What causes gas pains? How can I find relief from bothersome gas? Discover the key factors behind gas buildup and practical solutions to manage this common digestive issue.

Understanding the Causes of Gas Pains

Gas and gas pains are a normal part of the digestive process, but they can become a source of discomfort and inconvenience when excessive. The primary causes of gas pains include:

Swallowing Air

Gas in the stomach is primarily caused by swallowing air when eating or drinking. This air is typically released through burping, but if it’s not expelled, it can lead to gas pains.

Bacterial Fermentation

Gas also forms in the large intestine (colon) when bacteria break down carbohydrates, such as fiber, starches, and sugars, that weren’t fully digested in the small intestine. While some of this gas is consumed by bacteria, the remaining gas is released through flatulence.

Dietary Factors

Certain foods are more likely to produce gas, including beans, peas, fruits, vegetables, and whole grains. Carbonated beverages, eating too quickly, chewing gum, and using artificial sweeteners can also contribute to gas buildup.

Medical Conditions

Chronic intestinal disorders, such as irritable bowel syndrome (IBS), ulcerative colitis, or Crohn’s disease, can lead to increased gas, bloating, and abdominal discomfort. Food intolerances, like lactose or gluten intolerance, and bacterial overgrowth in the small intestine can also cause gas-related symptoms.

Identifying and Addressing Gas Pains

If you’re experiencing persistent or severe gas pains that interfere with your daily life, it’s important to consult with your healthcare provider. They can help determine the underlying cause and develop an appropriate treatment plan. Some key signs that warrant a visit to the doctor include:

Persistent or Severe Gas Pains

If your gas pains are so persistent or severe that they significantly impact your ability to function normally, it’s time to seek medical attention.

Accompanying Symptoms

Gas pains accompanied by other concerning symptoms, such as bloody stools, changes in stool consistency or frequency, weight loss, constipation, diarrhea, or persistent nausea or vomiting, may indicate a more serious underlying condition.

Immediate Medical Attention

Seek immediate care if you experience prolonged abdominal pain or chest pain, as these could be signs of a more serious medical emergency.

Dietary and Lifestyle Modifications for Gas Relief

In many cases, making adjustments to your diet and lifestyle can effectively manage gas and gas pains. Some strategies to try include:

Identifying and Avoiding Gas-Producing Foods

Keep a food diary to identify which foods tend to trigger your gas and bloating, and try to limit or avoid those items.

Increasing Fiber Intake Gradually

While fiber is essential for digestive health, increasing it too quickly can lead to more gas production. Slowly incorporate more high-fiber foods into your diet to allow your body to adapt.

Adjusting Eating Habits

Eating more slowly, avoiding straws and chewing gum, and limiting carbonated beverages can help reduce the amount of air you swallow and minimize gas buildup.

Over-the-Counter Remedies for Gas Relief

If dietary and lifestyle changes aren’t providing sufficient relief, there are several over-the-counter medications that can help reduce gas and alleviate gas pains:

Gas-Reducing Medications

Products containing simethicone, such as Gas-X or Phazyme, can help break up gas bubbles and facilitate their passing.

Digestive Enzymes

Supplemental enzymes like alpha-galactosidase (Beano) can help break down gas-producing carbohydrates, reducing the amount of gas produced.

Lactase Supplements

For individuals with lactose intolerance, taking lactase enzymes can help digest lactose and prevent gas and bloating after consuming dairy products.

When to Seek Medical Attention

While gas and gas pains are usually manageable with dietary and lifestyle adjustments, there are certain situations where seeking medical care is recommended:

Persistent or Severe Symptoms

If your gas pains are so persistent or severe that they interfere with your daily life, it’s important to consult your healthcare provider.

Accompanying Concerning Symptoms

Gas pains accompanied by other concerning symptoms, such as weight loss, changes in bowel habits, or persistent nausea or vomiting, may indicate an underlying medical condition that requires further evaluation and treatment.

Immediate Medical Attention

Seek immediate medical care if you experience prolonged abdominal pain or chest pain, as these could be signs of a more serious issue that requires prompt attention.

Conclusion

Gas pains are a common and often manageable digestive issue, but they can be a sign of a more serious underlying condition in some cases. By understanding the causes of gas, making dietary and lifestyle adjustments, and seeking medical attention when necessary, you can find effective relief and maintain a healthy, comfortable digestive system.

Gas and gas pains | Sparrow

Overview

Gas in your digestive system is part of the normal process of digestion. Getting rid of excess gas, either by burping or passing gas (flatus), also is normal. Gas pain may occur if gas is trapped or not moving well through your digestive system.

An increase in gas or gas pain may result from eating foods that are more likely to produce gas. Often, relatively simple changes in eating habits can lessen bothersome gas.

Certain digestive system disorders, such as irritable bowel syndrome or celiac disease, may cause — in addition to other signs and symptoms — an increase in gas or gas pain.

Symptoms

Signs or symptoms of gas or gas pains include:

• Burping
• Passing gas
• Pain, cramps or a knotted feeling in your abdomen
• A feeling of fullness or pressure in your abdomen (bloating)
• An observable increase in the size of your abdomen (distention)

Burping is normal, particularly during or right after a meal. Most people pass gas up to 20 times a day. Therefore, while having gas may be inconvenient or embarrassing, burping and passing gas are rarely by themselves a sign of a medical problem.

When to see a doctor

Talk to your doctor if your gas or gas pains are so persistent or severe that they interfere with your ability to function well in daily life. Gas or gas pains accompanied by other signs or symptoms may indicate more-serious conditions. See your doctor if you experience any of these additional signs or symptoms:

• Bloody stools
• Change in consistency of stools
• Change in frequency of bowel movements
• Weight loss
• Constipation or diarrhea
• Persistent or recurrent nausea or vomiting

Seek immediate care if you experience:

• Prolonged abdominal pain
• Chest pain

Causes

Gas in your stomach is primarily caused by swallowing air when you eat or drink. Most stomach gas is released when you burp.

Gas forms in your large intestine (colon) when bacteria ferment carbohydrates — fiber, some starches and some sugars — that aren’t digested in your small intestine. Bacteria also consume some of that gas, but the remaining gas is released when you pass gas from your anus.

Common foods that cause gas

Certain high-fiber foods may cause gas, including:

• Beans and peas (legumes)
• Fruits
• Vegetables
• Whole grains

While high-fiber foods increase gas production, fiber is essential for keeping your digestive tract in good working order and regulating blood sugar and cholesterol levels.

Other dietary factors

Other dietary factors that can contribute to increased gas in the digestive system include the following:

• Carbonated beverages, such as soda and beer, increase stomach gas.
• Eating habits, such as eating too quickly, drinking through a straw, chewing gum, sucking on candies or talking while chewing results in swallowing more air.
• Fiber supplements containing psyllium, such as Metamucil, may increase colon gas.
• Sugar substitutes, or artificial sweeteners, such as sorbitol, mannitol and xylitol, found in some sugar-free foods and beverages may cause excess colon gas.

Medical conditions

Medical conditions that may increase intestinal gas, bloating or gas pain include the following:

• Chronic intestinal disease. Excess gas is often a symptom of chronic intestinal conditions, such as diverticulitis, ulcerative colitis or Crohn’s disease.
• Small bowel bacterial overgrowth. An increase or change in the bacteria in the small intestine can cause excess gas, diarrhea and weight loss.
• Food intolerances. Gas or bloating may occur if your digestive system can’t break down and absorb certain foods, such as the sugar in dairy products (lactose) or proteins such as gluten in wheat and other grains.
• Constipation. Constipation may make it difficult to pass gas.

Diagnosis

Your doctor will likely determine what’s causing your gas and gas pains based on:

• Your medical history
• A review of your dietary habits
• A physical exam

During the physical exam, your doctor may touch your abdomen to determine if there is any tenderness and if anything feels abnormal. Listening to the sound of your abdomen with a stethoscope can help your doctor determine how well your digestive tract is working.

Depending on your exam and presence of other signs and symptoms — such as weight loss, blood in your stool or diarrhea — your doctor may order additional diagnostic tests.

Treatment

If your gas pains are caused by another health problem, treating the underlying condition may offer relief. Otherwise, bothersome gas is generally treated with dietary measures, lifestyle modifications or over-the-counter medications. Although the solution isn’t the same for everyone, with a little trial and error, most people are able to find some relief.

Diet

Dietary changes may help reduce the amount of gas your body produces or help gas move more quickly through your system. Keeping a diary of your diet and gas symptoms will help your doctor and you determine the best options for changes in your diet. You may need to eliminate some items or eat smaller portions of others.

Reducing or eliminating the following dietary factors may improve gas symptoms:

• High-fiber foods. High-fiber foods that can cause gas include beans, onions, broccoli, Brussels sprouts, cabbage, cauliflower, artichokes, asparagus, pears, apples, peaches, prunes, whole wheat and bran. You can experiment with which foods affect you most. You may avoid high-fiber foods for a couple of weeks and gradually add them back. Talk to your doctor to ensure you maintain a healthy intake of dietary fiber.
• Dairy. Reducing dairy products from your diet can lessen symptoms. You also may try dairy products that are lactose-free or take milk products supplemented with lactase to help with digestion.
• Sugar substitutes. Eliminate or reduce sugar substitutes, or try a different substitute.
• Fried or fatty foods. Dietary fat delays the clearance of gas from the intestines. Cutting back on fried or fatty foods may reduce symptoms.
• Carbonated beverages. Avoid or reduce your intake of carbonated beverages.
• Fiber supplements. If you use a fiber supplement, talk to your doctor about the amount and type of supplement that is best for you.
• Water. To help prevent constipation, drink water with your meals, throughout the day and with fiber supplements.

Over-the-counter remedies

The following products may reduce gas symptoms for some people:

• Alpha-galactosidase (Beano, BeanAssist, others) helps break down carbohydrates in beans and other vegetables. You take the supplement just before eating a meal.
• Lactase supplements (Lactaid, Digest Dairy Plus, others) help you digest the sugar in dairy products (lactose). These reduce gas symptoms if you’re lactose intolerant. Talk to your doctor before using lactase supplements if you’re pregnant or breast-feeding.
• Simethicone (Gas-X, Mylanta Gas Minis, others) helps break up the bubbles in gas and may help gas pass through your digestive tract. There is little clinical evidence of its effectiveness in relieving gas symptoms.
• Activated charcoal (Actidose-Aqua, CharcoCaps, others) taken before and after a meal may reduce symptoms, but research has not shown a clear benefit. Also, it may interfere with your body’s ability to absorb medications. Charcoal may stain the inside of your mouth and your clothing.

Lifestyle and home remedies

Making lifestyle changes may help reduce or relieve excess gas and gas pain.

• Try smaller portions. Many of the foods that can cause gas are part of a healthy diet. Try eating smaller portions of problem foods to see if your body can handle a smaller portion without creating excess gas.
• Eat slowly, chew your food thoroughly and don’t gulp. If you have a hard time slowing down, put down your fork between each bite.
• Avoid chewing gum, sucking on hard candies and drinking through a straw. These activities can cause you to swallow more air.
• Check your dentures. Poorly fitting dentures can cause you to swallow excess air when you eat and drink. See your dentist if they aren’t fitting correctly.
• Don’t smoke. Cigarette smoking can increase the amount of air you swallow. Talk to your doctor if you need help quitting.
• Exercise. Regular exercise reduces the risk of constipation, which can prevent the release of gas from your colon.

If the odor from passing gas concerns you, limiting foods high in sulfur-containing compounds — such as broccoli, Brussels sprouts, cabbage, cauliflower, beer and foods high in protein — may reduce distinctive odors. Pads, underwear and cushions containing charcoal also may help absorb unpleasant odors from passing gas.

Preparing for an appointment

Before you see your doctor be prepared to answer the following questions:

• How long have you noticed an increase in gas or gas pains?
• Does the pain go away or get better when you belch or pass gas?
• How many times do you pass gas each day?
• Do certain foods seem to trigger your symptoms?
• Have you added any new foods or drinks to your diet recently?
• What medications or dietary supplements do you take?
• Do you have nausea or vomiting with your gas pains?
• Have you lost weight unintentionally?
• Have you had a change in your bowel habits?
• Do you drink sodas or other carbonated beverages?
• Do you eat food with sugar substitutes?
• Do you frequently chew gum, suck on candies or drink through a straw?

What you can do in the meantime

Keep a journal of what you eat and drink, how many times a day you pass gas, and any other symptoms you experience. Bring the journal to your appointment. It can help your doctor determine whether there’s a connection between your gas or gas pains and your diet.

Is It Gas Pain or a Heart Problem?

It’s perfectly normal to pass gas between 10 and 20 times a day. At the same time, it’s understandable to be worried if you feel chest pain after eating a meal. After all, if it’s gas, aren’t you supposed to feel it in your gut, not near your heart?

While you may be simply feeling the sensation of gas pain in your chest, this pain could also indicate a serious heart issue. Learn how to determine if you or a loved one needs to seek medical attention.

Please note, if you are still unsure if you are experiencing gas pain or a heart problem after reading this article, play it safe and go to the nearest emergency room to receive care.

Know when it’s gas

You may feel pain in your chest if gas has gathered in your stomach or in the left portion of your colon. Gas can become trapped in your digestive tract when you swallow too much air. There are other food-related reasons why you may feel gas pain near your chest. They include:

• A food intolerance may be upsetting your digestive system and causing you to build up gas.
• Artificial sweeteners can cause digestive upset symptoms, including gas pains.
• Carbon dioxide gas in carbonated drinks, like soda, can cause an air bubble feeling in your chest.
• Eating a lot of fiber-rich foods can result in too much fiber in your gut, producing gas for longer periods.
• Food poisoning can cause gas pain near your heart, along with fever, nausea or vomiting, diarrhea or blood in your stool.

Consider medical conditions that cause gas pains

Besides food and drink, you may have a medical condition that creates gas pains.

• Heartburn or indigestion can cause stomach acid to leak up into the esophagus and cause sharp chest pains from burping.
• Acid reflux, also known as gastroesophageal reflux disease (GERD), can cause air to become trapped in your esophagus. The feeling can cause anxiety, which then leads to a short burst of heart palpitations.
• Gallbladder disease can cause pains in the chest from excess gas. You’ll also experience a loss of appetite, nausea, chills and pale stools with this issue.
• Inflammatory bowel disease (IBD) can cause gas build up in the digestive system. In addition to excessive flatulence, Crohn’s disease and ulcerative colitis can cause abdomen pain, diarrhea or constipation and nausea.

Contact your primary care provider if you believe you are struggling with one or more of these conditions. They will be able to order numerous tests to help diagnose the root of your problems.

Identify the signs of gas

There are noticeable differences between the feeling of gas and a heart attack. When it’s gas, you’ll likely experience the following:

• Bloating
• Burping
• Knotted stomach
• Passing gas through your backside
• Quick, sharp pains that suddenly come and end

If it’s heartburn, it’ll happen soon after eating or it can awaken you from sleep after a couple of hours. You’ll feel the burning stomach acid moving up from your stomach into your throat. You’ll probably taste something sour in your mouth as well.

Taking antacids is one of the best home remedies of chest pain due to gas.

Identify the signs of a heart attack

If you feel an aching or burning in the chest area, it may be more than just gas. Check to see if any of the following symptoms are occurring along with severe gas pains. If so, you need medical help for a heart attack immediately.

Here are the signs of a heart attack:

• Cold sweat
• Heart palpitations and increased heart rate
• Heaviness, pressure or squeezing pain in the chest
• Lightheadedness
• Nausea or vomiting
• Pain in one or both arms
• Pain in the left shoulder
• Pain in the neck or back
• Pain in the stomach
• Pain in the throat or jaw
• Shortness of breath
• Sudden and unexplained fatigue
• Unexplained anxiety
• Weakness

Want to learn more about your heart health? Take our free, online heart risk assessment today.

Gas colic and flatulence in childhood: causes and methods of correction

Article published on p. 93-97

Among the various complaints that the pediatrician and the family doctor have to deal with almost daily, far from the last place is occupied by a group of various clinical symptoms, each of which in one way or another can be characterized as characteristic of a condition usually attributed mainly to young children – gas colic. Gas colic is understood as a paroxysmal abdominal pain that does not have a specific localization and often has a so-called diffuse character, accompanied by bloating and excessive accumulation of gases in the intestines. This condition is indeed extremely common when it comes to newborns and infants: the cause of increased gas formation in the first months of life is primarily certain anatomical and physiological features, manifested by the general immaturity of the digestive tract and transient enzymatic deficiency, which leads to temporary disorders of digestion and absorption. It is no secret that the digestive system of a newborn child does not easily adapt to extrauterine existence, and a huge number of different factors affect the processes of adaptation to new conditions, and pain impulses that occur when the mesentery of the intestine is strained and when its wall is overstretched by gases accumulating in the lumen can have a pronounced character. and give the child a strong, sometimes unbearable anxiety. That is, when it comes to newborns and young children, we are dealing specifically with a functional gastrointestinal disorder, which, according to the Rome III diagnostic criteria, is interpreted as Infant Colic – “infant colic”, G4, and is one of the various combinations gastrointestinal symptoms without structural or biochemical abnormalities. However, even at an older age – preschool, school – the problem of increased gas formation (i.e. flatulence) and increased passage of gases and an increase in their volume (i.e. flatulence) is perhaps one of the most relevant in pediatric practice. 30-40% of the population regularly complains of increased gas formation in the intestines and the discomfort caused by this gas formation, and among those suffering from various diseases of the gastrointestinal tract, this number reaches 85%, and understanding the possible causes of flatulence provides the key to successful treatment of this condition. Therefore, in this article we will try to systematize the currently available medical information regarding the issues of flatulence and flatulence, and taking into account today’s realities, we will try to identify the most adequate steps necessary to correct these conditions.

First, you should decide whether flatulence is organic or functional. On the one hand, flatulence – a state of excessive formation of gases in the intestines, due to which intestinal distension develops, leading to bloating, pain, discomfort and flatulence (the release of fetid gases) – is one of the symptoms of intestinal dyspepsia, and from this point of view it should be considered as a typical manifestation of a functional disorder that is not accompanied by damage to the digestive organs [8]. On the other hand, flatulence may be the result of a number of serious organic diseases of the digestive tract, be one of the manifestations of chronic pancreatitis, exocrine pancreatic or disaccharidase insufficiency, a symptom of inflammatory bowel disease. And despite the fact that most often the causes of increased gas formation in the intestines are alimentary factors – an unbalanced diet and a violation of the regimen and nature of nutrition, a change in metabolism or an acceleration of the movement of food through the intestines, it is certainly not necessary to discount the possible presence of a serious organic disease.

Secondly, for the successful correction of this condition, a clear understanding of the normal mechanisms of gas formation and the causes that can potentially cause various deviations from normal processes is necessary, i.e. factors leading to pathological changes.

The main mechanism for the appearance of gases in the upper gastrointestinal tract and intestines is primarily aerophagy — the swallowing of atmospheric air, which occurs with each sip, which is the main cause of belching air [1, 5]. Despite the fact that aerophagia is a completely natural process, there are a number of factors that can increase it, for example, neglect of food culture, fast, hasty absorption of food, poor chewing, talking while eating. Also, bad habits that are extremely common among teenagers, such as smoking, drinking carbonated drinks and chewing gum, can contribute to the strengthening of aerophagia. If we are talking about young children, then the child’s active swallowing of air during feeding can be facilitated by an incorrect breastfeeding technique or an incorrectly selected diameter of the hole in the nipple, existing congenital anomalies and malformations of the dental system (cleavage of the hard palate, non-closure of the upper lip), ENT diseases -organs (such as chronic adenoiditis, allergic hay fever). The exclusion of the above factors and the timely treatment of these pathologies help to significantly reduce the amount of swallowed gases.

Under normal physiological conditions, there is always a certain amount of air and gases in the intestine – 700-900 ml is formed and excreted in small portions daily, and their amount can increase dramatically due to the influence of exogenous factors, i. e. when changing the diet, in particular when abusing foods that are either themselves in a state of fermentation (for example, kvass), or can stimulate fermentation processes in the intestines (black bread, legumes, vegetable fibers, grapes, radishes, dates, cabbage, milk, some types of meat). This type of flatulence can be conditionally called nutritional , i.e. caused exclusively by exogenous nutritional factors, and sooner or later almost every child encounters it in the process of life.

Not only external causes, which, if necessary, can be easily modified, but also so-called endogenous factors, which primarily include disruption of the gastrointestinal tract itself, the mechanisms of bile secretion and enzyme formation, can also potentially lead to increased gas formation. It is known that one of the important reasons for the appearance of excessive accumulation of gases in the intestine is their direct production by microorganisms that make up the intestinal biotope. According to some authors, 75% of intestinal gases are the product of the vital activity of bacteria that inhabit the large intestine, while the main gases that they produce are methane, hydrogen, hydrogen sulfide, carbon dioxide and ammonia. The chemical composition of gases can vary, which largely affects the rate of their excretion. So, in particular, the period of rapid excretion is due to the high concentration of hydrogen and carbon dioxide. The emitted gases in most cases are accompanied by an unpleasant odor due to the presence of a large amount of skatol (a decay product of tryptophan) and hydrogen sulfide.

With a change in intestinal homeostasis and disorders of the intestinal biocenosis, characterized by a decrease in bifidum-dominant and excessive growth of opportunistic flora, there is an imbalance between gas-consuming and gas-producing bacteria, as a result of which the processes of fermentative and putrefactive dyspepsia can increase, which, in turn, can lead to an increase in the number emitted gases (the so-called dysbiotic flatulence). Dysbiotic flatulence in pediatric practice is very widespread: frequent and not always reasonably prescribed courses of antibiotic therapy, addiction to food supplements and drugs that do not have evidence-based efficacy, frequent intestinal and acute respiratory infections that contribute to intestinal homeostasis disruption – all this directly or indirectly contributes to that, in terms of frequency of occurrence, dysbiotic flatulence currently successfully competes even with the extremely common alimentary flatulence.

The third reason leading to the occurrence of fermentative dyspepsia may be a syndrome of excessive bacterial growth, which occurs, among other things, in violation of the processes of bile formation or bile secretion. A decrease in the emulsification of fats in food masses contributes to the entry of undigested fats into the intestinal lumen, which are a nutrient medium for many symbiotic or opportunistic microorganisms [2, 6]. Almost the same thing happens with enzyme deficiency of the pancreas or intestines, when undigested food residues, which are also a favorable factor for the excessive growth of microorganisms, cause excessive formation, accumulation and release of intestinal gases. This type of flatulence, resulting from a lack of certain digestive enzymes or a violation of bile production, is in the nature of digestive , or digestive.

Somewhat less often, but still one has to deal with processes accompanied by a slowdown in the motor-evacuation function of the intestine [8]. Violation of the motor function of the intestine is another endogenous factor that indirectly contributes to excessive gas formation and causes the appearance of the so-called dynamic flatulence. Apparently, flatulence 9 can also be attributed to a variety of dynamic flatulence.0015 neurogenic , the formation of which is facilitated by various nervous disorders and even emotional overload. According to the statistics of both our own and our colleagues [7, 9], seasonal peaks in the number of hospitalized children are observed from year to year – in spring (exams), in early autumn (school), that is, during the period of maximum nervous overload, which confirms the ease of occurrence of abdominal pain as a result of psychogenic causes in children and adolescents, when painful stimuli (colic) can become unbearable. But more often the disease develops in children and adolescents who are emotionally unstable, suggestible, against the background of constant chronic stress leading to the development of neurosis: even a small amount of swallowed air can cause them discomfort, a feeling of pressure in the upper abdomen, which are aggravated by an anxious attitude to the sensations that have appeared. . Overexcitation of the nervous system can cause a spasm of the smooth muscles of the intestine and a significant slowdown in intestinal motility, which will lead not only to excessive accumulation of gases, but also to the appearance of pronounced pain impulses caused by overstretching of the intestinal wall.

Atony of the intestine (or a significant weakening of its motility) can occur both due to excess weight and an inactive lifestyle due to increased mechanical pressure on the intestine, and due to the presence of chronic colonic stasis or irritable bowel syndrome. Sometimes intestinal atony is the result of anomalies in the development of the intestine or an adhesive process caused by surgical interventions, usually cavitary; may occur due to intestinal narrowing or the presence of a polyposis or tumor ( mechanical flatulence). The slowdown in the passage of chyme through the intestine, caused by these reasons, can lead to the activation of putrefactive processes and, accordingly, to excessive gas formation [8].

Another mechanism that contributes to increased gas formation may be the “leakage” of gases from the blood vessels. This phenomenon was called circulatory flatulence. Normal physiology implies the free diffusion of gases from the blood to the intestine and back, and this process depends on the pressure of gases in the blood plasma and intestine. Many gases are absorbed into the blood and then excreted in the lungs. However, the ratio of the rate of production, absorption and excretion of gases can change due to various factors, including the rate of fermentation processes in the intestines, which may be the cause of increased formation of gases in the intestines. The last type of flatulence – high altitude , or atmospheric, i.e. arising due to pressure drops when climbing to a height – due to the influence of exogenous factors and, for obvious reasons, almost never occurs in children’s practice.

Regardless of the root cause that caused the development of flatulence, it must always be remembered that one of the main complaints made by a child experiencing gas colic will be a complaint of pain, and the main syndrome that will be encountered will be abdominal pain. A feeling of pressure or fullness, a feeling of heaviness in the abdomen usually increase after eating and as the amount of air swallowed increases, usually reaching its maximum in the evening, which is accompanied by the formation of pain, which can be expressed in the appearance of paroxysmal pain, associated to a certain extent with overstretching abdominal wall, and with irritation of the fibers of the phrenic nerve as a result of the high standing of the dome of the diaphragm [8]. It should be remembered that the intensity of bloating is not always proportional to the amount of gas accumulated in the intestines and to a certain extent depends on the development of the muscles of the anterior abdominal wall: in young children, bloating is pronounced significantly and is accompanied by pressure on the diaphragm.

The close relationship between flatulence syndrome and abdominal pain syndrome is even emphasized by the fact that the frequency of occurrence of these dominant symptoms in patients with IBS and flatulence is almost identical: when there is abdominal pain, there is almost always flatulence, i.e. they are associated to a certain extent and pathogenetically closely interrelated (Table 2) [11].

In any case, whatever the cause of excessive gas formation, whatever factor caused its appearance, adequate correction of flatulence and flatulence is a necessary condition not only to eliminate this uncomfortable and sometimes painful condition, which significantly worsens the quality of life of the child, but also to normalize the processes digestion in general. The gases accumulated in the intestines are foam with many small bubbles, each of which is surrounded by a layer of viscous mucus. Almost all biological fluids of the gastrointestinal tract have the ability to foam: saliva, gastric juice, bile, intestinal contents. By itself, the foamy content does not carry any functional load, it is a by-product of peristalsis and constant mixing of food masses during the formation of chyme in different parts of the digestive tract. On the other hand, this slimy fine-bubbly foam, covering a large surface of the intestinal mucosa with a thin layer, significantly complicates parietal digestion, prevents contact of the mucous membrane with food components, thereby disrupting the process of normal digestion and absorption. This contributes to a decrease in the activity of enzymes, a violation of the absorption of nutrients. Due to the fact that the gas bubbles are surrounded by thick mucus, the processes of absorption of gases by the intestinal wall are disrupted, while their passage through the intestinal tube is enhanced. Thus, excessive gas formation can not only cause significant suffering, but also be a factor that potentially disrupts the processes of digestion and absorption. Consequently, the question of how justified the correction of flatulence is not currently raised, the only question is how adequate such a correction will be.

The issue of adequate correction can be solved in various ways, but the main principle of treating flatulence in children is, of course, pathogenetic, and it consists in identifying the immediate causes of the disorder and in the subsequent impact on the causal factors in the development of gas colic. That is, in addition to normalizing the child’s nutrition and correcting his diet with the removal of products that stimulate increased gas formation from him, we can talk about restoring intestinal motility and intestinal biotope, compensating for possible fermentopathy, correcting violations of bile formation and bile secretion.

Another principle of therapy is the actual removal of gases accumulated in it from the intestinal lumen. Currently, there are several groups of drugs that can achieve certain results in this. For this purpose, agents that normalize intestinal motility can be used. Unfortunately, the effectiveness of the use of prokinetics in flatulence has not been confirmed to date by a sufficient number of controlled studies, therefore, in pediatric practice, the use of herbal remedies is more often resorted to, many of which (for example, cumin, dill, coriander, chamomile flowers, fennel), according to clinical observations , have a certain carminative, antispasmodic, anti-inflammatory effect, and are also indirectly able to improve digestion, prevent decay in the intestines, accelerate the passage of the food bolus, increasing intestinal tone. These drugs should be taken regularly throughout the day or before each feeding, however, with excessive gas formation and an acute attack of intestinal colic, herbal remedies are usually ineffective.

Theoretically, an excess amount of gases can absorb and remove adsorbents (activated carbon and others). However, regular long-term use of this group of drugs is not recommended, since adsorbents are non-selective – along with gases, they also remove a number of useful substances (vitamins, bacteria, minerals), the lack of which subsequently has to be compensated. The carminative effect when using adsorbents is usually short-lived, it occurs delayed, after a significant period of time after taking the drug, and in addition, with regular use, adsorbents themselves can cause an atonic variant of flatulence, slowing down the passage of feces through the intestines, therefore they are not the drugs of choice. can [3, 4].

The third group of medicines used for flatulence phenomena includes defoamers, which are a highly effective drug for the treatment of all diseases accompanied by increased gas formation in the intestine. .e. the action of these drugs is based on the release of gases from the mucous vesicles. Foam deposition reduces total volume, restores natural gas absorption through the intestinal wall, accelerates intestinal transit, and increases cumulative gas excretion. The drugs of this group include products containing simethicone – an inert, intact in relation to tissues and media substance that is excreted from the body without changes, without being absorbed through the intestinal wall, without affecting the functioning of the liver and kidneys, without violating the intestinal microbiocenosis. Simethicone is a mixture of polydimethylsiloxane (dimethicone) with the addition of 4-7% powdered silicon dioxide (SiO ₂ ). Simethicone, sometimes called activated dimethicone, does not dissolve in either water or ethyl alcohol, does not change its structure and properties under the influence of oxidizing agents, high temperatures, is oil and fat insoluble, resistant to any microorganisms. Such a drug, the main active ingredient of which is simethicone, is Espumizan ^® . It does not affect the metabolism of proteins, fats or carbohydrates, does not disrupt the absorption of vitamins, minerals and trace elements, and also does not contain alcohol or sugar, i.e. cannot aggravate the already existing possible disaccharidase deficiency, due to which Espumizan ^® can be used for a long time without any adverse reactions both in children (even infants) and in pregnant women and nursing mothers [10, 12].

Taking into account the fact that the syndrome of excessive gas formation, one of the manifestations of which is intestinal colic, is one of the most common in pediatric practice, occurs occasionally in all children and has practically no age limits, careful differentiated treatment using safe and effective methods of correction is not only a means that improves the quality of life of children suffering from flatulence and flatulence, but also one of the possible ways to normalize the digestive processes in general.

Causes of abdominal pain and methods to reduce gas formation

Content

• 1 Abdominal pain, increased gas formation
  • 1.1 Primary causes of abdominal pain
  • 1.2 Digestive diseases that cause abdominal pain
  • 1.3 Abdominal pain due to gastroesophageal reflux disease
  • 1.4 Abdominal pain due to peptic ulcer
  • 1.5 Abdominal pain due to inflammation of the stomach and intestines
  • 1.6 Gas formation and its effect on the abdomen
  • 1.7 Causes and symptoms of intestinal gas
  • 1.8 Gas in lactose intolerance
  • 1.9 Gas in fructose intolerance
  • 1.10 Gas in celiac disease
  • 1.11 Gas with excessive consumption of proteins and carbohydrates
  • 1.12 Methods for reducing gas formation during nutrition
  • 1.13 Methods for reducing gas formation with drugs
  • 1.14 Surgical methods for reducing gas formation
  • 1.15 Physiotherapeutic methods to reduce gas formation
  • 1. 16 Yoga and other relaxation methods for abdominal pain and gas formation
  • 1.17 Tips for the prevention of gas formation and abdominal pain
  • 1.18 Related videos:
  • 1.19 Q&A:
    • • 1.19.0.1 What causes abdominal pain?
      • 1.19.0.2 What are the causes of gas formation?
      • 1.19.0.3 What foods should be avoided to reduce gas?
      • 1.19.0.4 What methods will help reduce gas formation?
      • 1.19.0.5 What is irritable bowel syndrome and how is it related to gas?
      • 1.19.0.6 Can some medicines cause gas?
      • 1.19.0.7 What are the treatments for abdominal pain?

An article about the causes and treatment of abdominal pain caused by increased gas formation. Advice on proper nutrition and the use of drugs to reduce abdominal discomfort.

Abdominal pain is common and can be caused by various causes. One of the most common causes is gas formation, which occurs during digestion. When sufferers experience abdominal pain, it may mean that their body cannot process food efficiently.

Gas can be the result of several factors such as poor diet, irregular meals, exercise after meals, and stress. However, in many cases, abdominal pain can be caused by more serious conditions such as stomach ulcers or intestinal obstruction.

Fortunately, there are several methods that can help reduce gas and prevent stomach pain. One of the most effective ways is proper nutrition. Consuming more water and fiber can help speed up the digestion process and reduce the amount of gas produced by the body.

Primary causes of abdominal pain

Abdominal pain is a common condition that can affect people of any age. Although there can be many causes, the primary causes of abdominal pain can be summarized in four main ones:

• • Intestinal cramps: This is the most common cause of abdominal pain. Normally, the intestine releases gases and fluids that pass through it with contractile movements called peristalsis. However, if peristalsis stops or slows down, intestinal spasm occurs, which can cause severe pain.

• • Irritable Bowel Syndrome: This is a chronic disease that can lead to severe abdominal pain. This syndrome is associated with changes in bowel movements and may be caused by stress, certain foods, or other factors.

• • Constipation: This is a condition in which waste products are retained in the intestines, resulting in difficulty in defecation. Constipation can cause severe abdominal pain, especially in the lower abdomen.

• Excess gas: This can also cause abdominal pain. The accumulation of gases in the intestines can cause stretching of parts of the intestines, which can lead to pain.

Knowing these primary causes of abdominal pain, you can take measures to neutralize the symptoms. For example, you can pay attention to your diet by avoiding foods that cause excess gas or irritate the intestines, such as carbonated drinks, spicy, fatty or fast food. You should also include more fiber-rich vegetables and fruits in your diet to improve intestinal motility and avoid constipation.

Diseases of the digestive system causing abdominal pain

Abdominal pain is often a symptom of digestive disorders. Below are the main diseases that can cause abdominal pain.

1. Gastritis and gastric ulcer

Gastritis is an inflammatory disease of the gastric mucosa. It can occur due to malnutrition, stress and other factors. Symptoms of gastritis are nausea, vomiting, belching, dyspeptic disorders, and abdominal pain, especially after eating.

2. Pancreatitis

Pancreatitis is an inflammatory disease of the pancreas that can be caused by poor diet, alcohol consumption or gallstones. Symptoms of pancreatitis are sharp pains in the abdomen, nausea, vomiting, fever, exhaustion. Treatment of pancreatitis requires immediate medical attention.

3. Intestinal obstruction

Intestinal obstruction is a disease that is manifested by difficulty in passing food through the intestines. In intestinal obstruction, the symptoms of abdominal pain are severe and spasmodic, accompanied by vomiting, constipation and flatulence.

Comparative characteristics of diseases of the digestive system Name of the disease Symptoms Treatment

9 0220

9022 1 Hospitalization, drug therapy, sometimes surgery

Abdominal pain associated with gastroesophageal reflux disease

Gastroesophageal reflux disease (GERD) is a chronic disease caused by backflow of stomach contents into the esophagus. One of the main symptoms of GERD is abdominal pain, which can occur after meals or when hungry.

To reduce abdominal pain in GERD, it is recommended to monitor the diet, reduce the intake of fatty, spicy and acidic foods, and avoid overexertion of animal muscles. Often, drugs are prescribed that reduce the acidity of gastric juice or enhance the work of the lower food sphincter.

If you experience abdominal pain, you should consult a doctor to make an accurate diagnosis and prescribe a comprehensive treatment. Timely diagnosis and treatment of GERD will help to avoid complications and reduce the risk of developing other diseases of the gastrointestinal tract.

Abdominal pain due to peptic ulcer

Peptic ulcer is a disease in which ulcers form on the walls of the stomach and duodenum. One of the main symptoms of a peptic ulcer is abdominal pain. This pain can be of varying intensity and occur throughout the day or occur after eating, especially sour or fatty foods.

To reduce abdominal pain in peptic ulcers, it is recommended to follow a diet avoiding acidic, spicy and fatty foods, as well as smoking and drinking alcohol. You can resort to taking drugs, products containing probiotics and drugs that reduce the acidity of the gastric juice. However, before starting self-treatment, it is imperative to consult a doctor to determine an accurate diagnosis and receive an effective therapy appointment.

Pain in the abdomen due to inflammation of the stomach and intestines

Pain in the abdomen may be the result of an inflammatory process that occurs in the stomach and intestines. One cause of inflammation may be an infection caused by the bacterium Helicobacter pylori, which can lead to gastritis or stomach ulcers. Inflammatory bowel disease, including Crohn’s disease and ulcerative colitis, is also possible.

Abdominal pain in these inflammatory processes can range from mild discomfort to sharp and severe pain. Patients may also experience nausea, vomiting, diarrhea, or constipation. In some cases, abdominal pain may occur after meals or throughout the day.

It is important to note that in case of abdominal pain in the inflammatory process of the stomach and intestines, it is necessary to consult a doctor for an adequate diagnosis and treatment.

Your doctor may recommend a variety of treatments, including medications to reduce inflammation, and dietary and lifestyle changes. Patients can avoid foods that increase inflammation, such as spicy and fatty foods, and limit alcohol and caffeine intake. Regular exercise and drinking more water can also help improve the patient’s condition.

• • Examples of foods to avoid in case of inflammation of the stomach and intestines:
    1. Fatty meat products
    2. Hot sauces and spices
    3. Chocolate
    4. Coffee and other drinks containing caffeine
    5. Alcohol

All of the above methods can help reduce abdominal pain in the inflammatory process of the stomach and intestines, but it is necessary to be treated by a doctor and follow his recommendations in order to achieve maximum effect and prevent a recurrence of an aggravation.

Gas formation and its effect on the stomach

Gas formation is an integral part of the processes occurring in our gastrointestinal tract. Normally, digestion is accompanied by the formation of gases, but in some cases their amount can increase significantly, causing discomfort and pain.

The first reason for increased gas formation is improper nutrition. Slow digestion associated with the consumption of fatty and heavy foods, as well as excessive consumption of carbohydrates, can contribute to the appearance of gas in the stomach and intestines.

However, gas can also form when there is a lack of digestive enzymes that break down food in the intestines. In this case, food processing products accumulate in the intestinal tract, causing certain processes and stimulating the release of gases.

Relaxation of the bowel muscles is another cause of gas formation. In this case, the cause may be a disease or intense physical exertion.

Several methods can be used to reduce gas formation: a proper diet with a restriction of fatty foods and carbohydrates, enzyme intake, regular physical activity and bowel care – drinking water and fiber.

Causes and symptoms of gas in the intestines

Gas in the intestines is a natural process associated with the digestion of food. However, sometimes the amount of gas can be neglected because unpleasant symptoms appear, including abdominal pain, bloating, heartburn, and other uncomfortable sensations. With the regular occurrence of such symptoms, you need to see a doctor for diagnosis and treatment.

One of the reasons for the increase in the amount of gases in the intestines is malnutrition. Eating foods high in fiber, such as beans, broccoli, cauliflower, can lead to increased gas production. Foods rich in fat can also cause discomfort.

Gas symptoms include bloating, abdominal pain, frequent heartburn, vomiting and diarrhea. They may occur due to increased consumption of certain foods, changes in the composition of the intestinal microflora, or drug treatment. In addition, stress and exercise can also cause gas.

To reduce gas formation in the intestines, you need to watch your diet. Avoid foods that increase gas, such as fresh fruits and vegetables, alcohol, chocolate, and sodas. Eat more water and eat in smaller portions. It is also helpful to practice abdominal exercises, such as yoga or swimming, to improve blood circulation in the intestines and reduce the chance of gas formation.

Gas-promoting foodsFoodsReason

Lactose intolerance gas

Lactose is a complex carbohydrate found in dairy products. Lactose intolerance is a violation of the process of its splitting in the body. At the same time, lactose cannot be decomposed into glucose and galactose and remains unchanged when it enters the large intestine.

Bacteria in the colon begin to break down lactose, which can cause unpleasant symptoms. One of them is an increase in gas production. With lactose intolerance in a patient, the transit of the contents of the colon is accelerated, which leads to an increase in the volume of gases in the intestines.

Common symptoms of lactose intolerance include gas, flatulence, diarrhea, and abdominal pain. Patients suffering from these symptoms are advised to undergo special tests and switch to a lactose-free diet. A lactose-free diet will help reduce symptoms and improve the patient’s quality of life.

Fructose intolerance gas

Fructose intolerance is the body’s response to small amounts of this sugar in food. This reaction is due to an insufficient amount of an enzyme needed to break down fructose. At the same time, active gas formation begins in the intestines, which can lead to various unpleasant sensations in the abdomen.

Gas in fructose intolerance can manifest as flatulence, bloating and abdominal pain. These symptoms may be exacerbated by eating foods containing fructose. To reduce gas formation in this case, it is necessary to exclude foods containing fructose from the diet.

Foods containing fructose include fruits (oranges, apples, pears), nectars, juices and syrups. Fructose can also be found in some foods as a supplement. Therefore, those with fructose intolerance should carefully study the composition of foods and avoid those that contain this sugar as an additive.

Gas in celiac disease

Celiac disease is a chronic disease in which a person’s immune system attacks the intestinal wall in response to gluten consumption. In celiac disease, there is damage to the intestinal villi, which leads to gas formation.

Gas formation in celiac disease occurs due to impaired digestion and absorption of nutrients, especially carbohydrates. This provokes the growth of bacteria in the intestines and the beginning of the fermentation process, as a result of which gases are released.

If you have celiac disease, it is recommended to avoid foods containing gluten to help reduce gas. You should also pay attention to other causes of gas, such as eating a lot of fatty foods or foods rich in fiber.

To reduce gas in celiac disease, it is recommended to increase water intake, especially half an hour before meals, and use enzymes that help break down food and prevent gas in the intestines.

• • • United States of America
    • Australia

Gas from excess protein and carbohydrate intake

9000 2 The consumption of proteins and carbohydrates is necessary for the maintenance of the body, but their excess can lead to gas formation in the intestines. This fermentation of food residues, which in turn leads to the release of gases, including methane, hydrogen and carbon dioxide.

Excess proteins found in meat, fish, eggs and dairy products can be difficult to digest in the stomach and intestines. Undigested protein ends up in the intestines, where it becomes an ideal food for gas-producing bacteria. The result of this process is the release of gases through the anus (belching, bloating, flatulence).

Excess carbohydrates, including sweets and starchy foods, can also cause gas. This is because carbohydrates are easily digested and provide energy quickly, which leads to elevated blood glucose levels and stimulates the release of insulin, as well as increases the activity of gas-producing bacteria in the intestines.

By following these recommendations, you can reduce gas from excess protein and carbohydrate intake. However, if the problem persists, you should consult a doctor to determine the exact cause and prescribe the appropriate treatment.

Ways to reduce gas during meals

Avoid snacking . Rapid absorption of food leads to increased gas formation in the intestines, since the lack of time for chewing and mixing food with gastric juices can lead to digestion of food in the intestines. It is recommended to chew each piece of food well to help the stomach break down the food and also reduce gas.

Avoid foods that cause gas . Some foods (eg, legumes, cabbage, radishes) can cause increased gas formation in the intestines. Reduce your intake of these foods or replace them with less gassy foods.

Avoid chewing gum . Chewing gum can start the digestive process in the stomach even when there is no food, and therefore can lead to painful gas formation in the intestines.

Avoid drinking drinks that contain gas . Carbonated drinks can cause gas in the stomach. It is recommended to look for healthier alternatives such as water or a low-fat milkshake.

Eat regularly and slowly . Eating regularly helps the body process food better and avoid unnecessary enzymatic processes in the intestines that can lead to gas.

Use spices . Spices such as basil, ginger, and cardamom can help reduce intestinal gas by speeding up digestion. Adding these spices to your food is a good way to avoid gas and improve the taste of the dish at the same time.

Medications to reduce gas

There are several medicines that can help reduce gas in the stomach and intestines. One of the most popular is activated charcoal. It binds gases and toxins, reducing their amount in the intestines. Adults are advised to take 1-2 tablets after meals.

Lactobacterin is the most widely used probiotic. Probiotic preparations can improve the intestinal microbiota and speed up the digestion of food, which will reduce the amount of gas. Long-term use of probiotics is recommended only under medical supervision.

Simethicone is another effective drug. It destroys gas bubbles and reduces the amount of gas in the intestines. It is recommended to take after a meal or when discomfort occurs in the stomach.

In addition to these drugs, there are a number of drugs that can perform the function of reducing gas formation. It must be remembered that the care of the health of the intestinal system is a complex process, and the use of any medication is recommended only after consulting a doctor.

Surgical methods for gas reduction

In cases where conservative methods do not bring the desired effect, surgical methods may be considered as an alternative. The two main surgical procedures most commonly used are:

• • • Laparoscopic cholecystectomy is an operation to remove the gallbladder. Surgery can eliminate problems associated with impaired bile outflow, which can be the cause of profuse gas formation.
    • Intestinal resection is the surgical removal of part of the intestine in the presence of certain diseases, such as ulcerative colitis or Crohn’s disease. This can improve bowel function and reduce gas.

These surgical procedures can be effective in solving gas problems, but should only be performed after a thorough consideration of all possible options. The choice of method should be based on the individual circumstances of each individual case and agreed with the specialist.

Physiotherapeutic methods to reduce gas formation

Abdominal massage is one of the effective ways to reduce gas formation.

Gymnastics – helps to improve digestion and leads to a decrease in the accumulation of gases in the intestines.

Thermal treatment – heating the abdomen with warm compresses, hot water cups, receiving heat from UV rays. This leads to vasodilation, increased blood circulation and increased metabolism, which helps to reduce pain and discomfort in the abdomen.

Lfia is an experimental treatment that consists of deep relaxation with low frequency sound waves that help improve digestion, breathing and intellectual activity.

Autogenic training is a method of self-regulation, which consists in reducing stress levels and normalizing body functions through self-psychophysical training.

Mineral water is one of the ways to reduce gas formation, which consists in taking water instead of increasing the food volume that is not present in the stomach. intestines.

Yoga and other relaxation techniques for stomach pain and gas

If you have stomach pain or gas, the first thing to do is to relax. One of the best ways to deal with stress and tension is yoga. In addition, yoga postures and breathing exercises can help reduce stomach pain and gas.

You can start with a simple lotus position by sitting on the floor and crossing your legs. Meditation exercises are also effective. Just close your eyes and focus on your breath. Take slow and deep breaths in and out, then pause and repeat.

Aromatherapy, massage and simple stretching exercises can be other ways to relax. Before moving on to medicinal methods, it’s worth trying these safe and natural ways to reduce stomach pain and gas. It is also recommended to consult a doctor.

Tips for Preventing Gas and Abdominal Pain

1. Eat a healthy diet. Eat regularly and in small portions, avoid too fatty, spicy and sweet foods. Eat more vegetables, fruits, herbs, legumes and cereals. Drink plenty of water and avoid carbonated drinks.

2. Exercise regularly. Physical activity not only strengthens the body, but also promotes normal bowel function and prevents the formation of excess gas in the intestines.

3. Avoid stressful situations. Stress can interfere with the digestion of food and cause abdominal pain. It is recommended to take care of your emotional states, regularly engage in meditation, yoga or other calm activities.

4. Use an anti-gas agent if necessary. Special preparations containing simethicone or other appropriate ingredients can be used to reduce abdominal pain and get rid of excess gas.

5. If possible, eliminate the cause of the formation of gases. For example, if you have an incompatibility with certain foods, then they should be excluded from your diet or limited in consumption.

6. Watch your health. Get regular check-ups and see your doctor if you experience any unusual symptoms. Early detection of possible bowel diseases will help to avoid serious complications and more serious problems with the stomach.

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Q&A:

What causes abdominal pain?

Abdominal pain can be caused by many factors such as stress, digestive disorders, ulcers and infections. It is important to see a doctor to find out the cause of abdominal pain and get appropriate treatment.

What causes gas formation?

Gas can be caused by eating foods that are high in fiber, soda, or sugar. Stress and certain medications can also cause gas. It is important to watch your diet and take the recommended dose of medication to avoid gas.

What foods should I avoid to reduce gas?

High fiber foods such as cabbage, broccoli, beans and peas should be avoided. You should also avoid carbohydrates and drinks that contain sugar, such as sodas and sweets. Fatty and fried foods can also cause gas.

What methods will help reduce gas formation?

Some methods that can help reduce gas include chewing food slowly, gradually increasing food portions, eating throughout the day, spreading food out over several meals throughout the day, and reducing gas intake.

What is irritable bowel syndrome and how is it related to gas?

Irritable bowel syndrome is a disorder characterized by chronic abdominal pain, constipation, diarrhea and gas.