Suggest Treatment For Severe Foul Smelling Flatulence

Posted on Sun, 27 Aug 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 27 Aug 2017 Answered on

Thu, 14 Sep 2017 Last reviewed on

Question : For a year, I have been experiencing smelly involuntary intestinal gas release which feels like small bubbles. i only feel it when it escapes. please help me.I have been taking digestive enzymes and probiotics for a year. I do not think they helped at all.

Answered by Dr. Bhagyesh V. Patel (43 minutes later)

Brief Answer:
Definite work up mandatory to find out the cause why these meds don`t work

Detailed Answer:
Hello dear

Thanks for using Healthcaremagic.com
I have evaluated your query thoroughly .

* When there is no improvement with certain ailments , work up is required upon
the reason why they are not helping .

Kindly provide further details so that I can answer your query completely .

1. Problem - frequency per day .
2. Bowel movement details .
3. Abdominal cramps if any .
4. Any other systemic issues along with this .
5. History of alcohol , tobacco in any form .
6. What investigations done so far for the issue .

Awaiting for your response .

Regards .

needs digestive treatment as fault lies in the digestive enzymes or intestinal flora
thanks regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Bhagyesh V. Patel (1 hour later)

1. I pass small amounts every 2 minutes. It is worse when I sit down.
2. I used to have fat malabsorption 6 months ago after drinking kefir. I used to have pudding-like stools. my stools are now solid and dark brown.
3.no cramps.
4. no other issues besides the anxiety I have received from it.
5. I had alcohol twice. It irritated my bowels so I stopped. It's been two months since my last drink. I do not smoke.
6. I was tested for ova and other parasites. I had a colonoscopy with biopsy too. they all came up as negative. I had an aspartame breathe test but it was negative too. I had gas-x, omeprazole, and nothing worked. I have taken probiotics to relieve the gas. so far, I barely have any gas build up but the small amounts cannot be stopped. I have tried low fodmap dieting and protein.

Answered by Dr. Bhagyesh V. Patel (5 hours later)

Brief Answer:
Intestinal motility or anal sphincter tone issue .

Detailed Answer:
Welcome

Thanks for the necessary details .

* Non specific intestinal motility related or anal sphincter tone issue likely .

* Suggestions for better recovery

- Always drink plenty of liquids .
- Prefer soft , light diet at intervals with high fibers , fresh curd preferable .
- Avoid excess oily , junk foods , spicy , non veg , dairy fat , ghee , sugar , hot
beverages till possible .
- Avoid prolong fasting or over eating .
- Do not rest upto 3 hours after meals .

- Life style modifications will prove major for long term outcome as
Regular walking in fresh air , exercises , deep breathing with YOGA targetting
abdominal muscles .
Pelvic floor exercises are vital can get assistance of an expert physiotherapist .
Avoidance of stress , anxiety .
Regular sound sleep of 8 hours .

* Would like to know other details as

1. Doctor has performed per rectal examination with the gloved finger ( to
assess the anal sphincter tone )
2. What about the control of stool , sometimes or many times it happens that
you can not control stool or clothes get stained before going to washroom .

Hope this will help you .

Welcome for further assistance .
Regards .

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Bhagyesh V. Patel (26 minutes later)

my diet is already restricted to low fat foods. I also drink plenty of water. Doctor also said my sphincter was tight. I can control the release of stool but not the gas. I believe stress and anxiety cannot be avoided because I have to attend class. i get anxiety because everyone says I stink.

Answered by Dr. Bhagyesh V. Patel (9 minutes later)

Brief Answer:
Guidelines for follow up management provided .

Detailed Answer:
Hello dear

* When you can control stool , there is nothing that you can not control flatus .

* Requirements of the recovery

- Be Positive attitude in life .
- Have to manage stress , anxiety anyhow for better life because these are your
enemies not letting you recover .
- Meditations and YOGA will help tremendously , I am sure .
- Avoid excess garlic or other food material if producing excess odor after its
consumption .

Wishing you fine health ahead .
Regards .

Above answer was peer-reviewed by : Dr. Yogesh D