Irritable bowel syndrome with flatulence: diet, nutrition and medications


Flatulence in adults - causes

It is not at all necessary to call the attending physician at home in case of such unpleasant symptoms, but if possible, it would also not hurt to visit a gastroenterologist. The main causes of flatulence in adults can be identified by collecting anamnesis data, or after a clinical examination of the gastrointestinal tract. The occurrence of bloating and progressive flatulence is preceded by such abnormal processes in the adult body as:

  • individual nutritional characteristics;
  • penetration of air into the digestive organs (during breastfeeding);
  • lack of oxygen;
  • diseases of the gastrointestinal tract, such as gastritis, pancreatitis, ulcers;
  • violation of systemic circulation;
  • nervous disorder, stress;
  • acute intestinal infections;
  • intoxication of the body;
  • intestinal parasites;
  • taking medications.

Foods that cause flatulence

If you determine the cause of the pathology and promptly eliminate it from the everyday life of an adult patient, your general well-being will be regulated, and alarming symptoms will fade into the background. It is important to know foods that cause flatulence, since their portions in the daily menu will have to be reduced several times. They provoke bloating, cause discomfort, and noticeably reduce appetite due to unpleasant symptoms. This:

  • Any amount of legumes: peas, beans, lentils;
  • coarse fiber: sauerkraut, apples, onions, garlic;
  • yeast products: kvass, beer, baked goods;
  • carbonated drinks;
  • citrus fruit;
  • black bread.

Prevention of flatulence in children

To protect your child from increased gas formation, follow these simple tips:

  • Before feeding the baby, place him on his stomach for a short time each time - this promotes a “natural” abdominal massage and facilitates training of the abdominal muscles;
  • after feeding, hold the baby upright (for example, pressing him to the shoulder) for 10 - 15 minutes before burping;
  • periodically stroke the baby's belly clockwise;
  • do not swaddle tightly;
  • adhere to the principles of breastfeeding;
  • for artificial feeding, choose mixtures containing prebiotics.

Remember that flatulence is a reason to consult a doctor. Don't self-medicate!

Flatulence - symptoms

If an adult develops pronounced signs of flatulence, the mood noticeably drops, bowel movements are disrupted, and appetite decreases. It is difficult not to notice such unpleasant changes; in addition to excessive accumulation of gases in the body, prolonged constipation or, conversely, prolonged diarrhea may be observed. Other obvious symptoms of flatulence in adults are detailed below:

  • heartburn;
  • colon spasms;
  • belching;
  • abdominal enlargement;
  • nausea, less often – vomiting;
  • sleep phase disturbance;
  • abdominal pain.

Flatulence: classification

The following main types of flatulence are distinguished:
1. Alimentary flatulence in adults. Appears as a result of abuse of foods rich in starch and fiber (brown bread, legumes, potatoes, cabbage and a number of others).

2. Dynamic flatulence. It occurs as a result of a violation of the motor function of the gastrointestinal tract. Its cause may be pathogenic microorganisms that release their toxins into the intestinal lumen and interfere with its normal functioning, as well as dysbiosis, enzymatic deficiency, and malfunctions that occur during the absorption of food from the intestines into the blood.

3. Mechanical flatulence. It occurs due to the fact that mechanical obstacles arise in the path of food moving through the digestive tract (most often these are various neoplasms).

4. Psychogenic flatulence in adults. It is caused by various mental disorders, such as hysteria.

5. Circulatory flatulence. Appears as a result of circulatory disorders when prolonged stagnation is observed in the intestinal veins.

During pregnancy

The problem of increased gas formation occurs in childhood, but is also characteristic of the adult generation. Expectant mothers also suffer from unpleasant symptoms, and this unpleasant sensation is accompanied by excessive abdominal pain and a feeling of general discomfort. Flatulence in pregnant women is explained by problematic digestion. The appearance of a characteristic anomaly is preceded by the fetus itself, which, growing larger in size as the period increases, puts increased pressure on the digestive organs.

If a characteristic health problem arises, you need to visit your local physician and determine an intensive care regimen. Effective treatment of flatulence in adults involves a therapeutic diet and medication. If we are talking about the recovery of a pregnant woman, it is better not to joke with taking carminatives, but to be treated with activated carbon tablets. If there is no “interesting situation” with problems of the digestive tract, the treatment regimen includes the following medications:

  1. For increased absorption of carbon dioxide, toxins, waste, and other toxic substances, you should take Polysorb, activated carbon, Dimethicone, white clay, Polyphepan.
  2. In order to ensure a carminative effect, take dill water, activated carbon, Disflatil, Espumisan, Riabal.
  3. To restore the functions of the pancreas, additional intake of enzymes is necessary, including medications such as Pancreatin, Creon, Mezim, Pankreoflat.
  4. To regulate the intestinal microflora, it is recommended to take probiotics such as Hilak Forte, Linex, Bifidumbacterin, Rioflora Immuno, Simbiter, Bifiform.
  5. To remove unpleasant spasms of the colon, you can use the help of enterosorbents. This method really works if you choose the drug Enterosgel.
  6. If the feeling of nausea suddenly gives way to bouts of vomiting, it’s time to purchase a medicinal solution called Cerucal or Metoclopramide.
  7. Laxatives are taken for constipation to relieve spasms of the colon. For these purposes, Cisapride is prescribed as an alternative to the classic enema.

It is possible to exterminate pathogenic microorganisms in colitis and enteritis by adjusting your daily diet. The diet for intestinal flatulence involves a reduction in foods with coarse fiber, legumes, and food ingredients with fermentation properties. These are the most dangerous dishes that can only worsen the functioning of systemic digestion. If you are lactose intolerant, you should reduce your consumption of milk sugar and reduce the total number of calories. Only after this, determine a treatment regimen for how to treat flatulence.

For women and men, the intensive care regimen is identical. If flatulence progresses in adults, the causes and treatment are closely interrelated, and all prescriptions for a specific clinical picture should be carried out exclusively by the attending physician. From a huge range of medications, specialists and their patients choose the following drugs for the treatment of flatulence in adults:

  • activated carbon as a sorbent;
  • Espumisan against spasms;
  • Polysorb for obvious signs of intoxication;
  • Linex or Hilak Forte to restore digestion.

Folk remedies

Not all patients use the means of official medicine. When solving the main problem of how to treat intestinal flatulence, they choose only alternative methods that are no less reliable in practice. There are many effective health recipes, but it is important to be selective in choosing them. Productive treatment of flatulence with folk remedies includes the following health recipes for adults:

  1. 1 tbsp. l. steam dill seeds in a glass of water, then strain, cool, and give to adults and children to treat bloating. Knowing the causes of the disease, you can add dried thyme.
  2. Grind carrot seeds in a coffee grinder, use in dry form if you feel bloated, but after determining the cause of the pathological process in adults.
  3. Prepare a decoction of dandelion roots, and to do this, pour 500 ml of boiling water 2 tbsp. l. dried raw materials. Cool, give to adults in strained form, dividing the finished dose into 4 doses.
  4. For known causes of flatulence, adults can be given crushed ginger root 0.25 tsp. Kombucha is also allowed.



What is flatulence? How to quickly get rid of this unpleasant condition? We will answer these and other questions in this article.

general information

Before we tell you how to quickly get rid of flatulence, we should tell you what this pathological condition is.

The medical term "flatulence" is of Greek origin. Translated into Russian, it means “swelling” or “rising up.” Thus, we can safely say that flatulence is an excessive accumulation of gases in the intestines. How does this condition manifest itself? It is characterized by bloating and excessive release of digestive gases.

The meaning of the word "flatulence"

  • Flatulence (from the Greek μετεωρισμός - rising, bloating) is an excessive accumulation of gases in the intestines. It manifests itself as bloating, possibly abundant (“explosive”) release of large amounts of digestive gases (so-called flatulence).

FLATULENCE

, a,
plural
no,
m.
[from Greek. meteōrizō - lift into the air, blow up] (med.). Bloating from the accumulation of gases in the intestines.

Source:

“Explanatory Dictionary of the Russian Language” edited by D. N. Ushakov (1935-1940);
(electronic version):
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Synonyms for the word "flatulence"

Sentences containing "flatulence"

  • This will help you get rid of flatulence
    - a companion to eating all legumes.
  • A deficiency is fraught with anemia, dyspepsia, flatulence
    , and impaired taste.
  • Due to flatulence
    , the diaphragm stands high, the abdominal press is tense, and there is no peristalsis.
  • (all offers)

Quotes from Russian classics with the word “flatulence”

  • His underwear, soaked through with skin secretions, not dried and not washed for a long time, mixed with old bags and rotting cast-offs, his foot wraps with the suffocating smell of sweat, he himself, who had not been to the bathhouse for a long time, was full of lice, smoking cheap tobacco, constantly suffering from flatulence
    ; his bread, meat, salted fish, which he often dried right there in prison, crumbs, pieces, bones, leftover cabbage soup in the pot; the bugs that he crushes with his fingers right there on the bunk - all this makes the barracks air stinking, dank, sour; it is saturated with water vapor to an extreme degree, so that during severe frosts the windows are covered from the inside with a layer of ice by morning and the barracks become dark; Hydrogen sulfide, ammonia and all sorts of other compounds mix in the air with water vapor and the same thing happens that, according to the guards, “turns your soul back.”

Associations to the word "flatulence"

Concepts with the word "flatulence"

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Additionally

Sentences containing "flatulence":

This will help get rid of flatulence

- a companion for eating all legumes.

Deficiency is fraught with anemia, dyspepsia, flatulence

, violation of taste.

Due to flatulence

the diaphragm is high, the abdominal press is tense, and there is no peristalsis.

Synonyms for the word "flatulence"

Associations to the word "flatulence"

Features of the disease

Why are many people interested in the question of how to quickly get rid of flatulence in the intestines? The fact is that such an unpleasant condition is almost always accompanied by a feeling of heaviness in the abdominal cavity, belching, distension in the abdomen, hiccups, and attacks of cramping pain, which usually disappear after the passage of gas. Sometimes, with increased gas formation, diarrhea alternates with constipation.

Few people know, but a healthy adult has approximately 1 liter of gases in the intestines and stomach. As a rule, they are formed due to the active activity of intestinal microorganisms. Normally, an adult excretes approximately 100-500 ml of gas per day during defecation and in addition to it.

If the patient suffers from flatulence, then the volume of excreted gases can reach 3 or more liters. According to experts, such a mixture in healthy people includes: nitrogen, carbon dioxide, oxygen, hydrogen, methane and a small amount of ammonia, hydrogen sulfide and volatile mercaptans.

Causes

Why does flatulence occur? How to quickly get rid of this unpleasant condition? It should immediately be noted that the two questions posed are inextricably linked. Before you begin treatment for increased gas formation, it is necessary to identify the cause of its occurrence.

Doctors say that flatulence can occur not only due to the presence of any pathology, but also when eating special foods that contain large amounts of carbohydrates. Thus, an unpleasant condition accompanied by excessive accumulation of gases in the intestines may arise due to:

  • food that causes the formation of gases (these are legumes, highly carbonated drinks, apples, cabbage, etc.);
  • food that causes fermentation processes (for example, this includes black bread, beer, kvass, kombucha, etc.);
  • dairy products (especially in people with lactose intolerance).

Flatulence syndrome - what is it?

As you know, flatulence is the increased accumulation of gases in the gastrointestinal tract, in its upper sections or in the intestines. It occurs even in people who do not complain of health problems. Most often, this happens when a person overeats or eats foods that, during the digestion process, produce excess gases. Moreover, for some, gases, having accumulated in the intestines, rush out and the person is afraid that someone will hear or smell an unpleasant odor, while others have difficulty removing them. Be that as it may, the quality of life for both people is significantly reduced.

Causes of the pathological condition

How to get rid of bloating and flatulence? This question should definitely be of interest to those who have constant increased gas formation.

Experts say that flatulence is a fairly common symptom of certain diseases, namely:

  • acute intestinal infections;
  • intestinal dysbiosis;
  • disturbances in the passage of gases;
  • diseases of the gastrointestinal tract (for example, pancreatitis, colitis, enteritis, liver cirrhosis, etc.);
  • helminthiasis, or so-called intestinal parasites;
  • intestinal obstruction;
  • intestinal atony due to peritonitis;
  • neurosis;
  • other inflammatory processes in the intestines.

It should also be noted that this condition can develop as a result of swallowing a large amount of air while eating food.

Pathogenetic treatment

Now you know what flatulence is. How to get rid of it quickly? Activated carbon, “Phosphalugel”, “Enterosgel” are sorbents that allow you to bind and remove all toxic substances from the body. However, they are not recommended for long-term use due to the possible occurrence of severe side effects.

Pathogenetic therapy also involves the use of:

  • Enzymatic agents that contain digestive enzymes that significantly improve the functioning of the gastrointestinal tract (for example, “Pancreatin”, “Mezim”).
  • Defoamers that destroy foam, that is, gases accumulated in the intestines. In addition, such drugs improve the absorption capacity of the mentioned organ, have a beneficial effect on its motility and have a strong carminative property (for example, “Simethicone”, “Dimethicone”).

Etiotropic therapy

This method of treatment is aimed at combating the causes that cause gas in the intestines.

For flatulence that occurs as a result of mechanical action (for example, due to an intestinal tumor, constipation), the method of therapy will depend on the existing disease. For neoplasms, surgical intervention is performed, and for prolonged constipation, laxatives are prescribed.

For dynamic flatulence, the most popular are drugs that enhance intestinal motility (for example, Cerucal).

To normalize the functioning of this organ, as well as eliminate dysbiosis, you should take probiotics, which contain live bacteria.

Flatulence: treatment

After conducting the necessary examinations, the doctor makes a final diagnosis and prescribes treatment. There is no need to try to cure flatulence on your own, because without knowing its causes, you can only aggravate your condition, which will most likely lead to the development of complications and worsen the prognosis.

Therapy for flatulence should be comprehensive. Patients are usually prescribed etiotropic, pathogenetic and symptomatic treatment.

The main direction of pathogenetic treatment is the elimination of increased gas formation. For this purpose, carminative (Espumizan), enzymatic (Mezim, Pancreatin) agents, as well as enterosorbents (Phosphalugel, Enterosgel and a number of others) can be prescribed.

Symptomatic therapy, as the name implies, is aimed at eliminating the unpleasant symptoms of flatulence. For this purpose, antispasmodics (No-shpa, Papaverine) can be prescribed.

Efforts of etiotropic therapy are aimed at eliminating the causes of the disease. If flatulence occurs as a result of constipation, taking laxatives is indicated. If increased gas formation occurs due to tumors, then surgical treatment is necessary.

If the problem is a violation of intestinal motility, then prokinetics are prescribed (Domperidone, Cerucal)

In order to normalize the composition of the intestinal microflora, probiotics are prescribed. The most effective of them are:

  • Unibacter;
  • Floraldophilus;
  • Santa Rus';
  • Acidophilus;
  • Lactis;
  • Vetom (all types).

In order to suppress pathogenic microflora, the use of antibacterial drugs (Furazolidone, Enterofuril and a number of others) is indicated.

A quick way to treat

Now you know how to cure flatulence. How to get rid of it quickly? Tablets taken for this condition are sold in all pharmacies. The most reliable, effective and safe remedy for increased gas formation is Espumisan. According to the instructions, it has no contraindications and can be taken by elderly people, pregnant and lactating women, as well as patients with diabetes.

What causes flatulence? How to quickly get rid of this disease? Very often the cause of this condition is the consumption of certain products. Therefore, when fighting flatulence, it is very important to follow a diet.

To eliminate discomfort, you need to adjust your diet and give up fatty foods. This will help food be absorbed faster and gases will not linger in the intestines.

To improve your condition, as well as prevent the development of repeated flatulence, doctors recommend eliminating foods that cause excess gas from your diet. As a rule, these include the following:

  • brown bread, citrus fruits, berries;
  • legumes, fruits;
  • cabbage, onions, tomatoes;
  • prunes, peas;
  • radishes, muffins, lentils.

Nutritionists also recommend avoiding consumption of whole milk, milkshakes and ice cream. In addition, you should forget about carbonated drinks, kvass and beer.

To eliminate dysphagia, it is advised to eat food slowly and chew it thoroughly.

If the cause of flatulence is swallowing too much air, then you should stop chewing gum. It is also necessary to talk less at the table.

Nutritionists say that for normal digestion it is very useful to arrange fasting days for your stomach. They will restore the functioning of the gastrointestinal tract and get rid of toxins. On such days, it is recommended to eat only a little boiled rice. You can also unload with the help of kefir, but this is only if the patient does not have lactose intolerance.

To activate the intestines and improve their motility, doctors recommend walking every day and leading an active lifestyle.

Every person has encountered the problem of bloating at least once in their life. Let's talk about the problem of flatulence in adults. The causes and treatment of this disease will be discussed below.

Specifics of the disease

The problem of flatulence worries adults when gas accumulates in their stomach. Flatulence is always characterized by discomfort in the abdominal area.

The most common symptoms of the disease are bloating, feeling unwell and belching.

During flatulence, a large amount of food gases is released. However, this problem cannot be called an independent disease.

Flatulence often worries people who have any pathologies in the functioning of the gastrointestinal tract.

And it also happens that after a feast a person feels a sharp pain in the stomach. After this, his stomach swells - this is a manifestation of flatulence. Thus, most often, this disease is caused by external reasons.

However, if flatulence is a symptom of some disease, treatment must be started. Therefore, if this disease occurs systematically, a person should be examined in a hospital.

During flatulence, approximately 3 liters of gases are released per day. With abundant gas accumulation, the intestinal mucosa cannot function normally.

The human body cannot actively absorb beneficial substances coming from food, and enzymatic ability is also impaired.

In the gastrointestinal tract, accumulated gases look like foam. The basis of such foam is mucus. It interferes with the normal absorption of food by the stomach.

That is why the problem of flatulence brings a lot of discomfort. Metabolism is disrupted, and along with it, disruptions occur in the body’s production of enzymes.

Psychosomatics of flatulence: problems, fears and grievances within us

According to statistics offered by WHO, about 15 - 20% of the world's population suffer from irritable bowel syndrome, the main symptom of which is flatulence. This delicate problem creates a lot of inconvenience, however, only 70% of patients are brought to the doctor, the rest prefer to endure, considering this condition a mild food problem or a normal course of business.

We are accustomed to associating food problems with poor nutrition, disruption of the body's microflora, enzyme-alkaline balance, bacterial diseases and hormonal changes. But these are only consequences, the cause lies much deeper, in the neural connections between the intestines and the brain, which deteriorate depending on the state of our psyche and nervous system. 75% of people diagnosed with IBS suffer from stress. They fall into a closed chain - stress provokes an exacerbation of the disease, and deterioration of the condition increases stress. How to identify and overcome the problem, not the symptoms?

Causes of the disease

The causes of flatulence in adults are different. They depend both on environmental conditions and the functioning of the stomach and digestive system.

So, the reasons why flatulence occurs:

  1. There has been a disruption of the enzyme system. Sometimes the human body experiences disruptions in the production of enzymes, which leads to pieces of undigested food entering the gastrointestinal tract. As a result, fermentation and rotting processes occur in the stomach. These are the causes of bloating. Some adults experience flatulence because enzyme deficiency is the result of poor nutrition.
  2. The causes of flatulence may be associated with dysbacteriosis. When the intestinal microflora is not disturbed, part of the food gases is absorbed by bacteria, but in their absence this does not happen. As a result, flatulence occurs. Poor nutrition is the most common cause of dysbiosis.
  3. Postoperative period. The problem of flatulence worries many adults who have undergone abdominal surgery. The causes of flatulence, in this case, are decreased motility of the digestive organs. As a result, food stagnates in the stomach, causing it to bloat. If treatment is not started in time, another operation may be required.
  4. Diseases of the digestive organs. Ailments and pathologies of the digestive system, such as the intestines, can cause flatulence.
  5. The quality of the products a person consumes. It's no secret that human health directly depends on the quality of the food he absorbs. There are a number of foods that contribute to gas formation in the stomach. For example, legumes. If you are lactose intolerant, you should not drink or eat dairy products during flatulence.
  6. Stress. Psycho-emotional stress can also cause flatulence. Systematically occurring nervous disorders can provoke bloating. To cope with stress quickly and effectively, you need to take sedatives. In this case, symptoms of the disease such as irritability and nervousness will go away.
  7. Flatulence in old age. This is a problem for older people over 65 years of age. During flatulence, their intestinal muscles atrophy.
  8. Pregnancy. Many pregnant women experience flatulence. In this case, they do not need treatment, because bloating is the result of compression of the intestines by the uterus.

As a result, the process of food movement in a pregnant woman’s body slows down. This leads to the body not fully receiving nutrients.

Causes of flatulence

Physiological conditions

Although bloating most often indicates the presence of diseases of the gastrointestinal tract, sometimes its occurrence is due to non-pathological factors. The accumulation of gases can be associated both with their excessive formation and with retention in the intestines. The most common physiological causes of flatulence are:

  • Consumption of products that stimulate gas formation
    . Normally, when digesting one full meal, up to 15 liters of gases are formed in the gastrointestinal tract, mostly absorbed through the intestinal wall. Increased gas formation is observed when consuming black bread, beer, kvass and other foods that cause fermentation, legumes, cabbage, large amounts of carbohydrates, and fats.
  • Eating habits
    . Up to 60% of intestinal gases are swallowed air, which enters the gastrointestinal tract when drinking water and swallowing movements. When eating in a hurry, not chewing thoroughly and swallowing quickly, or smoking while eating, more air enters the stomach. Part of it is eliminated by belching, the rest of the gas moves into the intestines, causing flatulence.
  • Senile flatulence
    . Tympany in healthy elderly people is caused by age-related changes in the gastrointestinal tract. After 50-60 years, the intestine lengthens somewhat, and its muscular wall atrophies, which contributes to the retention of gases and chyme in the intestinal lumen. With age, the number of active intestinal glands decreases, and gas formation increases against the background of a deterioration in the digestive function of digestive juices.

Pregnancy

Flatulence most often occurs in the second and third trimesters of gestation and is associated with both increased gas formation and delayed evacuation of gases from the intestines. At least a third of pregnant women report increased bloating. In addition to swelling, patients complain of sour belching, heartburn, and constipation. Flatulence during pregnancy, more often than in other conditions, is combined with spastic pain in the lower abdomen and can provoke an increase in the tone of the uterus. The causes of tympany during gestation are:

  • Mechanical compression of the intestines
    . Enlargement of the uterus during pregnancy is accompanied by increased pressure on other abdominal organs. The occurrence of swelling is often facilitated by compression of the cecum, less often - of the sigmoid colon.
  • Slowing down intestinal motility
    . Progesterone, produced by the placenta to maintain gestation, has a relaxing effect on intestinal smooth muscle. Reduction of peristaltic waves during pregnancy provokes constipation and retention of intestinal gases.
  • Digestive disorders
    . In pregnant women, the load on the liver and pancreas increases. In combination with estrogenic effects, this leads to changes in the composition of bile and pancreatic juice and, as a result, insufficient digestion of food with increased gas formation.
  • Intestinal dysbiosis
    . The combination of fecal retention in the large intestine, small intestinal maldigestion and malabsorption contributes to disruption of the normal composition of the intestinal biocenosis. In this case, flatulence becomes the result of insufficient fermentation of dietary fiber.

Infectious diseases

Inflammatory changes occurring in the wall of the small and large intestines under the influence of pathogenic microorganisms are accompanied by disruption of the processes of parietal digestion and absorption. As a result, the diffusion of gases through the intestinal wall worsens, and gas formation in the intestinal cavity increases. Flatulence may be accompanied by:

  • Acute intestinal infections
    . Tympany with diarrhea, abdominal pain, tenesmus, nausea, and vomiting is characteristic of acute gastritis, enterocolitis and colitis caused by various pathogens. Flatulence is observed with dysentery, salmonellosis, rotavirus infection and other diseases affecting the gastrointestinal tract.
  • Candidiasis process
    . Activation of fungal flora in patients with reduced immunity provokes bloating, loose stools, and non-localized pain in the abdomen. More often, intestinal candidiasis occurs in a non-invasive form without damage to the intestinal wall with moderate intoxication and discomfort.
  • Protozoal invasions
    . Abdominal bloating in the acute period of giardiasis manifests itself as part of a gastrointestinal syndrome with dyspepsia and copious foamy stools; with a long course, weight loss and asthenia predominate. In chronic toxoplasmosis, flatulence is caused by mesadenitis and is usually accompanied by constipation.
  • Helminthiases
    . Heaving is possible with various helminthiases. Thus, the manifestation of trichocephalosis is characterized by drooling, nausea, vomiting, tympany, constipation, alternating with diarrhea. With massive helminthic infestation, severe intractable diarrhea with blood and rectal prolapse are sometimes observed.

A prerequisite for the development of flatulence against the background of an infectious intestinal lesion is often dysbacteriosis. Contamination of the colon with pathogenic microorganisms with a simultaneous reduction in the number of beneficial lacto- and bifidobacteria is accompanied by a disruption of the natural processes of food fermentation and activation of fermentation. As a result, gas formation increases and tympany develops.

Pathology of the large intestine

Bloating is one of the characteristic symptoms of colon damage. Often swelling is combined with constipation, abdominal pain - diffuse or localized in different parts of the abdomen. The development of flatulence in colonic diseases is usually caused by delayed evacuation or impaired fiber fermentation. Pathological tympany is manifested by:

  • Long-term inflammatory processes
    . Transversitis, sigmoiditis, rectosigmoiditis and other forms of chronic colitis are characterized by a combination of excessive gas formation and delayed excretion of formed gases. Constipation and moderate pain are typical, the localization of which depends on the affected part of the intestine. The condition improves after defecation.
  • Volumetric neoplasms
    . With benign tumors of the large intestine, there is usually moderate bloating and a tendency to constipation, and symptoms progress slowly. In patients with intestinal polyps, blood may be detected in the stool. Constant flatulence, pain and progressive obstruction can be among the first symptoms of colon cancer.
  • Enlargement of the colon
    . In patients with megacolon, dolichosigma and other variants of dolichocolon, abdominal swelling is combined with persistent constipation and signs of intestinal intoxication. Gas retention is noted. The pain can be diffuse and local, felt in the navel area and left iliac region. Upon palpation, the intestine is overcrowded with feces.
  • Violation of the structure of the intestinal wall
    . Flatulence and non-localized abdominal pain are common symptoms of pneumatosis and intestinal diverticula. The formation of sac-like protrusions and air cysts is accompanied by a slowdown in peristalsis and the occurrence of constipation. When stool stagnates, dysbiosis occurs, gas formation increases with deterioration of gas elimination.

Diseases of the esophagus and stomach

Abdominal bloating is often observed when the upper digestive tract is affected. Of the esophageal diseases, gastroesophageal reflux disease, especially caused by a hiatal hernia, has the greatest influence on the occurrence of tympany. Violation of the closure function of the cardia with the reflux of gastric contents into the esophagus is accompanied by a disorder of the autonomic regulation of gastrointestinal motility, a change in the secretory and evacuation functions. In addition to flatulence, patients with GERD complain of heartburn and sour belching.

Insufficient digestion of foods in the stomach is the leading cause of bloating in gastritis. The entry of such chyme into the intestine provokes the development of maldigestion and affects the passage of intestinal contents and its further fermentation in the colon. With duodenogastric reflux and biliary reflux gastritis, an aggravating factor is increased gas formation due to the reaction of acidic gastric juice with alkaline duodenal contents. In such cases, local gastric tympany with intense epigastric pain may occur.

Similar chemical processes occur in the duodenum during gastritis with high acidity, NSAID gastropathy, however, gases accumulate in the small intestine, causing diffuse pain in the navel and general bloating. In the development of flatulence in early dumping syndrome, a key role is played by the exclusion of the gastric phase of digestion and disruption of autonomic regulation. In diseases of the stomach and duodenum, tympany is combined with belching of air and sour chyme, and other signs of dyspepsia - nausea, vomiting, and loss of appetite.

Maldigestion and malabsorption

The symptom of bloating is a characteristic sign of disruption of the processes of cavity and parietal digestion. In addition to stomach diseases, maldigestion is provoked by disorders of pancreatic secretion (enzymatic pancreatic insufficiency, Shwachman-Diamond syndrome, pancreatitis - reactive, biliary, autoimmune, etc.), inflammation of the intestinal wall (chronic enteritis, sprue), changes in the composition and secretion of bile during cholecystitis, cholelithiasis , biliary dyskinesia, liver pathology (Gilbert's syndrome, portal hypertension).

Often flatulence develops in patients suffering from lactase deficiency, celiac disease, and other enzymopathies. The inability to digest certain food components leads to changes in the chemical composition of intestinal contents, disrupts its absorption and fermentation by saprophytic flora, and activates fermentation processes. Tympany in maldigestion syndrome is often combined with diffuse abdominal pain, stool instability, and changes in the color and consistency of stool. Characteristic signs of damage to individual organs are revealed.

Abdominal purulent processes

Bloating caused by inhibition of intestinal motility is observed with diffuse and local peritonitis. Increasing flatulence against the background of intense diffuse abdominal pain, hyperthermia and paretic intestinal obstruction is observed in the complicated course of the postoperative period, after childbirth (with obstetric peritonitis). In case of local purulent-inflammatory processes (chronic appendicitis, interintestinal abscess, adhesions in the pelvis), the situation is aggravated by the occurrence of mechanical obstacles to the movement of chyme.

Flatulence of functional origin

In some patients, the development of tympany is facilitated by disorders of autonomic regulation and psycho-emotional causes. Local forms of gastrointestinal neuroses, in the clinic of which abdominal swelling is observed, are irritable bowel syndrome and functional diarrhea. Typically, in such pathological conditions, bloating, pain and changes in stool are associated with increased intestinal motility. Functional bloating is possible with neurasthenia and vegetative-vascular dystonia. The combination of flatulence, pain in the heart and rhythm disturbances is characteristic of gastrocardial syndrome.

Incompetence of the abdominal wall

The likelihood of bloating increases with changes in the anatomical structures that limit the abdominal cavity. Tympany against the background of visible defects of the abdominal wall (stretching, local protrusions) is possible with diastasis of the rectus abdominis muscle, hernia of the white line, postoperative hernia. Flatulence with nausea, vomiting, acute epigastric pain after eating is characteristic of digestive syndrome during relaxation of the diaphragm. The occurrence of bloating in these cases is facilitated by impaired intestinal motility, leading to the development of constipation.

Genitourinary diseases

The proximity of the intestines and pelvic organs contributes to a reflex disturbance of peristalsis in urogenital pathology. Patients with acute prostatitis and salpingitis complain of bloating. Making a correct diagnosis is facilitated by the combination of abdominal swelling with characteristic discharge from the genitals and pain in the pelvic area. Reflexively caused bloating against the background of lower back pain occurs in acute pyelonephritis and renal colic. When the kidneys are fused, an additional factor contributing to tympany is intestinal compression.

Endocrine pathology

In women with premenstrual syndrome, swelling, combined with constipation, swelling and characteristic psycho-emotional disorders, is caused by the relaxing effect of progesterone on the smooth muscles of the intestines and biliary tract. With hypothyroidism, tympany, nausea, and vomiting occur due to hypotension of the muscles of the intestinal wall and decreased secretion of enzymes. The sudden appearance of cramping abdominal pain, uncontrollable nausea, flatulence and loose bloody stools is typical of the gastrointestinal form of acute adrenal insufficiency.

What diseases cause bloating?

The problem of flatulence occurs with diseases such as:

  • Cholecystitis. Obvious signs of cholecystitis: disruption of the functioning of the duodenum and impaired outflow of bile.
  • Gastritis. Symptoms of gastritis are associated with impaired stomach acidity. This violation leads to inhibition of the process of protein breakdown.
  • Pancreatitis. Flatulence in pancreatitis occurs due to dysfunction of the pancreas.
  • Duodenitis. This disease causes a fermentation process in the intestines, resulting in flatulence.
  • Colitis. Symptoms of colitis are associated with impaired functioning of the intestinal microflora.
  • Intestinal obstruction. The problem of flatulence with intestinal obstruction always arises due to a violation of the motor activity of the organ. In adults, intestinal obstruction can be caused by parasites, tumors, and foreign bodies.

These are not all diseases that cause bloating. The list can be continued by adding irritable bowel syndrome, liver cirrhosis, enteritis, diverculitis, etc.

Symptoms of the disease

During flatulence, in addition to bloating, the following symptoms are observed:

  1. Pain. It is spasmodic in nature. Often the pain during this illness radiates to the chest, lower back or right hypochondrium.
  2. Decreased appetite.
  3. Nausea.
  4. Increased release of gases.
  5. Belching.
  6. Diarrhea or constipation.
  7. Discomfort in the epigastric region.
  8. Constant rumbling in the stomach.
  9. The feeling of discomfort in the stomach does not go away even at night.
  10. A person feels an increase in pressure in the lower abdomen.

Symptoms

Flatulence, what is it ? As mentioned above, this is a consequence of either physiological causes or pathology. In the first case, you can take the remedy and cope with the problem. But in the second you will have to fight pathology. You will definitely notice additional symptoms that will indicate a specific disease. Based on the general clinical picture, the doctor will be able to draw up a competent treatment regimen. Let us list the most common symptoms accompanying flatulence.

  1. Feeling of fullness in the stomach, heaviness.
  2. Rumbling in the stomach.
  3. Pain in attacks.
  4. Nausea to the point of vomiting. Vomiting does not always bring relief to the patient. In severe situations, signs of various pathologies can be seen in the vomit.
  5. Heartburn, belching.
  6. Heart disorders.
  7. Deterioration of sleep, insomnia.
  8. Headache, dizziness.
  9. Frequent mood swings, weakening of mental stability, asthenia.
  10. Shortness of breath even at rest.
  11. Stool disorders: constipation, diarrhea.
  12. Increased body temperature.
  13. Burning and itching in the anal area.
  14. Changing positions often reduces the intensity of a group of symptoms.

How does flatulence manifest?

The most common symptoms accompanying flatulence are listed above. If there are other symptoms, for example, severe pain in the epigastric region, bloody stool, frequent vomiting, general weakness, etc., be sure to consult a doctor .

Drug treatment for this disease

If flatulence occurs systematically, you should not wait for the body to cope with it on its own.

Treatment of this disease with medications, in this case, is necessary. The question arises, what drugs should be given to the patient?

The following medications will help reduce gas formation and improve the condition of a patient facing the problem of flatulence:

  • Espumisan. This is one of the most famous medicines that helps remove excess gases from the intestines. Both adults and small children can be treated for flatulence with Espumisan.
  • Motilium. This medication solves the problem of fermentation in the body, which causes bloating. Treatment with Motilium includes systematic taking of tablets or suspension.
  • Enterosgel. This medicine acts like a sponge in the body. Enterosgel absorbs all bacteria, viruses and gases that negatively affect the functioning of the digestive system.
  • Bobotik. This remedy helps remove stagnant gases from the intestines, as well as normalize peristalsis.
  • Duphalac. This medication is a laxative that is prescribed to both adults and children. It activates peristalsis and has a positive effect on the proliferation of beneficial bacteria in the intestines.
  • Linux. Taking this medicine for flatulence is not only effective in removing excess gases from the stomach. Taking Linex is an excellent prevention of dysbacteriosis.
  • Trimedat. This medicine has a positive effect on the functioning of the gastrointestinal tract, normalizing intestinal physiology.

Before starting treatment, it is necessary to establish the cause of flatulence.

Flatulence syndrome in therapeutic practice

Today, every practicing physician is familiar with the concept of flatulence, since diseases of the gastrointestinal tract are considered diseases of civilization due to their extreme prevalence in the world and the increasing incidence rate among the young population. And although the diagnosis of diseases of internal organs is constantly being improved, and the list of gastroenterological diagnoses is expanding, syndromic diagnosis remains extremely important for gastroenterology. This makes it possible to determine competent tactics for further examination of the patient and a course of therapy using medications that stop not only the manifestations of the syndrome itself, but also the disease underlying the occurrence of this syndrome.

Many diseases of the digestive organs are accompanied by flatulence syndrome. It is characterized not only by bloating, but also by the occurrence of other symptoms that appear as a result of excess gas formation or impaired removal of gases from the intestines.

What does the treatment of the disease depend on?

  1. This disease is often associated with poor diet. If this is the cause of the disease, then you need to make changes to your diet. Perhaps a person has been eating fried foods for a long time, which are difficult for the body to digest. If this error is eliminated, a person’s quality of life will improve, because bloating and other unpleasant symptoms of the disease will go away.
  2. If this disease is caused by some pathology, you should go to the hospital and consult a doctor. Treatment for stomach bloating, in this case, can only be prescribed by a doctor.
  3. If a patient with flatulence is lactose intolerant, he should exclude milk sugar from the diet. He also needs to follow a diet. A patient with lactose intolerance cannot eat foods or meals that are high in calories.
  4. In cases where this disease occurs due to inflamed intestinal walls, you need to eat foods high in fiber. It is also recommended for such patients to consult with a neurologist and psychologist. Irritable bowel syndrome always causes severe pain in the patient. Therefore, to get rid of it, as well as eliminate bloating, you need to take antispasmodics.
  5. Treatment of bloating due to dysbiosis should be accompanied by the intake of probiotics. For example, such patients are often prescribed Linex.

This therapeutic medication course allows you to balance the balance of beneficial microbes in the stomach.

Also, treatment of this disease will be effective if the patient takes absorbents.

These drugs will not only normalize intestinal function, but also improve the patient’s condition, relieving him of pain and discomfort.

What absorbents can be given for bloating? The most common absorbent is activated carbon.

However, it should be taken with caution; an overdose should not be allowed, because this is fraught with the removal from the body of not only excess gases, but also vitamins and beneficial microelements.

Flatulence syndrome and treatment options

In order for flatulence to be successfully cured, it is necessary first of all to identify and remove the cause of its occurrence.

  • If flatulence appears due to poor nutrition, then the patient will have to go on a diet in compliance with the diet so that he eats at least 5 times a day (breakfast, lunch, dinner + a couple of snacks) and preferably at the same time.
  • People with flatulence are prescribed to consume fermented milk products on a regular basis in order to normalize the metabolism of microflora and restore intestinal motor function.
  • If there is lactose deficiency, a low-calorie diet with the exclusion of milk sugar from the diet will help the patient get rid of flatulence.
  • But if flatulence appears due to some kind of disease, then it will have to be cured, but the doctor must prescribe a course.
  • Whatever causes flatulence, coarse fiber should disappear from the diet.
  • If a patient has a symptom of irritable bowel, he will need to consult a psychologist.
  • The pain that occurs with bloating can be reduced with antispasmodics.
  • Duspatalin helps with bloating.
  • In case of dysbiosis, the patient will need to take probiotics. Most often, doctors prescribe Hilak forte, Bifidumbacterin, etc. Taking these medications will normalize the intestinal balance.
  • If during the examination no serious illnesses were identified in the patient, then he can be prescribed an antifoam agent, which has no side effects and is suitable for any age group. This could be Maalox plus, Espumisan, Meteospasmil, Gestid.
  • Sorbents such as activated carbon, ammonium phosphate, and preparations containing bismuth can also help with flatulence.

And of course, you can’t do without taking pancreatic enzymes, because flatulence is one of the symptoms of impaired functioning of the digestive tract. Creon, Pancreatin, Mezim help the best.

Traditional methods of treating this disease

To solve the problem of excess gas in the stomach, you do not have to spend a lot of money, because this can be done using traditional methods.

Below we will describe recommendations for those who experience flatulence due to poor diet or stress.

Treatment with lemon balm

Melissa helps not only relieve intestinal spasms, but also relieve a person from colic. For medicinal purposes, you can use both the lemon balm plant and the essential oil from it.

Recipe for a healing lemon balm drink:

  1. You will need dried lemon balm. It is laid out on dishes that will be placed in a steam bath.
  2. Next, the plant is filled with hot water. You can use boiling water. It is necessary to keep the container in a water bath for at least 20 minutes.
  3. Now the broth must be filtered through cheesecloth. It is cooled and left overnight. After this, it can be taken in small sips on an empty stomach.

Treatment with wormwood

Wormwood is the best folk remedy for cleansing the body of viruses and parasites. Therefore, if the illness arose due to these reasons, you need to prepare a decoction of wormwood.

Recipe:

  1. Dried wormwood is poured with boiling water. It must be infused in a dark place for at least 12 hours. Alternatively, the infusion can be made before bed and left overnight.
  2. Now the solution needs to be filtered. It is convenient to use gauze for this.
  3. The prepared solution is divided into 3 equal parts. The medicine from wormwood should be taken three times a day, 1 glass.
  4. It is necessary to treat bloating with wormwood for 1 week.
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