Signed,
Flatulent

Dear Flatulent,

Okay, who among us hasn't "let one out" in a similar situation? Let them cast the first stone; of course, it's those people who turn and stare who have blamed their gaseous outbursts on the dog, their shoes, or their chair cushions.

Stomach upsets and gas usually can be attributed to excess food and alcohol, smoking, and certain kinds of food. You say you haven't changed your diet in any significant way, but maybe your body has changed in its ability to digest some of the foods in your diet. Think about your diet in terms of these foods that cause gas: beans, fruits (e.g., pears, apples, peaches), whole grains, veggies (e.g., broccoli, cabbage, onions, asparagus), milk and dairy products, carbonated drinks, some dietetic foods, sugar-free candies, and gum.

It sounds like you may be under more stress than usual right now. How you eat, versus what you eat, can affect intestinal gas, too. Are you taking enough time to eat at meals? Eating fast and not chewing your food thoroughly can cause you to take in too much air. So does chewing gum, eating hard candies, and smoking. More air going in equals more gas in the intestinal tract, and more air coming out. To decrease gas, cut down on foods that cause gas and swallow less air when eating, chewing gum, etc. Eliminate foods that cause gas, one at a time, so that you'll be able to identify which ones make a difference. Start with the most likely foods first: milk and dairy, then beans, and then some of the others that Alice has listed. At the same time, concentrate on chewing your food well and on eating slowly. This may be a big drag if your daily schedule is hectic -- but, meals may become a welcome break in your day, instead of unwanted "breaks of wind."

You talk of trying every over-the-counter medication and Alice assumes that you mean antacids. Antacids are substances that neutralize stomach acid; those that contain combinations of aluminum and magnesium salts are preferable to the other types, so you have to read the labels. Products containing calcium carbonate are effective, but excess use can cause neurological and kidney problems from calcium overdose. Sodium bicarbonate (baking soda) is the least preferable antacid as it can cause a variety of side effects, sometimes even more gas! Instead of the over-the-counter remedies you've used, try activated charcoal tablets or capsules available at health food stores. They may be effective for gas and upset stomach without knocking your bowel movements off balance.

Remember, too, that gas is normal. Many people think they have too much gas, mainly because of the social stigma attached to "letting one out" or belching in public. Use discretion, and, if worse comes to worse, say "excuse me" or go into another well-ventilated room before it happens, and, as a last resort, laugh, because the world is laughing with you.

Alice

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