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FAQs on Gastroenterology

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What causes repetitive Belching?

Some people experience frequent belching. This might occur after a person has swallowed air without realizing it. Sometimes belching accompanies movement of stomach material back up (reflux) into the esophagus (swallowing tube). To clear material from the esophagus, a person may swallow frequently, which leads to more intake of air and further belching.

Another cause of repeated belching is gastritis (inflammation of the stomach). There are many causes of acute or chronic gastritis, but the most common cause is infection with a bacterium called Helicobacter pylori. When this organism gets into the stomach, it can produce bloating. This condition usually can be diagnosed by a specialist in digestive diseases (gastroenterologist). The doctor may detect the infection with a breath test or a blood test. The doctor also may take a sample of tissue (biopsy) from the stomach, using a lighted, flexible tube (endoscopes) that is inserted through the mouth. For Helicobacter pylori infection, physicians can prescribe a treatment plan.

Do any foods cause Gas?

The foods we eat can be a factor in the production of gas in the lower intestine. Some foods such as cauliflower, Brussels sprouts, dried beans, broccoli, cabbage, and bran are not completely digested in the small intestine. When the undigested bits of food reach the colon, they are fermented by the bacteria that live in the colon, causing gas.

Today, many people are trying to improve their nutrition and health by eating more fiber. However, some people discover that adding large amounts of fiber to their diets causes gassiness. This can happen when someone begins eating more whole–grain cereals such as whole bran, oatmeal, or oat bran, or whole–grain breads or fresh fruits, and vegetables. They get a feeling of being bloated when they first begin the high–fiber diet, but within three weeks or so, they may adapt to it. Some people, however, don’t adapt, and the bloating from eating a lot of fiber can be a permanent problem.

A common cause of excess lower intestinal gas is that a person’s body may not have enough lactase, an enzyme normally found in the small intestine. Lactase is needed to digest lactose, the sugar found in milk and other dairy products. When this sugar passes undigested into the colon, it is fermented by bacteria, and gas forms. This can be a cause of excessive flatulence.

If lactase deficiency is suspected of causing your gas, your doctor may tell you to stop eating dairy products for a while to see if you will have less gas. The doctor also may give you a blood test or a breath test to find out if you are lactose intolerant. The breath test detects hydrogen that is released by the bacteria as the undigested lactose ferments in the colon.

How much Gas does the body produce?

The amount of gas that people produce varies. Most people produce between a pint and a half gallon of gas each day. Oxygen, carbon dioxide, and nitrogen from swallowed air make up a large part of flatus. Fermenting foods in the colon produce hydrogen and methane as well as carbon dioxide and oxygen. All of these components of flatus (gas) are odorless. The unpleasant odor of some flatus is the result of trace gases, such as hydrogen sulfide, indole, and skatole, which are produced when foods decompose in the colon.
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