What Are the Most Common Causes of Heartburn and Bloating?

Gastrointestinal flatulence is very common clinically and often manifests as belching, bloating, abdominal pain, and gas loss (farting).

Flatulence

Gastrointestinal flatulence is a general term for a series of symptoms caused by indigestion. Indigestion is often manifested as abdominal pain or discomfort after a meal, often accompanied by nausea, belching, snoring, and bloating. Among them, belching, bloating, abdominal pain, excessive exhaust, snoring, etc. are considered to be gastrointestinal flatulence. The gas from the gastrointestinal tract is expelled as radon through the mouth, and exhausted through the anus, and some can be absorbed by the intestinal wall. Normal adults have a feeling of flatulence when the amount of gas retained in the gastrointestinal tract increases every day. Long-term indigestion can also lead to malnutrition and decreased immune function. Indigestion is only a clinical manifestation and needs to be distinguished from early gastric cancer, pancreatic, gallbladder, and liver diseases, so patients with indigestion should seek medical treatment as soon as possible.

Gastrointestinal flatulence clinical symptoms

Gastrointestinal flatulence is very common clinically and often manifests as belching, bloating, abdominal pain, and gas loss (farting).

The main function of the gastrointestinal tract is to pass a series of chemical reactions through the peristaltic muscles of the gastrointestinal wall and digestive enzymes and bile in the digestive juice to complete the digestion and absorption of nutrients. However, the "work" of the gastrointestinal tract is not always successfully completed, and almost everyone has experienced indigestion, bloating, and diarrhea. Most of these discomforts can heal by themselves, but if the symptoms are obvious or recurrent, it may affect the patient's work and life, and you should seek medical treatment at this time.

Gastrointestinal flatulence etiology and pathology

There are many causes of flatulence, such as gastrointestinal diseases: acute gastritis, chronic gastritis, gastroptosis, acute gastric dilation, pyloric obstruction, gastric ulcer, gastric cancer and other intestinal diseases: bacterial dysentery, amoebic dysentery, intestinal tuberculosis, acute hemorrhagic necrosis Enteritis, etc .; complete or incomplete intestinal obstruction; superior mesenteric artery syndrome. Liver, gall, pancreatic diseases: acute or chronic hepatitis, cirrhosis, primary liver cancer, etc .; biliary diseases include: chronic cholecystitis, gallstones, etc .; pancreatic diseases, including acute or chronic pancreatitis.

Eating while eating or gobbling, eating a lot of air inadvertently is the main cause of flatulence, followed by indigestion (excessive stress, emotional stress, irregular life, etc. can lead to insufficient secretion of digestive enzymes), And various gastrointestinal diseases cause gastrointestinal dysfunction, blocked access, reduced gas absorption in the intestinal wall, etc., often cause flatulence. A large amount of foods that are prone to fermentation and gas production, such as beans, peanuts, potato, etc., or excessive gas in the intestine due to allergies to certain foods, are also prone to feel flatulence. Some people have

Human body diagram Taking more antibiotics can suppress normal bacteria, cause dysbiosis, and flatulence. As long as you avoid these factors that are likely to cause flatulence, such as developing good habits such as not talking when eating, chewing slowly, etc., you can greatly reduce the occurrence of flatulence. For those with weak digestive ability, eating soft and slag-free food is the best choice to avoid flatulence. The general reasons are briefly described as follows:

1. Swallowing a large amount of air: Swallowing can swallow a large amount of gas; when saliva is increased by mental factors or certain gastrointestinal diseases, it can also swallow more gas with saliva; it is also easy to drink a lot of water or drink Swallow air.

2. Intestinal emptying disorder: When intestinal obstruction or weakened intestinal wall tension, excessive gas and liquid can accumulate in the intestine.

3. Indigestion: Rough food containing more cellulose can increase the intestinal cavity capacity and affect normal peristalsis to produce bloating; long-term application of broad-spectrum antibiotics can inhibit the normal intestinal flora and gas from food fermentation.

Many gastrointestinal diseases, as well as diseases such as hepatobiliary pancreas, peritoneum, can produce gastrointestinal flatulence.

4, gastrointestinal diseases: various gastrointestinal inflammation, ulcers, tumors and so on.

Gastrointestinal flatulence TCM classification

Gastrointestinal bloating

This type of gastrointestinal flatulent patients encountered clinically. Symptoms: Stomach fullness or fullness, heavier in the afternoon and night, feeling full after eating; accompanied by bitterness or bad breath, or nausea, belching, cold stomach and abdomen, want to eat cold and not dare , Poor stools or constipation or constipation, or more qi (fat); white or yellow greasy tongue coating.

Gastrointestinal flatulence

Symptoms: abdominal fullness, pain, swelling, rotten acid (snoring sour, spitting acid water), or anorexia, or qi and stool, such as rotten eggs; thick tongue coating, thick pulse.

Gastrointestinal flatulence, spleen and stomach deficiency type

Symptoms: Stomach fullness, time to stop, light to heavy, warm and happy to press, hot drinks, hot food is comfortable, fatigue, loss of appetite; fat tongue or tooth marks, thin white fur, pulse late.

Gastrointestinal flatulence damp heat

Symptoms: full stomach, nausea, nausea, upset heart, thirst and not want to drink more, sweating from time to time, loose stools, short red urine; red tongue, yellow greasy fur, pulse count.

Gastrointestinal flatulence

Abdominal fullness, or pain in the abdomen, or umbilical pain, constipation, sweating of hands and feet, hot flashes of slang; heavy pulses, or late, strong, yellow dry tongue or cracked thorns. Note: Many types of acute abdomen (such as intestinal obstruction, acute peritonitis, etc.) can see this type of symptoms, and need to see an emergency department or hospital treatment quickly to avoid delay.

Differential diagnosis of gastrointestinal flatulence

A normal adult retains about 100-150ml of small amount of gas in the gastrointestinal tract every day. When the amount of gas increases, gastrointestinal bloating is formed. One is to swallow air into the gastrointestinal tract with swallowing or drinking water, the other is that the food is digested by bacteria in the intestine to produce gas, and the third is that the gas is diffused from the blood vessel to the intestinal cavity. Oral discharge is radon gas, transanal discharge is gas loss, and most of it is absorbed by the intestinal wall.

Gastrointestinal flatulence is often caused by indigestion. Indigestion is often manifested in various symptoms such as abdominal pain or discomfort after meals, such as belching, snoring, and bloating. However, it is often associated with early gastric cancer, gastric ulcers, duodenum Ulcers, pancreas, gallbladder, liver and other diseases are identified, so even patients with indigestion should seek medical treatment as soon as possible for related examinations such as barium meal fluoroscopy, gastroscopy, liver function and other items for a clear diagnosis.

Gastrointestinal flatulence alleviates gastrointestinal flatulence

Eat more meals and eat less regularly and regularly: No matter how busy your life is, the time you spend on eating cannot be changed. Everyone must pay attention to eating regularly and quantitatively in your life. Do nt overeating. In addition to three meals a day, you can add a meal in the morning and afternoon, but do not eat too much food for each meal, pay attention to the nutrition of the food, and eat less irritating food.

Maintain a comfortable mood: You must have a good mood every day to have a good body. No matter how busy you are, keep smiling every day and have a good mood. Relaxing psychology is a prerequisite for achieving a healthy body ^[1] .

Gastrointestinal flatulence treatment

Gastrointestinal flatulence Western medicine treatment

Proper use:

If diarrhea or bloating occurs, the easiest way is to immediately swallow 0.3 to 5 or 0.5 grams of medicinal charcoal tablets, because activated carbon can not only stop diarrhea, but also effectively absorb too much gas, quickly Eliminate flatulence. But you must be careful not to take it with other drugs at the same time, because the charcoal tablets will also adsorb the drug ingredients and reduce the efficacy. In addition, charcoal tablets should not be used often because it also absorbs useful nutrients.

When indigestion and flatulence, you can often take some acidophilic bacteria preparations such as yeast tablets.

When the flatulence is uncomfortable, you can buy Shixiang Pills in the Chinese pharmacy, taking 3-9 grams each time, 1 or 2 times a day, and even 3-7 days. Wet, heavy, greasy, uneaten belly, flatulence can be taken orally Baikou Tiaozhong Pills, 9 grams per serving, 2 times a day, even for 3 to 7 days.

The following drugs are effective in reducing gastrointestinal flatulence:

1. Promote gastrointestinal motility drugs, such as morpholine, can enhance the emptying of food from the stomach and reduce bloating.

Second, micro-ecological preparations, such as Pefilcon, Changle, Zhengchangsheng, etc., can improve the intestinal flora and reduce abdominal distension (but do not take it at the same time with antibiotics, absorbent drugs, so as not to affect the efficacy).

3. Take drugs that adsorb gas before meals, such as activated carbon and simethicone.

Fourth, compound digestive enzyme preparations, such as Bi Te (complex arizomete enteric-coated tablets), are widely used in clinical medicine. It can supplement enzymes, promote digestion and absorption, and quickly relieve the symptoms of bloating. It is a new type of compound preparation. The medicine contains pancreatin and cellulase, which can help the body digest the three major nutrients and coarse foods containing more cellulose, promote digestion and absorption, reduce the spoilage and gas production of food in the intestine, improve the symptoms of indigestion and relieve abdominal distension.

Gastrointestinal flatulence

Gastrointestinal flatulence should not be underestimated. Differentiation and treatment can ensure effective treatment. First of all, attention should be paid to the investigation of hypothyroidism, liver and pancreatic diseases, diabetes, malabsorption of the small intestine, and even gastrointestinal tumors or obstructions, which may also be caused by large swallowing. If it is the bloating caused by the above diseases, the cause must be treated. Secondly, anxiety, irritability and other emotions should be avoided. When eating, pay attention to chewing slowly to reduce the occurrence of belching. Avoid gas-producing foods such as beans, cabbage, cabbage, rye, coconut, figs, mulberries, walnuts, sugar cane, etc. Drink less gas-producing beverages, do not chew gum, betel nut, and quit smoking.

1. Mixed type of cold and heat: This type is the most common gastrointestinal flatulent patient that is encountered clinically. Symptoms: Stomach fullness or fullness, heavier in the afternoon and night, feeling full after eating; accompanied by bitterness or bad breath, or nausea, belching, cold stomach and abdomen, want to eat cold and not dare , Poor stools or constipation or constipation, or more qi (fat); white or yellow greasy tongue coating. Treatment: Banxia Xiexin Decoction can be added and subtracted, and traditional Chinese medicine for relieving liver and qi, and stomach can be used to treat this type of flatulence.

2. Food stasis type: Symptoms: abdominal fullness, pain, swelling of rotten acid (snoring sour, spit out acid water), or anorexia, or qi, stool smell like rotten eggs; thick tongue coating, pulse Shen slippery. Treatment: Baohe Pill, Fuzheng Tiaowei San.

3. Spleen-Stomach Deficiency Type: Symptoms: Stomach and abdomen are full and swollen, sometimes light and heavy, warm and happy when pressed, hot drinks and hot food are relieved, fatigue, loss of appetite; fat or pale tongue Marks, thin white fur, late pulse. Treatment: Lizhong Decoction or Houjiang Banganshen Decoction.

4. Damp-heat accumulation type: Symptoms: full stomach and abdomen, nausea and nausea, heart distress, thirst and do not want to drink more, sweating from time to time, diarrhea, short urine; red tongue, yellow greasy fur, pulse count. Treatment: Fuzheng Tiaowei San No. 10 prescription.

5. Solid internal knots: Persistent abdominal fullness, or abdominal pain, or umbilical pain, constipation, sweating of hands and feet, hot flashes, slang; heavy pulses, or later, strong, yellow dry tongue or scorch . Treatment: Dachengqi Decoction, Fuzheng Tiaowei San No. 4 Recipe. Note: Some acute abdomen (such as intestinal obstruction) can see this type of symptoms, you need to see an emergency department or hospital treatment quickly to avoid delay.

Gastrointestinal flatulence prevention and care

Some people are more prone to flatulence. To reduce flatulence, do not eat too full, chew slowly while eating, do not drink gas-producing beverages such as Sprite, Cola and so on. In addition, gas-generating foods, such as tofu, mung bean sprouts, soybean sprouts, cabbage, bell peppers, chives, garlic tincture, sweet potatoes, milk, and high-protein foods should be consumed as little as possible. Eat high dietary fiber foods such as leek, onion, bran, etc.

Gastrointestinal flatulence massage method Constipation and other digestive diseases often make people fart more. Therefore, it is best to gradually increase high dietary fiber foods, and this phenomenon will decrease after the digestive system adapts.

Drinking a bottle of yogurt every day can maintain the number of bacteria in the intestine that help digestion, and even people who are intolerant to sugar (they eat ordinary milk and dairy products can cause bloating and flatulence) can digest milk yogurt. Drinking a cup of mint tea, green tea, or fennel tea after meals helps digestion. Mint tea also relaxes the intestinal muscles and makes people fart to reduce discomfort.

1. Often drink porridge soup : If the abdomen is flatulent and the stomach feels hot, you can eat rice soup, barley soup or thin rice porridge and barley porridge frequently and in small amounts.

2. Drink thin vinegar : If you have flatulence caused by indigestion, you can drink thin vinegar two or three times a day. Add a tablespoon of rice vinegar to a glass of cold water and mix well. Drinking a glass of lemonade every morning also helps.

3. Do more exercise : If there is no serious illness or serious illness, and you have flatulence, you should increase your exercise, such as walking quickly, doing gymnastics, and abdomen.

4. Diet side :

Fried chicken koji skin: If you have flatulence in the abdomen, blockage in your stomach, and do not think about diet, you can use chicken kaki skin 30 grams and raw wine koji 15 grams for a total of decoction. Once a day, morning and evening, even drinking for several days can eliminate flatulence and increase appetite.

Orange Peel Tea: Use 50 grams of fresh orange peel, shred it, add a little sugar, brew with boiling water, and drink as tea, which is quite effective for mild flatulence. If you don't have fresh orange peel, you can go to the pharmacy to buy 6 grams of Chenpi tea, which will also help.

Myrica rubra: Wash and dry fresh bayberry, soak it in sorghum wine, and seal for three months. When you have a loss of appetite or flatulence, a small amount of it can be used for food and drink, and you can get immediate results.

Hawthorn malt soup: 15 grams each of raw hawthorn and stir-fried malt, decoction twice, 2 times a day, and drink for several days. If the food volume is not reduced and the flatulence persists, the symptoms can be eliminated quickly.

Gastrointestinal flatulence warning

Flatulence is an early warning sign of anorectal disease

1. Recent abdominal fullness, flank pain, and belching caused by anger, emotional tension, etc.

Muxiang Shunqi Pill Choose some traditional Chinese medicine preparations, such as Shuganhewei pill, Muxiangshunqi pill and so on.

2. Travel constipation (referring to constipation caused by changes in the environment of work and life) can be used with laxatives such as lactulose and fusong.

3. Imbalance of intestinal flora causes gas-producing bacteria to multiply, which can also cause flatulence. At this time, you can choose lactobacillus or bifidobacteria preparation or some oligosaccharide products, such as Pefilcon.

4, functional dyspepsia and flatulence are often aggravated after a meal, accompanied by symptoms such as early satiety, belching, nausea, and upper abdominal pain. Digestive drugs and gastrointestinal prokinetic drugs can be selected, such as yeast tablets, lactase (epimida) and domperidone (morpholine). The gastrointestinal flatulence of irritable bowel syndrome is often accompanied by abdominal pain (reduced after defecation), diarrhea or constipation, or alternating symptoms of diarrhea. At this time, serotonin receptor agonists can be used.

5. Atropine, levodopa, isoprenaline, Shuchuanning, aluminum hydroxide and other drugs have the effect of delaying gastric emptying, which can cause gastrointestinal flatulence, and should be used as little or as little as possible. Dimethicone, Smecta, and activated carbon can also effectively relieve bloating by eliminating foam and gas absorption in the gastrointestinal tract.

Gastrointestinal flatulence should be treated dialectically

I. Promote gastrointestinal motility drugs, such as morpholine, can enhance food emptying from the stomach and reduce

Morpholine Bloating.

3. Take drugs that adsorb gas before meals, such as activated carbon and simethicone.

Fourth, compound digestive enzyme preparations, such as Bi Te (complex arizomete enteric-coated tablets), are currently widely used in clinical medicine. It can supplement enzymes, promote digestion and absorption, and quickly relieve the symptoms of bloating. It is a new type of compound preparation. The medicine contains pancreatin and cellulase, which can help the body digest the three major nutrients and coarse foods containing more cellulose, promote digestion and absorption, reduce the spoilage and gas production of food in the intestine, improve the symptoms of indigestion and relieve abdominal distension.

Causes of gastrointestinal flatulence and flatulence

1. There are many reasons for bloating, such as mental stress, indigestion, etc., mainly due to insufficient gastric motility.

2. Flatulence may be a symptom of stomach and intestinal problems, such as chewing with mouth open, eating a lot of air while talking, eating soup while eating, etc., which can easily cause digestive problems and bring flatulence.

3. Food allergy may also be the cause. It causes food to ferment in the colon, producing hydrogen and carbon dioxide.

4, sugar foods contain bacteria, is the main source of flatulence. ^[2]