Unfortunately, for as common as gas and bloating is, we don’t have much to pick from as far as medications go. One of the big difficulties in developing medications for gas and bloating is that there are so many different causes. However, we do have things to offer, and typically we can improve
As we mentioned in previous sections of this article, we as humans don’t produce gas. Most of the gas in our bowels is a result of fermentation of foods by bacteria. We have literally trillions of microscopic bacteria that live in our bowels that play into this process. Although sometimes they are infectious
Given the fact that bacteria are usually to blame for our gas production, it would make sense that if we cut down on the number of bacteria in our bowels we would make less gas. Also, if the overriding problem is small intestinal bacterial overgrowth, reducing bacteria in the small bowel will decrease gas production.
There are a few different antibiotics that we utilize most often for gas production. Metronidazole and neomycin are two very common ones. They are typically given for seven to 10 days. The main problem I find with these antibiotics is that they have quite a few side effects of their own. There are two newer antibiotics for gas and bloating that I use much more frequently because they don’t get absorbed into the body as much, so they have fewer side effects. One is called nitazoxanide (Alinia) and the other is
There are many reasons why people may have slow motility in their bowels. Things like thyroid disorders, chronic constipation, gastroparesis (slow-moving stomach due to diabetes) and certain medications can all cause your bowels to move slower that they should. When this happens, several problems can occur.
First, if your bowels move too slowly, the normal amounts of gas we develop throughout the day will not be expelled often enough and will build up and make us feel bloated. Second, slow-moving bowels lead to food staying in our bowels longer than normal, which can lead to constipation and the feeling of fullness. Third, if our bowels move slowly, the food is in contact with our normal bacteria longer, which allows for more fermentation. The normal squeezing movement (peristalsis) of our bowels also helps move bacteria down to our colon and out with our
Given this information, one of the treatments we use for gas and bloating is medications that help the bowels move. A common one is
Erythromycin, which is an antibiotic, is used for this as well. We use it not because it’s an antibiotic, but because it causes increased motility in the stomach and can help move the bowels. Other commonly used medications are stool softeners and laxatives in people with gas, bloating and constipation. If you can improve on
- The normal bacterial flora of humans. Todar’s Online Textbook of Bacteriology
- Physicians’ Desk Reference
- Living with gas in the digestive tract. The American Gastroenterological Association
- Efficacy of Quebracho, Conker Tree and M. balsamea Wild Blended Extract in Randomized Study in Patients with Irritable Bowel Syndrome with Constipation
- Antibiotic treatment of constipation predominant IBS