Flatulence in adults. Causes and treatment of folk remedies, diet drugs tablets, to what doctor to address

Syndrome characterized by excessive flatulence, meteorism called. His cause in adults may be wrong diet, eating certain foods and pathology of the digestive tract.

Surplus gases delivered discomfort, reduce human performance and can be an early sign of severe disease. That is why the syndrome requires careful diagnosis and correctly selected treatment regimen.

Common causes

the presence of gas is considered to be physiological for a healthy human intestine. Normally their size must not exceed 200 ml, and the composition thus may comprise oxygen, nitrogen, carbon dioxide, methane, ammonia, hydrogen sulfide and others.

The gases enter the body in several ways:

• formed as a result of ability to live of the intestinal microflora (75%);
• fall into the stomach during swallowing, in the use of carbonated beverages;
• formed by a chemical reaction of carbonates food with gastric juice (hydrochloric acid);
• penetrate into the lumen of the intestine from the blood stream.

Within one day in the gastrointestinal tract is circulated to 20 liters of gas, most of which is subjected to absorption and removal of the intestinal lumen. In the case when the balance between the gasification and gas absorption processes is broken, there are clinical signs of bloating. Bloating can be caused by a pathology or condition, not associated with physical illness.

The 1st case flatulence caused by:

• eating foods that cause excess gas production (cabbage, plums, peas, soda);
• consumption of food, stimulating fermentation processes;
• Aerophagia - excessive ingestion of air while eating (sometimes this condition occurs in hysteria);
• menstruation, pregnancy.

Among the pathological conditions that lead to bloating, allocate a number of diseases of digestive tract (Pancreatitis, enteritis, colitis, etc...), As well as:

• intestinal dysbiosis;
• OCI;
• intestinal obstruction, in Vol. h. associated with tumor formation;
• helminth infections;
• lactose intolerance and other enzymatic deficiency;
• irritable bowel syndrome;
• circulatory disorders of the gastrointestinal tract organs - ischemic flatulence.

Disease as a cause of

Acute and chronic diseases of the gastrointestinal tract can cause excess gas formation. Inflammation of the digestive system, parasitic infestation, disturbance in correlation microbiocenosis intestinal gases lead to a delay in its lumen, hyperinflation walls and subjective appearance sensations.

Common cause flatulence becomes irritable bowel syndrome. This diagnosis of exclusion, ie. E. He placed only in the complete absence of organic lesions of the gastrointestinal tract.

IBS - functional pathology. Bloating when it arises in connection with a violation intestinal motility, which in turn leads to the improper evacuation bolus. This affects the vital activity of the bacterial flora of the gassing activity increases.

Flatulence is also a characteristic feature of chronic pancreatitis. His appearance in this pathology is caused by pancreatic function decline.

Normally, in the duodenum gets pancreatic digestive juice containing trypsin, chymotrypsin, lipase and amylase. With their help cleavage of large molecules of proteins, fats, sugars, to dimensions which are able to be absorbed during digestion of membrane.

In case of lack of the above enzymes, it does not occur, and undigested organics undergo fermentation processes. In other inflammation of the intestine (enteritis, colitis, duodenitis), diseases of the liver and biliary tract processes also suffer digestion.

Large food items remain in the lumen of the intestine, and thereby stimulate the metabolism of microorganisms. Lactic activated processes (homo- and heterofermentative) and alcoholic fermentation.

Cause flatulence in adults can be an intestinal obstruction. Depending on the development mechanisms, it is divided into functional (conservative treatment) and mechanical (used to eliminate surgery).

When this condition is violated movement of food through the digestive tube, there is a stagnation of the contentsAnd, as in the previously considered pathologies fermentation processes are activated with power flatulence. In addition, broken carminative through the anus, which contributes to further their accumulation in the intestinal lumen.

Separately should consider tumor diseases, the clinic where the symptom of bloating occurs. Gastrointestinal cancer formation are complex diagnostic t. K. Disturbances arising in them simulate other digestive diseases.

The presence of tumor in the intestines of the process leads to disruption of motor skills, Evacuation capacity, the process of digestion, which is similar in the clinical picture of IBS, colitis and enteritis. Oncology also becomes a cause of mechanical intestinal obstruction, and then on the 1st forefront of clinical status.

Flatulence during pregnancy

Flatulence in adults, causes and treatment of which require special diagnostic approach - a flatulence pregnant. It develops after 1 or 1.5 weeks after conception. A basic precipitating factor is modified hormones.

To save the pregnancy and provide the growing baby with everything you need, a woman's body produces progesterone hard. Its synthesis increases dramatically to 100 mg per day in the beginning of pregnancy, and to its end is at a level of 250 mg per day.

One of the functions of progesterone is considered the relaxation of smooth muscles of internal organs, in Vol. H. bowel. This reduces its motility, which in turn slows down the evacuation of food. What is fraught with the latter, discussed above.

Flatulence in nursing mothers

Already given birth women do not always get rid of the problem of bloating. Often during lactation is accompanied by excess gas in the intestines, which delivers significant discomfort of the young mother.

To the development of flatulence in nursing mothers leads properly chosen diet. Ingestion of foods rich roughage, substances causing fermentation reaction, promotes the activation of intestinal microflora metabolism.

Lactating women should be excluded from the diet triggers swelling products, replacing them with a more sparing options. Postpartum women should consume dairy products, steamed fruits and vegetables, boiled meat, wholemeal bread. Contraindicated juices and sodas.

Flatulence and monthly

The menstrual cycle of women is accompanied by so-called premenstrual syndrome. Symptoms characteristic of it, differ due to a variety of symptoms and hormonal changes.

In the 1st phase of the cycle, starting from the 1st day of menstruation, actively produce estrogen. These hormones prepare a woman's body for a possible pregnancy, contributing to rise of the functional layer of the endometrium.

At the time of ovulation, estrogen level decreases, and are replaced by progesterone. It is called the "guardian of pregnancy", t. To. It is due to the hormone the uterus becomes able to take and keep a fertilized egg.

Even before the moment of fertilization, progesterone exerts its effectiveness. It is due to him in the 2 nd phase of the menstrual cycle in women there are some signs Pregnancy - breast tenderness, abdominal enlargement, relaxation of smooth muscles internal organs. The latter leads to the development of flatulence.

Also, the ICP is characterized by such symptoms as increased appetite. In this case, a woman can disrupt their usual diet and include products that contribute to gas formation.

Variants of flatulence

Depending on the clinical manifestations, can be of two types for flatulence. The nature of each of them is closely related to the dominant cause.

Depending on it, bloating can be:

• alimentary (due to diet);
• digestivnym (maldigestion processes);
• dysbiotic (in basis - intestinal dysbiosis);
• mechanical;
• dynamic;
• circulatory (caused by circulatory disorders);
• psychogenic;
• Tall (close connection with the atmospheric pressure).

The first type of flow flatulence results from dysfunction of intestinal motility. Spasm of the muscles leads to delay and accumulation of gases in its lumen that visually shows a significant increase in the abdomen. Evacuation of gases through the anus is not observed, the patient subjectively feels discomfort in the epigastric region, bloating and pain.

The second type is due to reasons such as overgrowth, inflammatory gastrointestinal diseases. The clinical picture is dominated active carminative, less severe pain. Patients complain of feeling in the stomach rumbling, transfusion. They can not fully participate in social life, in connection with obvious signs of bloating.

symptoms

bloating syndrome is characterized by a number of symptoms due to both the direct cause that caused bloating and overstretching of the intestinal wall.

The most common ones are:

• a feeling of fullness, heaviness in the epigastric region;
• rumbling and feeling overflows in the abdomen;
• intensive, non-persistent pain;
• increasing the size of the stomach;
• tachycardia carminative (flatulentsiya) or, conversely, their retention;
• possible frequent belching;
• alternating constipation and diarrhea.

Symptomatic flatulence significantly violates not only the patient's state of health, but also affects his mental sphere, socialization. Sometimes mental disorders may reach affective disorder - depression.

In addition, when excessive gas, and extra-intestinal symptoms may occur. These include a burning sensation in the heart, arrhythmias, asthenovegetative symptom (depressed mood, weakness, fatigue, sleep disturbance).

First aid for flatulence

Flatulence in adults - Causes and treatment should be able to identify each person for the timely help themselves or sick relatives.

In the early hours of the disease the main task - to relieve the patient's condition, docked major clinical events. To do this, you must get rid of the excess gases. With this purpose chelators (activated carbon, bismuth preparations, aluminum, magnesium and so on. D.) And antifoaming agents (based simethicone).

Defoamers have good efficiency for the elimination of gas-filling characteristics. In this case, the risks are minimal side effects. Based simethicone manufactured Espumizan, Meteospazmil, Maalok, Disflatil et al.

When using a sorbent, it is worth remembering that they do not have a selective effect, and with the gases can absorb the necessary body substances - vitamins, trace elements. Therefore, the data can not be used drugs for long-term treatment of bloating. They are shown only as an emergency.

Since frequent cause flatulence serves enzyme deficiency, it would be expedient assignment enzyme preparations, e.g. Creon, Pankreoflat. Daily and a single dose selected individually taking into account the age and weight of the patient's body. When using any drug should be ascertained in the absence of allergy to his patient.

To which the doctor ask

The most common causes of flatulence are gastrointestinal diseases. Therefore justified will visit a gastroenterologist. It is this doctor has the knowledge and the necessary expertise in this field.

If you can not get an appointment with a specialist, the patient should apply to a local therapist. Wide-view will be helpful in the matter of disease etiology, t. To. not excluded rarer its causes - psychogenic disorder or cancer.

diagnosing

Flatulence in adults - Causes and Treatment at the stage of first aid, discussed earlier, can be a knowledge base for a diagnostic search.

It must be based on the study:

• complaints - the nature of the clinical manifestations, duration, time of occurrence, the methods edema;
• disease history - time of onset of the disease, the total duration, previous treatments and their effectiveness;
• patient examination - presence of larger abdominal size, color evaluation integument and mucous membranes, body temperature, pulse rate and respiration - aimed at identifying the etiological factor;
• laboratory parameters - a general analysis of blood, urine and feces, the study of enzymatic activity of digestive juices;
• instrumental methods of investigation - ultrasound of the digestive organs, contrast radiography, EGD.

How to treat

To carry out a successful treatment of flatulence, you must find out the reason for its occurrence. That is, what is necessary to use drugs and methods of treatment will depend on etiological factor that caused gassing.

Alimentary flatulence does not require the use of drugs, because it is based on errors of diet. For relief of the clinic enough dietary changes. Good effect is observed from the use of fermented milk products - probiotics, included in their composition, normalize microflora composition and its activity, improve digestion.

If bloating is caused by organic pathology of the gastrointestinal tract, the treatment should be aimed primarily at combating it. When psychogenic syndrome, would be an effective therapy, the use of sedatives. In the case of intestinal obstruction or cancer pathology often used surgery.

a few basic principles of treatment can be distinguished:

• elimination diet errors;
• impact on the causative agent;
• the use of prokinetic and probiotics for improvement of GI motility and normalization microbiocenosis;
• emergency relief of symptoms by expelling gases from the intestinal lumen using adsorbents and defoamers

what medications

Flatulence in adults, causes and treatment which have been considered earlier, involves the use of several drugs. In the following table, are considered popular drugs major groups of funds, which are used in the treatment of abdominal distention.

Title	Mechanism of action	average price
pancreatin	The preparation of pancreatic enzymes obtained from RNC. The main effect - replenishing the lack of its own enzymes. Due contained in the medicament lipase, alpha-amylase, trypsin, there is a complete cleavage of large molecules of proteins, fats and carbohydrates to dimensional composes.	50 rubles.
metoclopramide	Class prokinetic. Refers to antagonists of the dopamine and serotonin receptors, whereby the effect on motor function of digestive tract smooth muscle (stimulatory effect).	30 rubles.
Linex	Eubiotics containing more than 1 million in its composition. live lactic acid bacteria. As a result, the drug restores the balance of intestinal microflora, effectively coping with dysbiosis.	500 rubles.
Espumizan	It refers to defoamers. The active substance simethicone reduces the surface tension at the interface of the digestive juices and the digestive tract mucus phases. This effect contribute to the destruction of the gas bubbles.	400 rubles.

Folk remedies

In case of flatulence cause is known and is not a serious pathology, possible treatment of the disease traditional methods.

By popular tools include:

1. The infusion of chamomile flowers.
2. Enema with chamomile.
3. Infusion of parsley.
4. Infusion of red ash.
5. Ginger tea.

The positive effect is eaten on an empty stomach mashed carrots, dates and white raisins.

Diet

Symptoms appear flatulence when used in the food:

• legumes;
• soybean;
• cabbage;
• grapes;
• Luke;
• milk;
• bananas;
• pears;
• soda, sugary juices and so on. d.

To cope with excessive flatulence, it is necessary to adjust the diet, excluding the products listed.

The menu at the bloating need to include:

• dairy products;
• bran bread;
• pasta from durum flour;
• boiled meat;
• dishes, steamed.

recipes

The infusion of chamomile flowers. To cook it you need dry flowers - 1 tbsp. Spoon and 250 mL of boiling water. Infuse daisy followed for 30 minutes. Take ½ cup before meals 2 times a day.

Infusion of parsley. It will take 3 tbsp. spoons dry parsley and 250 mL of boiling water. Insist 8 hours. Should take on half cup fasting premixed infusion with mineral water in a ratio of 1 to 3.

When bloating can be used salty tea, diluted with milk. For this simple brewed black tea is added thereto a few ml of boiled milk and a pinch of salt. This means drinking small sips before meals.

Massage

Often bloating therapy used massage. The objective of this manipulation is the activation of intestinal peristalsis to relieve symptoms. Before performing the procedures necessary to put a man on your back on a flat surface, asking him at the same time as much as possible to pull your leg. placed cushion for comfort under your neck.

Massage technique:

1. Preheat stomach circular motion palms for 3 minutes.
2. Stepping from the navel down to a few centimeters, doing a similar effect in the hips.
3. Alternate strokes with periodic pressings deep into the abdomen around the perimeter.

What to do if a constant flatulence

Flatulence in adults, causes and treatment which do not provide proof of a positive result, requires a special approach.

The basic principles that should be observed at constant flatulence:

• eat food in a relaxed atmosphere, measured;
• Avoid diet errors, products that stimulate flatulence;
• reduce everyday stress;
• normalize the intestinal microflora;
• to treat and to prevent gastrointestinal diseases.

If adults appear symptoms of bloating, you must choose a method of treatment depending on the cause. Only properly selected drug or agent can give a positive result, because the causes of bloating are varied and are not always edible.

Video of flatulence in adults, its causes and remedies

flatulence treatment at home:

Causes of flatulence and when to seek medical attention, expert advice: