Flatulence, defined as the accumulation of gas in the intestinal tract, can be an embarrassing problem. People who suffer from flatulence may be bothered by abdominal bloating and discomfort due to the buildup of gas. They may also be concerned by the unpleasant odor which can accompany the release of the gas. While there is no one sure-fire remedy to treat all flatulence, there are several possible solutions. Any prolonged self-treatment of flatulence or change in bowel habits should be discussed with a health care professional.
Probiotics
Probiotics are microorganisms which may be beneficial to humans. These "good bacteria" may help with digestion, leading to less intestinal gas. Some of these good bacteria live naturally in the human body, but probiotics can also be provided by nutritional supplements and foods. Probiotics such as Lactobacillus and Bifidobacterium have shown a significant reduction in flatulence when taken for four weeks, with the positive results lasting as long as 60 weeks.
Activated Charcoal
Activated charcoal is an odor-reducing substance which can be used to trap the sulfur gases which cause the unpleasant smell of flatus (gas). External devices, such as briefs or pads, can be very effective in minimizing odor. They are commercially available and can be worn daily or reserved for social situations.
Alpha-Galactosidase
Alpha-galactosidase is an over-the-counter medication which can help the body to break down the complex carbohydrates which may cause intestinal bloating and gas. When taken with a high-fiber meal, such as beans, whole grains, fruits and vegetables, alpha-galactosidase has been shown to significantly reduce flatulence, according to research by the University of Pavia, reported in 2007 in the journal "Digestive Diseases and Sciences." Sold under the trade name "Beano," this enzyme has been generally regarded as safe by the Food and Drug Administration. Diabetics and those with mold allergies should refrain from using this product.
Lifestyle Changes
The safest way to treat excess flatulence may be simply to prevent it. For some, a food diary may help to pinpoint the offending foods. Typical culprits may include milk and dairy, whole-grain foods, and certain vegetables. Exercise may also help by moving gas more quickly through the digestive tract. For others, eating and drinking more slowly, avoiding hard candy and avoiding tobacco may help.
Simethicone
Prescription antibiotics and over-the-counter medications such as bismuth subsalicylate or simethicone may be helpful, but should be taken only with a medical provider's advice.
References
- "Neurogastroenterology & Motility"; A Randomized Controlled Trial of a Probiotic Combination VSL#3 and Placebo in Irritable Bowel Syndrome with Bloating; Kim HJ, Vazquez Roque MI, Camilleri M, et al.
- "Clinical Therapeutics"; Prescript-Assist Probiotic Treatment for Irritable Bowel Syndrome: An Open-Label, Partially Controlled, 1-Year Extension of a Previously Published Controlled Clinical Trial; Bittner AC, Croffut RM, et al.
- "Digestive Diseases and Sciences"; The Effect of Oral Alpha-Galactosidase on Intestinal Gas Production and Gas-Related Symptoms; Di Stefano M, Miceli E, Gotti S, et al.
