Expert Treatment for Flatulence by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Symptom Review
He will talk to you about your diet, when you get gases, epigastric pain, red-flag symptoms (weight loss, bleeding).
Physical Examination
A thorough abdominal exam checks for tenderness, bloating, distension, and signs of obstruction or hernia.
Food and Symptom Journal
Monitoring food intake, gas patterns and pain assists in identifying trigger foods and associations of symptoms.
Breath Tests
- Hydrogen breath test for small intestinal bacterial overgrowth (SIBO).
- Lactose breath test to diagnose lactose intolerance.
- Fructose or glucose breath tests, if dietary sugars are suspected.
Imaging Studies
- Abdominal ultrasound to evaluate gallbladder, liver, and assess for masses.
- CT scan when detailed visualization of the bowel or pancreas is needed.
Endoscopic Evaluation
Motility and Advanced Testing (if needed)
Slow transit is measured by gastric emptying tests or motility scans; infrequently, by means of biopsies which show inflammatory or infectious disorders.
Frequently Asked Questions
Why is it that flatulence is stinking?
Foods with lots of sulfur and those that are difficult to digest worsen the smell of gases.
When should I see a doctor?
See a doctor when gas is painful, persists, or is associated with weight loss, blood, or fever.
Are the flatulence pain palpable in the chest?
Yes. Gases in the upper gut can pinch at the chest and mimic heartburn.
Is gas normal in pregnancy?
Yes. Hormones slow digestion, which may cause bloating and gas.
How can I reduce gas at home?
Eat gradually, avoid soda and gassy foods, and simethicone may help relieve symptoms.
What are the tests that examine gas problems?
Breath tests, X-rays, or endoscopy may be used when necessary.
Is it possible to relate the gas with back pain?
Yes. Nerves can be compressed by gas in the lower gut, which may result in back pain.