. Avoid carbonated beverages and chewing gum. These things can cause more air to get into your stomach.
The medication simethicone may help reduce flatulence by dispersing gas pockets (and preventing more from forming). It has no known side effects. Simethicone is available by prescription as well as over-the-counter under the brand name Mylicon.
Over-the-counter products (Bean-O and Phazyme 95) may curb flatulence caused by eating some foods such as baked beans.

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 02/01/99