$Unique_ID{BRK00374} $Pretitle{} $Title{Causes of Gas and Flatulence} $Subject{gas wind flatus Digestive Flatulence intestinal swallowed air belched swallowing eat eating rapidly drink drinking bran fermentation simethicone intestine intestines} $Volume{I-12} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Causes of Gas and Flatulence ------------------------------------------------------------------------------ QUESTION: It is a terribly embarrassing situation to ask a question about, and I wonder how you might answer it in a newspaper column, but I bet a lot of people would be glad to have your advice. I suffer from gas, and break wind at the most awkward times. Is this normal? What can I about it? Please help. ------------------------------------------------------------------------------ ANSWER: There is always an appropriate way to respond to a serious question, even when the subject is not one frequently discussed, and I know you are right in thinking that many people will be interested in the answer. My mail proves that. The medical word for the problem is "Flatulence," and simply means the passage of gas through the rectum. No one is exempt from this occurrence as the body produces from 400 to 2400 cc of flatus (gas) each day and must get rid of it, one way or another. Most of the gas in our intestinal system comes from swallowed air, which frequently leaves the way it comes when it is belched out. Air swallowing occurs when we eat rapidly, chew gum, or have dentures that fit poorly. Additional gas comes from drinking soda or beer, or any carbonated drink. Any gas remaining after belching travels forward into the intestinal system to be joined by that produced during the digestion of food. Our choice of foods may be part of the cause, since beans, cabbage, cauliflower, brussels sprouts, and the now famous bran are only partially digested in the small intestine. When the undigested particles reach the colon, a process called fermentation results in the production of still more gas. All of these are normal processes that produce enough gas to explain your problem. However, some medical conditions involving digestive enzymes may be the cause, and your physician can help you sort that out. If you have read all of this quite carefully, you will see that there are a number of things you can do. Have your dentist check your dentures for proper fit, stay away from gas producing foods, and stay away from carbonated beverages. Eat your food slowly, chew it well, swallow it carefully, and take chewing gum out of your daily routine. Carefully following these suggestions can do much to help. As for medications, while simethicone may help, the usual antacids offer little relief for your problem. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.