SOLUTIONS FOR INTESTINAL GAS

Those who worry about passing flatus (rectal gas) must understand that it is quite normal to do so, Drug Therapy (17#10:76) reports. Everyone experiences this problem to a certain extent, and the amount of gas is excessive only when it causes physical discomfort or bloating of the abdomen.

Gas is produced in the colon (large intestine) by bacteria that ferment the sugars and other carbohydrates which fail to get digested and absorbed higher up in the intestinal tract. One of the more common causes of this embarrassing problem is lactase insufficiency (milk intolerance), a condition in which certain people are incapable of digesting lactose (the natural sugar in milk) because they lack the necessary sugar-splitting enzyme, lactase.

Lactase insufficiency victims can now take the missing enzyme by mouth in the form of the product Lactaid. This is available in drug stores and does not require a prescription.

Other common causes for fermentable sugar reaching the colon include the consumption of wheat, oats, potatoes, or corn in excessive amounts. Some fruits (apricots, bananas, prunes, and raisins) and vegetables (beans, Brussels sprouts, carrots, celery, and onions), contain indigestible carbohydrates, too, and are notorious sources of excessive gas.

However, people differ enormously in how much of these foods they can eat without experiencing this problem. Furthermore, everyone changes in this regard from day to day, and these differences depend upon variation in the types and number of bacteria living in the colon. For those who continue to be plagued by too much gas despite dietary adjustment, one can attempt to reduce the number of the offending colonic bacteria with a short course of antibiotic treatment (a doctor’s prescription is needed for this).

First, though, it is worth trying to inhibit the excessive fermentation by taking some charcoal pills by mouth. Activated charcoal (available in most drug stores) is not only a good poison antidote but reduces the bloating and cramps due to excessive intestinal gas, the American Journal of Gastroenterology (81:532) reports. In-both settings, charcoal works because it absorbs and inactivates many other substances, including gases. This is much less expensive and does not require a doctor’s prescription. By taking some charcoal every day, which is not expensive and does not require a doctor’s prescription, one can soon rid oneself of the discomfort and embarrassment of intestinal gas.

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