Managing Digestive Issues: Tips for Gas, Bloating, and Probiotics - Gastroenterology and Hepatology

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Hello Dr.
Chen,
1.
I often experience abdominal rumbling and gas after meals, which causes me a lot of distress in quiet places like my review class.
I eat fruits and drink water, but I avoid sweets and sugary drinks, yet the problem persists.
What can I do to improve this? Are probiotics helpful?
2.
I frequently feel the urge to have a bowel movement while sitting (even after using the restroom), and sometimes I realize I can't go until I get to the bathroom.
An ultrasound showed that I only have a little bloating.
Could there be other issues, or should I not be concerned?
3.
Is it advisable to consume a certain B-complex supplement that contains glycerol fatty acids? Additionally, is it suitable for my gastrointestinal condition to take dietary supplements?
I apologize for the numerous questions.
Thank you for your response!

C, 10~19 year old female. Ask Date: 2022/03/20

Dr. Chen Shidian reply Gastroenterology and Hepatology


Increased peristalsis, bowel sounds, and frequent urges to defecate are not diseases.
If these symptoms are bothersome, medication may be taken to suppress peristalsis.

Reply Date: 2022/03/20

More Info


Managing digestive issues such as gas, bloating, and irregular bowel movements can be quite challenging, especially when they interfere with daily activities and social situations. Based on the information provided, here are some insights and recommendations that may help alleviate your symptoms.


1. Addressing Gas and Bloating
Experiencing abdominal sounds and gas after meals can be uncomfortable, particularly in quiet environments like a classroom. Here are several strategies to consider:
- Dietary Adjustments: While you mentioned consuming fruits and drinking water, it’s essential to identify specific foods that may contribute to gas production. Common culprits include beans, lentils, cruciferous vegetables (like broccoli and cauliflower), and carbonated beverages. Keeping a food diary can help you pinpoint which foods trigger your symptoms.

- Eating Habits: Eating too quickly can lead to swallowing air, which contributes to gas. Try to eat slowly, chew your food thoroughly, and avoid talking while eating. Additionally, smaller, more frequent meals may help reduce bloating.

- Probiotics: Probiotics can be beneficial for gut health. They help balance the gut microbiome and may reduce gas and bloating for some individuals. Look for a high-quality probiotic supplement or consider incorporating fermented foods like yogurt, kefir, sauerkraut, or kimchi into your diet.


2. Managing Urgency and Incomplete Bowel Movements
The sensation of needing to use the restroom frequently, even after having a bowel movement, can be frustrating. Here are some considerations:
- Fiber Intake: Ensure you are consuming adequate fiber, which can help regulate bowel movements. However, if you are experiencing bloating, you may want to gradually increase fiber intake to allow your digestive system to adjust. Soluble fiber (found in oats, apples, and beans) can be gentler on the stomach compared to insoluble fiber (found in whole grains and vegetables).

- Hydration: Staying well-hydrated is crucial for digestive health. While you mentioned drinking enough water, ensure that you are also consuming fluids throughout the day, especially if you are increasing fiber intake.

- Physical Activity: Regular exercise can stimulate bowel function and help alleviate feelings of urgency. Aim for at least 150 minutes of moderate aerobic activity each week, along with strength training exercises.


3. Concerns About Supplements
Regarding the specific B vitamin supplement containing glycerol fatty acid esters, it’s essential to consider the following:
- Ingredient Safety: Glycerol fatty acid esters are generally recognized as safe, but individual reactions can vary. If you have concerns about how your body reacts to specific additives, it may be wise to consult with a healthcare professional or a registered dietitian.

- Supplement Use: While supplements can be beneficial, they should not replace a balanced diet. If your digestive issues are persistent, it may be more effective to focus on whole foods that provide the necessary nutrients rather than relying solely on supplements.


Conclusion
Digestive issues can stem from various factors, including diet, lifestyle, and even stress. It’s important to approach these concerns holistically. If symptoms persist despite making these adjustments, or if you experience significant discomfort, it may be beneficial to consult a gastroenterologist for further evaluation. They can provide tailored advice and may recommend additional tests to rule out any underlying conditions. Remember, managing digestive health is often a process of trial and error, and what works for one person may not work for another.

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