Intestinal Gas

How many times does average person fart?

14x a day

Symptoms of intestinal gas

bloating, belching, farting, gas pains, abdominal discomfort

what causes intestinal gas?

foods with sugars or complex carbs, high fiber, or oligosaccharides

medications that change GI flora and sugar metabolism, high in fiber, or release gas and have GI lipase

Gas producing foods

fruits, vegetables, carbs, dairy products, carbonated drinks

What medical conditions cause intestinal gas?

IBS, lactose deficiency, celiac, diabetic gastroparesis

Who is excluded from self care

people whose symptoms persist or location, frequency changes

pediatric patients with colic

gi bleeds, weight loss

Lifestyle changes to help with intestinal gas

taking time to eat, no smoking or chewing gum, fix dentures, avoid gulping

What dietary changes can be made for intestinal gas?

avoiding gas producing foods and have a diet diary

What should people with intestinal gsa avoid

tight clothes, laying after eating

Therapy options for intestinal gas

simethicone, alpha galactosidase, lactase, probiotics

what is simethicone

defoaming agent to relieve intestinal gas which helps decrease gas bubble surface area

what is simethicone intended for

relieving painful symptoms like bloating pressure and discomfort

What else is simethicone helpful for

antiflatulent, but not as antacids

How should patient take simethicone

swallow with water or chew 1-2 tabs a day after meals or at bedtime

max amount of simethicone a day

500mg

simethicone dosing adults

40-80 mg

children simethicone dosing

40 mg

infant dosing of simethicone

20 mg

max amount of doses per day of simethicone

12

Are there adverse effects for simethicone?

no

who should watch for simethicone

pregnant people

what drug interactions does simethicone have

none

What is beano

alpha galactosidase

what dose alpha galactosidase do?

hydrolyze oligosaccharides that cause gassiness

indications of alpha galactosidase

treatment with high fiber diets to prevent intesitinal gas

dosing of alpha galastosidase`

1 tab or 5 drops with each serving of gassy foodsw

who should avoid alpha galatosidase

diabetics and people with galatosemia

what ages can use alpha galactosidase

12 and older

when should lactase replacement be taken

with dairy

General dosing for lactase

3000-9000 units at first bite of dairy product

liquid lactase replacemetn dosing

5-15 drops per 32 oz milk

tablet lactase dosing

1-3 tabs with dairy

lactase capsules dosing

1-2 cap with dairy products

Counseling for lactase deficiency

low fat milk or fat free in one cup or less, choose lactose free milk, make sure they get their calcium

is simethicone safe for lactation?

yes