Treatment of bloating
Belching and flatulence are difficult to reduce, as they are usually caused by unconscious aerophagy or hypersensitivity to the usual accumulation of gas in the intestine. To reduce aerophagia, the patient should avoid habits such as chewing gum or smoking. It is possible to assume diseases of the upper gastrointestinal tract (eg, peptic ulcer), which can cause reflex increased salivation. Carbonated drinks or antacids should be excluded if they are associated with belching. Foods containing non-digestible carbohydrates should be avoided. Dairy products should be excluded from the diet in case of lactose intolerance.
The mechanism of frequent eructation must be explained and proven. If aerophagia is unpleasant for the patient, biofeedback and relaxation therapy can help them learn more efficient swallowing and chewing and change the pathological cycle of aerophagia-discomfort-belching-relief.
Medications are not very effective. The simethicone drug destroys small gas bubbles, and various anticholinergic drugs have not been effective enough. Some patients with dyspepsia and a feeling of postprandial overflow in the upper abdomen often find the effect of using antacids.
Treatment for complaints of increased flatus is aimed at excluding triggering factors. It can be added to the diet of coarse food (eg, bran, flax seed) in order to speed up the passage through the large intestine; However, in some patients, on the contrary, there may be an increase in symptoms. Activated charcoal helps to reduce gas generation and odor, but the property of dirty clothes and mouth mucosa make it undesirable to use. Chlorophyll tablets reduce odor and are better perceived by patients.
Thus, functional bloating, flatulence and flatus indicate an intermittent, chronic course that is only partially treatable. It is important to convince the patient that these manifestations are not harmful to health.
Intoxication is extremely rare. Consumption of zinc within 100-150 mg / day disturbs the metabolism of copper and leads to a decrease in the level of copper in the blood, microcytosis, neutropenia, weakening of immunity. Absorption of large amounts of zinc (200-800 mg / day), usually with the use of foods and drinks stored in galvanized containers, causes vomiting and diarrhea. Fever from metal vapors, also called fever casters or zinc chills, is caused by the inhalation of industrial vapors of zinc oxide; this leads to neurological disorders. Symptoms go 12-24 hours later in a medium without zinc.
How to treat flatulence?
On the question - how to get rid of flatulence and where to begin treatment - any physician will answer: it is necessary to eat right, cure diseases of the gastrointestinal tract, to establish the normal functioning of the digestive system, including the intestine. This requires combined etiotropic and pathogenetic therapy.
But flatulence is most often treated with symptomatic medications, trying to reduce the excessive formation of gases and, if possible, prevent it.
How to treat flatulence? Restricting some products and taking drugs: sorbents, suppress gassing defoamers and accelerating the evacuation of gases from the intestine carminative means.
Reduce the intensity of gas formation and bloating can be, taking the most popular adsorbent - activated-charcoal tablets. But it has the property of absorbing not only harmful substances, but vitamins, minerals and useful intestinal microbes necessary for the body.
Smecta - dioctahedral smectite (double silicate of magnesium and aluminum) - is used as a symptomatic agent for chronic diarrhea, has absorbing properties. Dose for an adult - 2-3 packets of powder (for the preparation of a suspension) per day, and the recommended duration of treatment is no more than 7 days. Among the side effects of Smecta there are constipation, vomiting and ... Flatulence.
The adsorbent also includes the preparation Polyphepan (tablets 375 mg containing hydrolytic lignin), which is recommended for use in diseases of the digestive tract, the symptoms of which are diarrhea and flatulence. Tablets are taken orally (1-1.5 hours before meals); for adults, the daily dose is 12-16 tablets; with chronic pathologies, the procedure is performed for 10-15 days with interruptions of 7-10 days. As a rule, Polyphepan is well tolerated and does not lead to dysbacteriosis. However, it is contraindicated to take patients with an anatomic gastritis, intestinal atony and in case of an exacerbation of stomach and duodenum ulcers.
The drug Almagel (other trade names - Alumag, Maalox, Gestid, Gastal, Palmagel) contains aluminum and magnesium hydroxides, which neutralize the hydrochloric acid of gastric juice. This drug is used in the treatment of gastrointestinal diseases associated with high acidity of gastric juice. In addition, due to the content of benzocaine, it acts as a local anesthetic for gastric pain; has an adsorbent, laxative and choleretic effect. Almagel is prescribed to adults for 1-2 teaspoons 4 times a day (half an hour before meals and at bedtime). The course of treatment is 10-12 days.
Among the antimicrobial medications antiseptic medicines are given (and most often recommended) by Simethicone (trade names - Espumizan, Simecon, Espuzin, Alverin, Pepfiz, Sab simplex, Disfatil, Colicides, Meteospazmil, Bobotik) - in the form of emulsion, suspension and capsules. The therapeutic action of this agent is based on the silicone polymer polydimethylsiloxane, which is a surfactant (surfactant). It breaks the bubbles of accumulated gases in the intestine, and they are freely absorbed through the mucous membranes of the intestines or are eliminated from the body during defecation. Dosage of the drug for adults: 1-2 capsules, or 1-2 teaspoons of emulsion, or 25-50 drops of the suspension for one dose (after eating, squeezed with water); Take should be 3 to 5 times during the day.
Severe flatulence after eating, many doctors offer to treat with Motilium, which refers to drugs that stimulate intestinal motility and stop vomiting, as well as reducing eructations and bloating in the abdomen. A rapidly dissolving tablet of the drug should be put on the tongue and, without washing down, swallow. The active substance Motilium - domperidone - acts as an antipsychotic agent (neuroleptic), and its side effect is expressed in the enhancement of pituitary hormone prolactin production, so that unwanted neuroendocrine effects are possible: galactorrhea, gynecomastia, amenorrhea. In the presence of problems with the liver, kidneys, cardiovascular system, as well as during pregnancy, this drug is contraindicated.
Finally, flatulence and rumbling in the abdomen are successfully treated with carminative medicinal plants: infusions and broths of chamomile, dill, fennel or caraway. In the famous medieval medical treatise "Salerno Health Code" you can read the following: "Gases accumulate outwards from the fennel seed." And today, fruits and essential oil of fennel (a relative of dill) are widely used in flatulence - in the form of dill water and infusions. To prepare medicinal infusion it is necessary to take 2 tablespoons of seeds, brew a glass of steep boiling water, cover the container with a lid and insist for at least 60 minutes. During the day, drink infusion several times 50 ml.
Exercises with flatulence
Those who like to lie down after a dense dinner, doctors warn: you can "lie down" a lot of problems with the intestines, including flatulence. And those who want to improve their well-being, are advised to perform the following exercises daily with flatulence.
- Lie on your back, legs bend at the knees, raise them above the floor and "twist the pedals" of an imaginary bicycle - for 20 seconds three times with interruptions in a few seconds.
- Stay in the supine position on the back, legs bend at the knees and put them on the width of the shoulders, straight arms extend along the body. Leaning against the feet and shoulder blades, raise the pelvis from the floor, remain in this position at the expense of 1-2-3-4, and then slowly fall into the starting position. The number of repetitions is 10.
- Lie on your stomach; Straight legs in the knees and feet are pressed together; The arms bent at the elbows are located along the chest. Raise the body from the floor, leaning on the palms of straightened hands, bend your back, throwing your head back. Remain in this position for 5 seconds, then smoothly return to its original position. The number of repetitions is 10.
- Stand upright, put your feet at the width of your shoulders, your bent hands, locked together "in the lock" to raise your head. The inspiration is carried forward (not bending the legs in the knees), on exhalation - straightening with the deflection back. The number of repetitions is 8-12.
- The starting position, as in the previous exercise, but hands on the waist. At the expense of 1 - raise your hands up, at the expense of 2-3 to perform a spring-tilt forward with the touch of the floor with your fingers. On account 4 - return to the original position. The number of repetitions is 8-10.
Products with flatulence: what can and can not be eaten?
Part of what you can not eat with flatulence, has already been named above (see Causes of Flatulence), but we will once again list products that enhance gas formation.
This is bread made from rye flour and fresh white bread (as well as all baked pastries); all legumes (beans, beans, peas, lentils); Millet, oats, pearl barley and semolina; fatty meat, all sweets (except for natural honey); whole milk (including dry milk): pasta; all fizzy drinks.
Vegetables with flatulence, causing gassing: cabbage (white, colored, Brussels, broccoli), potatoes, corn, raw onions, radish, radish, cucumbers, pepper, spinach, asparagus, artichokes.
Fruits with flatulence, contributing to increased flutulenium: pears, apples, apricots, peaches, grapes, cherries, gooseberries, figs, dates, prunes.
In addition, nutritionists say that some products with flatulence simply can not be combined with each other, so as not to increase gas formation in the intestine. For example, it is not necessary to mix dairy products with anything, at the same time there are grain products and sour fruits and berries, any raw vegetables need not be mixed with any fruits, and potatoes should be used as a garnish for meat.
The logical question arises: what can you eat with flatulence? Everything, except that which is impossible. That is, you can sour milk products, cheese, cottage cheese, crumbly cereal side dishes (buckwheat, rice), chicken eggs, boiled or stewed vegetables and lean meat, fruit and berry juices, vegetable and butter, wheat bread is better stale or dried.