Managing Gas and Digestive Issues: Tips for Relief and Improvement - Gastroenterology and Hepatology

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Two questions?


Hello Dr.
Chen,
1.
Every time I take fish oil (after meals), I feel the urge to pass gas.
The packaging suggests taking two capsules, but I only take one and still experience this issue.
Is there any way to improve this, or should I just stop taking it?
2.
Recently, I often feel the need to pass gas (not related to fish oil, as I experience this even when I haven't taken it) and frequently have the urge to have a bowel movement, with occasional sounds coming from my stomach.
Could you please suggest some methods to help alleviate this (excluding medication)?
Thank you for taking the time to read and respond!

A, 10~19 year old female. Ask Date: 2022/03/11

Dr. Chen Shidian reply Gastroenterology and Hepatology


In daily life, dietary adjustments can be made.
Additionally, digestive enzymes may be considered.

Reply Date: 2022/03/11

More Info


Managing gas and digestive issues can be a challenging experience, especially when it affects your daily life and comfort. Based on the information provided, it seems you are experiencing increased flatulence and digestive discomfort, which could be influenced by dietary changes, specific food intolerances, and possibly underlying gastrointestinal conditions. Here are some strategies and insights that may help you manage these issues effectively.


Dietary Adjustments
1. Identify Trigger Foods: Since you have lactose intolerance, it's crucial to avoid dairy products. Additionally, certain foods are known to produce more gas, such as beans, lentils, cruciferous vegetables (like broccoli and cauliflower), and high-FODMAP foods (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols). Keeping a food diary can help you identify which foods exacerbate your symptoms.

2. Increase Fiber Gradually: While fiber is essential for digestive health, increasing it too quickly can lead to gas. Aim to gradually incorporate more fruits, vegetables, and whole grains into your diet. Soluble fiber, found in oats, apples, and citrus fruits, can help regulate bowel movements without causing excessive gas.

3. Stay Hydrated: Drinking plenty of water is vital for digestion. It helps soften stool and can prevent constipation, which may contribute to bloating and gas.

4. Consider Probiotics: Probiotics can help balance gut bacteria and improve digestion. Foods like yogurt (if tolerated), kefir, sauerkraut, and other fermented foods can be beneficial. If you prefer supplements, look for those containing Lactobacillus or Bifidobacterium strains.


Eating Habits
1. Mindful Eating: Eating slowly and chewing your food thoroughly can reduce the amount of air swallowed, which can contribute to gas. Avoid talking while eating and try to minimize distractions during meals.

2. Regular Meal Schedule: Establishing a consistent eating routine can help regulate your digestive system. Skipping meals or eating irregularly can lead to digestive distress.

3. Avoid Carbonated Beverages: These can introduce additional gas into your digestive system. Opt for still water or herbal teas instead.


Lifestyle Modifications
1. Regular Exercise: Physical activity can stimulate digestion and help reduce bloating and gas. Aim for at least 30 minutes of moderate exercise most days of the week. Activities like walking, yoga, or cycling can be particularly beneficial.

2. Stress Management: Stress and anxiety can significantly impact digestion. Techniques such as deep breathing, meditation, and yoga can help alleviate stress and improve gut health.

3. Positioning: After meals, try to remain upright for at least an hour to aid digestion. If you experience gas, gentle movements or lying on your left side may help relieve discomfort.


When to Seek Medical Advice
If your symptoms persist despite making these changes, or if you experience severe pain, changes in bowel habits, or other concerning symptoms, it is essential to consult a healthcare professional. They may recommend further evaluation, such as tests for food intolerances or gastrointestinal conditions like irritable bowel syndrome (IBS) or small intestinal bacterial overgrowth (SIBO).


Conclusion
Managing gas and digestive issues often requires a multifaceted approach that includes dietary changes, mindful eating habits, lifestyle modifications, and stress management techniques. By identifying your triggers and making gradual adjustments, you can improve your digestive health and reduce discomfort. Remember, it's essential to listen to your body and seek professional advice if needed.

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