Your provider will perform a physical exam and ask questions about your medical history and symptoms, such as: The sound varies depending on the tightness of the sphincter and the speed of the gas, as well as other factors such as water and body fat. The auditory height (noise) of the flatulence epidemic can also be affected by analembouchure. In men, bloating sometimes occurs accidentally, such as when coughing or sneezing, or during orgasm; On other occasions, bloating may be triggered voluntarily by contracting the rectum or „depressing“ the stomach or intestinal muscles and then relaxing the sphincter, resulting in the expulsion of flatulence. [ref. needed] Flatulence: Excess gas in the intestinal tract. But excessive bloating is difficult to define without a standard to measure the „normal“ frequency of gas flows. People without symptoms recorded about 14 gas passes per 24 hours. From the Latin flastus, which means to blow, like a breeze or a snifflement. Without affecting the production of the gases themselves, surfactants (agents that lower surface tension) can reduce the unpleasant sensations associated with flatulence by promoting the dissolution of gases into liquid and solid feces. [29] Preparations containing simethicone are reported to promote the coalescence of smaller, larger blisters that come out of the body more easily, either through belching or bloating. Such preparations do not reduce the total amount of gas produced in the large intestine or conducted from the large intestine, but make the ampoules larger, thus allowing them to pass more easily. [29] Flatulence is defined in the medical literature as „flatus expelled through the anus“ or the „quality or condition of flatulence“[1], which in turn is defined as „labeled or affected by gases produced in the intestine or stomach; probably cause digestive bloating.“ [2] The root of these words comes from the Latin flatus – „a breath, a wind that breaks“. [3] Flatus is also the medicinal word for gas produced in the stomach or intestines.
[4] Despite these standard definitions, some of the intestinal gas can be swallowed into the ambient air and, therefore, flatus is not fully produced in the stomach or intestines. The scientific study of this field of medicine is called flatology. [5] Most starchy foods, including potatoes, corn, pasta, and wheat, produce gas when broken down in the colon. [14] Intestinal gas can be reduced by fermenting beans and making them less gaseous, or by boiling them in the liquid of a previous batch. For example, fermented bean product miso is less likely to produce as much intestinal gas. Some legumes also resist prolonged cooking, which can help break down oligosaccharides into simple sugars. Fermentative lactic acid bacteria such as Lactobacillus casei and Lactobacillus plantarum reduce bloating in the human intestinal tract. [33] Bloating is part of a normal biological process and the average person accelerates about fifteen times a day. However, excessive bloating can become embarrassing and uncomfortable. Diet and lifestyle changes can usually be made to control the problem.
In many cultures, bloating in public is considered embarrassing, but can also be perceived as humorous, depending on the context. People often make an effort to pass the gas when they are in polite company, or position themselves to shut up or hide the gas that passes. In other cultures, it may not be more embarrassing than coughing. Digestive enzyme supplements can significantly reduce the amount of bloating caused by certain components of food that are not digested by the body, thereby promoting the action of microbes in the small and large intestine. Alpha-galactosidase enzymes, which can digest certain complex sugars, are thought to effectively reduce the volume and frequency of flatus. [35] The enzymes alpha-galactosidase, lactase, amylase, lipase, protease, cellulase, glucoamylase, invertase, malt diastase, pectinase and bromelain are available individually or in combination mixtures in commercial products. If excessive or nauseating, flatus can be a sign of a health condition, such as irritable bowel syndrome, celiac disease, non-celiac gluten sensitivity, or lactose intolerance. It can also be caused by certain medications such as ibuprofen, laxatives, antifungal medications, or statins. [7] [18] Some infections, such as giardiasis, are also associated with bloating.
[19] Interest in the causes of flatulence has been sparked by high-altitude and human spaceflight; The low atmospheric pressure, cramped conditions and pressures typical of these efforts were a cause for concern. [17] In the field of mountaineering, the phenomenon of expulsion of altitude flatus was first recorded more than two hundred years ago. Le Pétomane was a famous French artist of the 19th century who, like many professional farters before him, made flatulence and put on shows. The interpreter Mr. Methane continues today the tradition of the Petomane. In addition, a 2002 feature film Thunderpants revolves around a boy named Patrick Smash, who has had a persistent problem with bloating since birth. [60] There is no official guideline for determining a normal level of bloating, but people are generally advised to see their GP if the bloating becomes bothersome. People should also see their primary care doctor if there are additional symptoms, such as persistent bloating, recurrent episodes of constipation and diarrhea, abdominal pain, unexplained weight loss, blood in the stool, or signs of infection.
Bloating-producing foods are usually rich in certain polysaccharides, especially oligosaccharides such as inulin. These foods include beans, lentils, dairy products, onions, garlic, spring onions, leeks, beets, Swedes, radishes, sweet potatoes, potatoes, cashew nuts, Jerusalem artichoke, oats, wheat and yeast in breads. Cauliflower, broccoli, cabbage, Brussels sprouts and other cruciferous vegetables belonging to the genus Brassica would increase not only flatulence, but also the sharpness of the flatus. [15] [16] Bacteria in the large intestine break down undigested carbohydrates and release gases that are eventually released as flatulence. The main gases produced by these bacterial colonies are carbon dioxide, hydrogen and methane. When bloating becomes a problem, there are several diet and lifestyle changes that can help, such as: avoiding foods high in non-absorbable carbohydrates, eating and drinking more slowly, exercising regularly, and eating smaller. Colloquially, bloating can be called „farting“, „pumping“, „trumping“[8], „blowing“, „pooting“, „passing gas“, „breaking wind“, „backfireing“ or simply (in American English) „gas“ or (British English) „wind“. Derived terms include vaginal bloating, also known as queef.