You always have some intestinal gas within your digestive tract. Gas in your digestive tract (the esophagus, stomach, small intestine and large intestine) comes from two sources- swallowed air and the normal breakdown of certain undigested foods by harmless bacteria that are naturally present in the large intestine. Gas and bloating symptoms can often times be accompanied by and overlap with other symptoms and be difficult to identify as the cause of your symptoms. Patients should be evaluated with a thorough consultation and examination by a GI doctor for an accurate diagnosis and treatment plan as it may be a symptoms of a serious illness or condition.
Air swallowing (aerophagia) is a common cause of gas in the stomach. Everyone swallows small amounts of air when eating and drinking. However, eating or drinking rapidly, talking while eating, chewing gum, smoking or wearing loose dentures can cause some people to take in more air. Burping or belching is the way most swallowed air leaves the stomach. The remaining gas moves into the small intestine where it is partially absorbed. A small amount travels into the large intestine for release through the rectum and expelled as flatulence. If you suffer from excess gas, either trapped in your intestines or passed as flatulence, it can become uncomfortable. Stuck gas can cause abdominal pain and bloating. In truth, everyone passes gas several times a day. Even stuck gas is a normal part of the digestive process.
Gases are also produced as a by product when certain food materials are digested by naturally occurring bacteria in the large intestine or colon. These bacteria are responsible for digesting materials like complex carbohydrates (sugar, starches and fiber found in many foods) and cellulose, which are not normally digested in the upper gastrointestinal tract. The quantity and mixture of gases depends on the types of bacteria in the colon. Everyone has a unique assortment of bacteria from the time of birth. These gases include hydrogen, carbon dioxide, and methane. Trace gases, such as hydrogen sulfide, are responsible for the odor.
Diagnosing Gas and Bloating
Gas and bloating is usually a temporary condition that resolves itself in a day or two. If gas and/or bloating become painful, however, you should see your doctor or a gastroenterologist like Dr. Khodadadian. If your gas and bloating is persistent or accompanied by other symptoms, such as diarrhea, bloody stools, vomiting, constipation, heartburn or unexplained weight loss, a visit to a gastroenterologist is recommended.
During your office visit, GI doctor Dr. Khodadadian will give you a physical exam and review your medical history and any recent dietary changes. Since gas and bloating sometimes can be symptomatic of a more serious condition, Dr. Khodadadian GI specialist may order laboratory tests.
Many gastrointestinal disorders exhibit similar symptoms. Fortunately, hydrogen breath tests now are available to uncover the source of some gastrointestinal disorders. This procedure makes it easier for GI doctors like Dr. Khodadadian to diagnose certain medical conditions, such as:
- Fructose intolerance
- Lactose intolerance
- Small intestinal bacterial overgrowth (SIBO)
The above conditions results from your body’s inability to absorb a dietary carbohydrate or from a condition that promotes abnormal bacterial growth in your digestive tract. These disorders create a specific chemical response that can be measured in your breath, leading to an accurate diagnosis.
Treating Gas and Bloating
Treating gas and bloating depends on the seriousness of the diagnosis. If you smoke cigarettes, quitting can help resolve your gas and bloating. Reducing your stress also may help. Often, treatment simply means avoiding certain foods or medications. Although everyone reacts differently to food, here is a list of basic foods to avoid:
- Beans and other lentils
- Brussels sprouts
- Broccoli and cauliflower
- Cabbage and lettuce
- Excessive bran and fiber
- Certain fruits, like apples and pears
- Chewing gum
- Hard candy
- Carbonated drinks, including beer
You also can try an assortment of over-the-counter products to reduce your gas and bloating, if it’s mild enough. These products can help you fully digest certain foods, especially if you know ahead of time that you’ll be eating them. Other products can help reduce the odor of your flatulence. These products are safe to use, but only address the symptoms, not the cause of your gas and bloating. Breath testing can be used to identify certain triggers of symptoms in the general population as well as patients with irritable bowel syndrome.
Important Reminder: This information is only intended to provide guidance, not definitive medical advice. Please consult a doctor about your specific condition. Only a trained GI doctor or experienced gastroenterologist like Dr. Khodadadian can determine an accurate diagnosis and proper treatment.
As a best in class NYC gastroenterologist, Dr. Shawn Khodadadian provides highly personalized and comprehensive care. His philosophy regarding the doctor/patient relationship is based on trust and has earned him one of the most respected reputations in NYC.
For more information about our gastroenterology services, including quick treatments for gas & bloating, or to schedule an appointment with the GI doctor, Dr. Shawn Khodadidan, please contact our Upper East Side or Midtown NYC office.
Dr. Shawn Khodadadian Manhattan Gastroenterology 983 Park Ave, Ste 1D New York, NY 10028
Treat SIBO for Bloating Relief
Your digestive system does its due diligence in keeping most of your bacteria in the colon. When there is an upset of intestinal motility the bacteria bacteria from the colon can migrate up to the small intestines, producing gas.
The small intestines have trouble absorbing the gas of these bacteria, which leave you with that bowling ball bloat.
Factors which can cause SIBO:
- Low stomach acid
- Alcohol abuse
Once this bacteria starts growing in the wrong place – your small intestine – it feeds off certain nutrients in your diet like carbohydrates and sugar.
When you eat these foods these bacteria start to break down these nutrients and produce hydrogen gas, which is one of the gases that causes bloat or diarrhea symptoms.
In certain environments, another type of bacteria, which is considered to be very unique can set up shop in your small intestines as well.
These archaebacteria feed off of the hydrogen gas being produced by the other bacteria resulting in the release of methane gas.
This is the hard to treat bacteria that antibiotics like rifaximin and diet just cannot get rid of.
Methane in the intestines acts as a paralytic to your stomach – meaning it slows intestinal motility leading to constipation. These unruly archaebacteria are the reason why IBS-C (irritable bowel syndrome with constipation) people suffer from bloating, abdominal cramping, and constipation.
Along with this excess in gas production and inflammation, SIBO can lead to things like leaky gut, allergies, and autoimmune diseases.
So, it’s important you eliminate the small intestinal bacterial overgrowth.
How frustrated do you get when trying to keep your gut in good health?
You try to avoid all the yummy carbs and sugars because you want to protect your gut so you load up on a big kale salad for lunch.
You also don’t want to feel bloated and uncomfortable all day so you might supplement with a daily probiotic to help boost your healthy bacteria.
But this can just add to your bloating symptoms.
Since bad bacteria feed off carbohydrates, people tend to avoid all things made of starch like bread and pastas. But vegetables high in fiber like your kale salad is actually a complex carbohydrate.
These are considered indigestible carbs for your body. They sit in your gut longer waiting to be digested.
Meaning your overgrowth of bacteria are able to feed off of them longer, causing more bloat.
Modifying your diet to reduce the amount of fiber intake while healing from SIBO is important. You want to starve these bacteria to get rid of them, not feed the fire.
Try a temporary low FODMAP diet which reduces your intake on certain carbohydrates and sugar.
As with probiotics, you are feeding the healthy gut bacteria yes – but the bad bacteria growing in your small intestines are affected by the probiotics as well.
These supplements tend to cause more imbalance in the gut leaving you with worse symptoms.
How do you get rid of these tricky bacteria causing your uncomfortable bloat and IBS symptoms?
How Does Atrantil Help with Bloating?
Relieving bloating can be tricky for those who have a higher bacterial growth in their small intestines.
Certain bacteria growing in your small intestine can be more resistant to traditional treatments like rifaximin or even natural treatments such as diet and probiotics.
Atrantil was specifically developed for the hard to treat bacteria growing in your small intestine. Studies show 88% of patients who have taken Atrantil report it helps relieve their bloating, abdominal discomfort, diarrhea, and constipation.
- This is because of Atrantil’s natural ingredients quebracho, peppermint leaf, and horse chestnut targets and kills these hostile bacteria causing havoc in your small intestine.
- All three ingredients contain polyphenols, which reduce inflammation, have antioxidant properties benefiting your gut microbiota, and attack unhealthy bacteria.
- The tannins present in these polyphenols form covalent hydroxyl bonds and bind to the hydrogen these archaebacteria live off of, essentially starving while also weakening their cell wall.
Atrantil doesn’t just feed your healthy bacteria like prebiotics, it eliminates the actual cause of your bloating and other chronic symptoms – giving you true relief.
Home remedies for gas pain in chest
Not Always Coca-Cola
It’s no secret that carbonated beverages are far from healthy due to the extremely high level of sugar they contain. But have you ever thought about the amount of gas you swallow just in one can of soda or a small beer? While one drink with bubbles every now and then won’t hurt, a regular consumption of beer, coke etc. has a huge impact on your body. If you suffer from chest and abdominal pains that may be related to excess gas, just try to exclude the carbonated drinks from your menu for a week. A major shift in health guaranteed.
Drink a lot of water
It may seem like there is no need to remind anyone about the importance of keeping the body hydrated. Yet, we will leave a kind reminder one more time. In order to allow all the organs work properly, you need to drink between 1,5 and 2 litres of liquids a day, preferably water. An increased intake of liquids assures an easier digestion of fibres, which – as we mentioned above – cause the formation of gases when they reach the colon undigested. By drinking plenty of water you also reduce constipation and facilitate the elimination of toxins from your body, including the ones accumulated in your digestive tract.
Five O’Clock Medicine
A cup of hot tea can do miracles and has become one of the most common remedies for various everyday ailments. It can also provide a relief from gas pain in chest and abdomen. The most recommended types of teas in this case are the ones made of peppermint, chamomile or fennel. All of them reduce the feeling of bloating due to their anti-flatulent properties. Find a flavour that appeals to your taste buds and make it a routine to drink at least one cup of hot herbal tea a day.