Flatulence medical therapy: Difference between revisions

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Latest revision as of 21:46, 29 July 2020

Flatulence Microchapters

Home

Patient Information

Overview

Pathophysiology

Causes

Differentiating Flatulence from other Diseases

Epidemiology and Demographics

Risk Factors

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Abdominal Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Primary Prevention

Impact

Case Studies

Case #1

Flatulence medical therapy On the Web

Most recent articles

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Review articles

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Powerpoint slides

[1]

American Roentgen Ray Society Images of Flatulence medical therapy

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X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA onFlatulence medical therapy

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medical therapy in the news

Blogs on Flatulence medical therapy

Directions to Hospitals Treating Flatulence

Risk calculators and risk factors for Flatulence medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]

Medical Therapy

Pharmacotherapy

Digestive enzyme supplements may significantly reduce the amount of flatulence caused by some components of foods not being digested by the body and thereby promoting the action of microbes in the small and large intestines. It has been suggested that alpha-galactosidase enzymes, which can digest certain complex sugars, are effective in reducing the volume and frequency of flatus.[1] The enzymes alpha-galactosidase (brands Beano, Bean-zyme), lactase (brand Lactaid), amylase, lipase,protease, cellulase, glucoamylase, invertase, malt diastase, pectinase, and bromelain are available, either individually or in combination blends, in commercial products.

The antibiotic rifaximin, often used to treat diarrhea caused by the microorganism E. coli, may reduce both the production of intestinal gas and the frequency of flatus events.[2]

While not affecting the production of the gases themselves, surfactants (agents which lower surface tension) can reduce the disagreeable sensations associated with flatulence, by aiding the dissolution of the gases into liquid and solid fecal matter. Preparations containing simethicone reportedly operate by promoting the coalescence of smaller bubbles into larger ones more easily passed from the body, either by burping or flatulence. Such preparations do not decrease the total amount of gas generated in or passed from the colon, but make the bubbles larger and thereby allowing them to be passed more easily.

Often it may be helpful to ingest small quantities of acidic liquids with meals, such as lemon juice or vinegar, to stimulate the production of gastrichydrochloric acid. In turn, acid ingestion may increase normal gastric enzyme and acid production, facilitating normal digestion and perhaps limiting intestinal gas production. Ingestion of bromelain- or papain-containing supplements (such as pineapple or papaya, respectively, may be helpful.

Odor from flatulence, caused by the intestinal bacteria called microflora in the bowel, can be treated by taking bismuth subgallate (brand Devrom). Bismuth subgallate is commonly used by individuals who have had ostomy surgery, bariatric surgery, fecal incontinence and irritable bowel syndrome.[3][4]

Post Release

In 1998, Chester "Buck" Weimer of Pueblo, Colorado, USA received a patent for the first undergarment that contained a replaceablecharcoal filter. The undergarments are air-tight and provide a pocketed escape hole in which a charcoal filter can be inserted.[5]

A similar product was released in 2002, but rather than an entire undergarment, consumers are able to purchase an insert similar to a pantiliner that contains activated charcoal.[6] The inventors, Myra Conant|Myra and Brian Conant of Milihani, Hawaii, USA still claim on their website to have discovered the undergarment product in 2002 (8 years after Chester Weimer filed for a patent for his product), but states that their tests "concluded" that they should release an insert instead.[7]

References

  1. Ganiats TG (1994). "Does Beano prevent gas? A double-blind crossover study of oral alpha-galactosidase to treat dietary oligosaccharide intolerance". J Fam Pract. 39: 441–445. Unknown parameter |coauthors= ignored (help)
  2. Di Stefano M (2000). "Non-absorbable antibiotics for managing intestinal gas production and gas-related symptoms". Aliment Pharmacol Ther. 14: 1001–1008. Unknown parameter |coauthors= ignored (help)
  3. Turnbull G (2005). "The Ostomy Files:The Issue of Oral Medications and a Fecal Ostomy". Ostomy/Wound Management. 51: 14–16.
  4. "Colostomy Guide". 2006-01-04. Retrieved 2007-09-10.
  5. Weimer, Chester (1997-01-14). "Protective underwear with malodorous flatus filter". Retrieved 2007-07-27.
  6. Conant, Brian J. (2001-11-06). "Flatulence deodorizer". Retrieved 2007-09-10. Unknown parameter |coauthors= ignored (help)
  7. "Flat-D Innovations Inc.: About the American Inventor". Retrieved 2007-09-10.

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