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I have a lot of gas that stinks and i

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Posted on Fri, 15 Mar 2019
Question: I have a lot of gas that stinks and i been gaining a lot of weight. For 20 years i weight 98 pounds and i eat everything i wont to now i 120 pounds and i have a lot of gas that stinks i have no control about releasing the gas i cant even go to the store. I have seen my Doctor and he send my to a gastrologist and he put me on a diet with no vegetables and no dairy food and my doctor told me to exercise. I'm going on a trip where i'm flying for 9 hours and i need this under control. please help
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Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
Lifestyle modification needed

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone very carefully through your query. Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation.

In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.

Please note that for weight gain to occur the amount of energy taken in as food has to be greater than the total energy expenditure. Needless to say, you need to cut down on your food intake (irrespective of what the present amount is) and increase the total amount of energy expenditure.

Interventions would be dietary as well as through exercise.

You would need to restrict carbohydrate and fat intake but maintain a modest protein intake.

Regarding exercises, you would need to do the following exercises daily (google out for technique). No. Per day with number to increase per day (in brackets) provided:
Push-up - 10 (2-5)
Crunches - 20 (5)
Planks 20 (10)
Squats - 20 (5)
Triceps dig - 5 (2)

Also get your thyroid profile checked.

Hopefully that should help.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4439 Questions

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I have a lot of gas that stinks and i

Brief Answer: Lifestyle modification needed Detailed Answer: Thanks for using the Ask a Doctor service. I have gone very carefully through your query. Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation. In order to relieve yourself, you need to do the following: * Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals. * Avoid alcohol intake (if it a part of your habit). * Take Prilosec (omeprazole) once daily before breakfast. * Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake. * Regular morning walk and exercise to keep the bowel movements proper. * If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician. * Take curd or yogurt on daily basis. It contains beneficial bacteria and should help. * Stress reduction has a very important role to play. Yoga and meditation should help. Please note that for weight gain to occur the amount of energy taken in as food has to be greater than the total energy expenditure. Needless to say, you need to cut down on your food intake (irrespective of what the present amount is) and increase the total amount of energy expenditure. Interventions would be dietary as well as through exercise. You would need to restrict carbohydrate and fat intake but maintain a modest protein intake. Regarding exercises, you would need to do the following exercises daily (google out for technique). No. Per day with number to increase per day (in brackets) provided: Push-up - 10 (2-5) Crunches - 20 (5) Planks 20 (10) Squats - 20 (5) Triceps dig - 5 (2) Also get your thyroid profile checked. Hopefully that should help. Let me know if I could help further. Regards