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flatulence and enzymes/bacteria

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Old 03-09-2003, 10:47 AM   #1
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giupset HB User
Post flatulence and enzymes/bacteria

I've had a total colectomy with an ileo-anal anastomosis for 15 years. I'm of appropriate weight but my abdomen is always huge, especially after I eat. This is extremely uncomfortable, annoying and problematic. I'm just discovering info on digestive enzymes and bacteria that can aid in this process (lactobacillus acidophilus (L. acidophilus), lactase, etc.). I just began using Culturelle (L. acidophilus) yesterday and have felt and noticed a difference. Is anyone familiar with these enzymes or could give me suggestions of brands?

I was looking on the internet and saw a couple that I would like to check into but who know what is actually in them when sold this way?

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Old 03-09-2003, 07:46 PM   #2
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Darcie8999 HB User

hi! I am into all the enzymes as well. I suggest Shaklee. I started taking it because of the acne i had after the birth of my baby. It just wouldn't go away!Saw a doctor and he said it was a bacterial infection and i refused to take antibiotics because it kills all the good bacteria in the colon and that is the last thing i need, I have IBS. Anyway, went to a Shaklee party and she suggested the probiotics.Tried it and my acne went bye bye after having it for years. If i stop taking it, the acne reappears. I think my colon has an overload of bad bacteria. Need to keep it in balance. Yogurt works just as well! I can't eat yogurt;can't have dairy so i take the pills instead.

Old 03-09-2003, 09:19 PM   #3
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There are some good brands on the market. A good brand is PB-8 --it has 8 different active cutures, and iFlora has 16. you can buy them at a dicount online.

It's best to take them on an empty stomach ----stomach acids destroy alot before they get to the intestines. Most also need refrigeration.

A very good brand of yogurt is Stonyfield Farm ---it contains 6 active live cultures. People that cannot tolerate dairy products can usually do OK with yogurt ---- the lactose in dairy is digested by the bacteria that is required to make yogurt!!


Old 03-10-2003, 06:17 PM   #4
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giupset HB User

Thanks for your suggestions. I greatly appreciate this and will look into them.

Old 03-29-2003, 10:32 PM   #5
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Everyone has gas and eliminates it by burping or passing it through the rectum. However, many people think they have too much gas when they really have normal amounts. Most people produce about 1 to 3 pints a day and pass gas about 14 times a day.

The most common symptoms of gas are belching, flatulence, abdominal bloating, and abdominal pain. However, not everyone experiences these symptoms. The determining factors probably are how much gas the body produces, how many fatty acids the body absorbs, and a person's sensitivity to gas in the large intestine. Chronic symptoms caused by too much gas or by a serious disease are rare.

Gas is made primarily of odorless vapors-carbon dioxide, oxygen, nitrogen, hydrogen, and sometimes methane. The unpleasant odor of flatulence comes from bacteria in the large intestine that release small amounts of gases that contain sulfur.

Although having gas is common, it can be uncomfortable and embarrassing. Understanding causes, ways to reduce symptoms, and treatment will help most people find relief.

Air swallowing (aerophagia) is a common cause of gas in the stomach. Everyone swallows small amounts of air when eating and drinking. However, eating or drinking rapidly, chewing gum, smoking, or wearing loose dentures can cause some people to take in more air.

Burping, or belching, is the way most swallowed air--which contains nitrogen, oxygen, and carbon dioxide--leaves the stomach. The remaining gas moves into the small intestine where it is partially absorbed. A small amount travels into the large intestine for release through the rectum. (The stomach also releases carbon dioxide when stomach acid and bicarbonate mix, but most of this gas is absorbed into the bloodstream and does not enter the large intestine).

The body does not digest and absorb some carbohydrates (the sugar, starches, and fiber found in many foods) in the small intestine because of a shortage or absence of certain enzymes.

This undigested food then passes from the small intestine into the large intestine, where harmless and normal bacteria break down the food, producing hydrogen, carbon dioxide, and, in about one-third of all people, methane. Eventually these gases exit through the rectum.

People who make methane do not necessarily pass more gas or have unique symptoms. A person who produces methane will have stools that consistently float in water. Research has not shown why some people produce methane and others do not.

Foods that produce gas in one person may not cause gas in another. Some common bacteria in the large intestine can destroy the hydrogen that other bacteria produce. The balance of the two types of bacteria may explain why some people have more gas than others.

Most foods that contain carbohydrates can cause gas. By contrast, fats and proteins cause little gas.

The sugars that cause gas are: raffinose, lactose, fructose, and sorbitol.

Beans contain large amounts of this complex sugar. Smaller amounts are found in cabbage, brussels sprouts, broccoli, asparagus, other vegetables, and whole grains.

Lactose is the natural sugar in milk. It is also found in milk products, such as cheese and ice cream, and processed foods, such as bread, cereal, and salad dressing. Many people, particularly those of African, Native American, or Asian background, have low levels of the enzyme lactase needed to digest lactose. Also, as people age, their enzyme levels decrease. As a result, over time people may experience increasing amounts of gas after eating food containing lactose.

Fructose is naturally present in onions, artichokes, pears, and wheat. It is also used as a sweetener in some soft drinks and fruit drinks.

Sorbitol is a sugar found naturally in fruits, including apples, pears, peaches, and prunes. It is also used as an artificial sweetener in many dietetic foods and sugarfree candies and gums.

Most starches, including potatoes, corn, noodles, and wheat, produce gas as they are broken down in the large intestine. Rice is the only starch that does not cause gas.

Many foods contain soluble and insoluble fiber. Soluble fiber dissolves easily in water and takes on a soft, gel-like texture in the intestines. Found in oat bran, beans, peas, and most fruits, soluble fiber is not broken down until it reaches the large intestine where digestion causes gas.

Insoluble fiber, on the other hand, passes essentially unchanged through the intestines and produces little gas. Wheat bran and some vegetables contain this kind of fiber.

The most common ways to reduce the discomfort of gas are changing diet, taking medicines, and reducing the amount of air swallowed.

Many nonprescription, over-the-counter medicines are available to help reduce symptoms, including antacids with simethicone and activated charcoal. Digestive enzymes, such as lactase supplements, actually help digest carbohydrates and may allow people to eat foods that normally cause gas.

Activated charcoal tablets (Charcocaps) may provide relief from gas in the colon. Studies have shown that when taken before and after a meal, intestinal gas is greatly reduced. Both the number of flatus events and breath hydrogen levels were measured. These experiments showed that orally administered activated charcoal was effective in preventing the large increase in the number of flatus events and increased breath hydrogen concentrations that normally occur following a gas-producing meal. The usual dose is 2 to 4 tablets taken just before eating and 1 hour after meals.

The enzyme lactase, which aids with lactose digestion, is available in liquid and tablet form without a prescription (Lactaid, Lactrase, and Dairy Ease). Adding a few drops of liquid lactase to milk before drinking it or chewing lactase tablets just before eating helps digest foods that contain lactose. Also, lactose-reduced milk and other products are available at many grocery stores (Lactaid and Dairy Ease).

Beano, an over-the-counter, digestive aid, contains the an oral solution of alpha-galactosidase (sugar-digesting enzyme) that the body lacks to digest the sugar in beans and many vegetables. The enzyme comes in liquid form. Three to 10 drops are added per serving just before eating to break down the gas-producing sugars. Beano has no effect on gas caused by lactose or fiber.

In another study it has been shown that proper cooking (especially of beans and peas) can reduce the incidence and discomforts of flatulece.

Abdominal discomfort after eating cowpeas is known to be a major constraint on their greater consumption. Problems associated with cowpea consumption were identified by questionnaire in 448 randomly selected families. Some (28%) of the respondents had never experienced flatulence. Those who did said it occurred when cowpeas were eaten at all (16.7%), as dinner (42%) or without other foods (15%). A subsample of 40 people who complained of serious abdominal discomfort were fed cowpeas cooked by eight different methods at three consecutive dinners for each method. The problems reported were indigestion, vomiting, diarrhoea, increased belching, bad breath, offensive stool, flatulence, constipation, mild abdominal discomfort and sleepiness. Many respondents complained of mild abdominal discomfort with undehulled cowpeas (72.5%) and dehulled cowpeas (42.5%) that had been cooked at atmospheric pressure. Only 12.5% of the respondents complained of discomfort with dehulled cowpeas cooked under extra pressure. Thus, dehulling resulted in substantial reduction in the frequency and incidence of reported discomforts but pressure cooking also had beneficial effects, probably because of the higher cooking temperature attained.


Old 03-29-2003, 10:55 PM   #6
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giupset HB User

Thanks for the info. The problem is that I no longer have a large bowel/colon - I have an ileo-anal anastomosis (j-pouch). The foods that the large bowel breaks down no longer happens - foods come out as they went in, whole (i.e. vegtables). I've had serious gas problems since I was a teenager; my abdomen would become extremely distended after a meal, I would be in so much pain that I would cry myself to sleep. When I would awake (a couple hours later), everything would be fine. This is no longer the case since the surgery (15 years ago). I don't release much gas. I belch 5 times a year at the most. The enzymes seem to be helping as I noticed that more gas is released and my abdomen is less distended. I tried the prescription enzymes recently as they are enteric coated (only one). I also noticed a difference here. I'm wondering if the numerous surgeries and consistent illness to date has taken a toll on my pancreas. I plan to get a consult on this sometime in the future.

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