Excessive Gas and Bloating: Your Digestive Issues - Internal Medicine

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How could this happen?


Doctor, I've been asking here for a long time.
I followed your advice, but nothing seems to work.
My stomach keeps making gurgling noises, and I keep passing gas.
The gas has no sensation but is extremely foul-smelling.
Sometimes I have a bowel movement easily, but other times I can't go at all.
I went to see a doctor, and they said that passing gas is normal, but the frequency is excessive.
I'm passing gas all day long without feeling it, and my body has a persistent odor.
What should I do? I know that passing gas isn't an illness, but it's beyond the normal range now.

Buzhiming, 20~29 year old female. Ask Date: 2005/01/26

Dr. Hong Hongchang reply Internal Medicine


Dear Unknown Sir,
Gastrointestinal discomfort, rapid peristalsis, or excessive foul-smelling gas is primarily related to dietary choices, endocrine issues, and emotional factors.
Therefore, to improve the situation, it is recommended to: 1.
Reduce the intake of gas-producing foods such as milk, bread, and soy milk; 2.
Increase the consumption of high-fiber foods; 3.
Seek medical evaluation if there are signs of endocrine imbalance.

Reply Date: 2005/01/26

More Info


Excessive gas and bloating can be quite uncomfortable and can significantly affect your quality of life. It’s important to understand that while passing gas is a normal bodily function, excessive gas can indicate underlying digestive issues that may need to be addressed.
First, let’s explore some common causes of excessive gas and bloating. The digestive system breaks down food, and during this process, gas is produced as a byproduct. Certain foods are known to cause more gas than others, particularly those high in fiber, such as beans, lentils, broccoli, cabbage, onions, and whole grains. Additionally, carbonated beverages can introduce extra gas into the digestive system.
Another factor to consider is how you eat. Eating too quickly can cause you to swallow air, which can lead to increased gas. Chewing gum or sucking on hard candies can also contribute to this problem. Furthermore, some people may have food intolerances or sensitivities, such as lactose intolerance or gluten sensitivity, which can lead to excessive gas production when those foods are consumed.

If you have already consulted a doctor and followed their advice without improvement, it may be time to take a closer look at your diet and eating habits. Keeping a food diary can be beneficial. Record what you eat and drink, along with any symptoms you experience. This can help identify patterns and specific foods that may be contributing to your gas and bloating.

In addition to dietary changes, consider the following strategies to help manage your symptoms:
1. Eat Slowly: Take your time during meals to chew your food thoroughly and avoid swallowing air.

2. Identify Trigger Foods: As mentioned, certain foods can cause more gas. Try eliminating them one at a time to see if your symptoms improve.

3. Stay Hydrated: Drinking plenty of water can aid digestion and help reduce bloating.

4. Probiotics: These beneficial bacteria can help balance your gut flora and improve digestion. You can find probiotics in yogurt, kefir, and supplements.

5. Over-the-Counter Remedies: Products containing simethicone can help break up gas bubbles, making it easier to pass gas. Additionally, digestive enzymes may help if you have trouble digesting certain foods.

6. Regular Exercise: Physical activity can help stimulate digestion and reduce bloating.

7. Mindful Eating: Pay attention to how your body responds to different foods and adjust your diet accordingly.

If your symptoms persist despite these changes, or if you experience additional symptoms such as severe abdominal pain, weight loss, or changes in bowel habits, it’s crucial to follow up with your healthcare provider. They may recommend further testing to rule out conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or other gastrointestinal disorders.

In summary, while passing gas is a normal part of digestion, excessive gas and bloating can be a sign of underlying issues that may need to be addressed. By making dietary adjustments, being mindful of eating habits, and possibly seeking further medical advice, you can work towards alleviating your symptoms and improving your digestive health. Remember, it’s important to listen to your body and seek help when needed.

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