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Burping is a normal part of digestion, especially after meals. Passing gas 15-20 times a day is also normal. Â Burping and passing gas may cause embarrassment, but rarely indicate a medical problem. What Causes Gas & Bloating?There are two main causes of gas in the digestive tract (esophagus, stomach, small intestine, large intestine).
Foods That Cause GasMost foods with carbohydrates can cause gas while protein and fats cause little gas. SugarsSugars such as lactose, fructose, raffinose, stachyose, verbascoce, and sorbitol can cause gas. High Fiber Foods
Even though high-fiber foods can increase gas, fiber is critical for a healthy digestive tract. Other Dietary ConsiderationsCarbonated beverages, fiber supplements, and artificial sweeteners can also cause excess gas in the digestive system. Medical Conditions that Cause GasSome medical conditions can increase intestinal gas, gas pains, or bloating including:
Diagnosing Gas, Gas Pains, and BloatingEven though gas and bloating are common, a medical evaluation may sometimes be necessary. If you experience blood in the stool, diarrhea, fevers, anemia, or weight loss, you should talk to a doctor. Medical History & Physical ExamFirst, your doctor will review your medical history and ask questions about your symptoms and dietary habits. The doctor may also examine your abdomen for tenderness or anything that feels abnormal. Â A stethoscope may be used to help the doctor determine how well the digestive tract is working. The results of these preliminary tests will help determine the next level of diagnosis if necessary. Additional Tests for Gas, Gas Pains, and Bloating
Treatment for Gas, Gas Pains, and BloatingIf your gas and gas pains are caused by an underlying condition, treatment for that condition may provide relief. Usually, gas can be treated through lifestyle modifications, dietary changes, and over-the-counter medications. Dietary ConsiderationsNot everyone has the same reaction to all foods.  Keeping a food diary can help you determine which foods cause increases in gas and bloating.  Eliminating or reducing certain foods may be necessary to reduce your symptoms. High-Fiber FoodsFoods that can cause gas due to high fiber include whole wheat, bran, prunes, peaches, apples, pears, asparagus, artichokes, cauliflower, cabbage, Brussels sprouts, broccoli, onions, and beans.  You may try avoiding high-fiber foods for a week or two and gradually start to eat them again. You should visit a doctor or dietitian to make sure you’re getting enough fiber. DairySome people do not easily digest lactose, the sugar found in dairy products.  Reducing or eliminating dairy products could help you reduce symptoms of gas and bloating. There are often lactose-free options for some products like milk. Artificial SweetenersYou may try eliminating sugar substitutes or trying a different type. Fatty/Fried FoodFat in your digestive tract can slow down digestion, allowing food to ferment longer and produce gas. Reducing fat in your diet may help lessen symptoms. Carbonated BeveragesSoda, beer, sparkling water, or other carbonated drinks can increase the amount of gas in your digestive tract. Fiber SupplementsSome fiber supplements could cause an increase in gas and bloating.  Visit with your doctor about what types of fiber supplements might be right for you. WaterDrink more water throughout the day and with meals.  This will reduce the chances of constipation. Over-The-Counter Medications for GasBeano, BeanAssist –  these alpha-galactosidase medications aid in the digestion of carbohydrates often found in vegetables and beans. These supplements are taken right before you eat. Lactaid, Digest Dairy Plus – Lactase supplements aid the digestive process of lactose, the sugar in dairy products. They will help reduce symptoms in people who are lactose intolerant. If you are breastfeeding or pregnant, talk to your doctor before using lactase supplements. Gas-X, Mylanta Gas Minis – Simethicone can break down gas bubbles making it easier for gas to pass through the digestive tract. However, there is minimal evidence showing it reduces symptoms. Actidose-Aqua, CharoCaps – Activated charcoal, taken before and after a meal, may reduce symptoms. Research has not proven these claims. Activated charcoal could also interfere with the absorption of medications.  It can also stain your clothing and the inside of your mouth. Prescription Medications for GasFor those with more serious, underlying conditions like irritable bowel syndrome, your doctor may prescribe prescription medications. Lifestyle Changes to Reduce GasSome lifestyle adjustments can help reduce gas, gas pains, and bloating.
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