Hello,
To relieve your symptoms, it's better to understand the physiology of your symptoms first. The pathophysiology of gas and
flatulence bloating belching is complicated.
The term gut microflora or microbiota means hundreds of species of bacteria which live in our intestinal tract. These bacterias and yeast are responsible for proper digestion and fermentation of food. Hundreds of species of bacteria and yeast are found in the colon of the human intestine.
There are various machines that can be related to increased bloating:
If this microbiota is disturbed food is improperly fermented causing the production of a lot of gases in the gut leading to severe flatulence. Hence most common cause in most of the cases is disturbed microbiota.
-Small Intestinal Bacterial Overgrowth can be a reason of severe flatulence.
Small intestinal bacterial overgrowth (SIBO) refers to a condition in which abnormally large numbers of bacteria are present in the
small intestine, and the types of bacteria in the small intestine resemble more the bacteria of the colon than the small intestines causing improper and disturbed food digestion.
Tests suggested-
Small bowel imaging and a gastric-emptying scan.
Medicines advice
Take a
proton pump inhibitor like
Esomeprazole. This will provide you symptomatic relief from symptoms.
Take
probiotic like VSL# 3.
In the case you are constipated take
Lactulose (laxative).
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ivan R. Rommstein,
General Surgeon