What is the treatment for a 16-month-old infant with flatulence (gas)?

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From the Guidelines

To treat a gassy 16-month-old, gentle tummy massage, bicycle leg movements, or a warm bath can help release trapped gas, and simethicone drops may be given following package instructions, typically 0.3-0.6 mL per dose, as these methods are supported by recent guidelines and studies 1. When considering treatment options for a gassy 16-month-old, it's essential to prioritize methods that are evidence-based and safe.

  • Gentle tummy massage in a clockwise direction can help release trapped gas and soothe the child.
  • Bicycle leg movements can also help release gas and reduce discomfort.
  • A warm bath can be a relaxing and effective way to help the child pass gas.
  • Simethicone drops, such as Infants' Mylicon or Little Remedies, can be given following package instructions, typically 0.3-0.6 mL per dose, to help relieve gas and discomfort. Dietary adjustments may also be helpful, such as:
  • Limiting gas-producing foods like beans, broccoli, and dairy if the child seems sensitive to them.
  • Ensuring the toddler isn't swallowing excess air by avoiding straws, having them sit upright while eating, and not letting them run around during meals.
  • Probiotics formulated for toddlers might help balance gut bacteria and reduce gas and discomfort. It's crucial to note that gas is common in toddlers as their digestive systems are still developing, and they often swallow air while eating or crying. However, if gas is severe, persistent, accompanied by other symptoms like fever or vomiting, or if the child seems to be in significant pain, it's essential to consult a pediatrician as it could indicate an underlying issue requiring medical attention, as suggested by recent studies 1.

From the FDA Drug Label

Use for the relief of pressure and bloating commonly referred to as gas Purpose Antigas For a gassy 16 month old, simethicone (PO) can be used for the relief of gas and bloating 2 2.

  • The antigas properties of simethicone can help alleviate symptoms.
  • However, it is essential to consult a pediatrician before administering any medication to a child.

From the Research

Treatment Options for Gassy 16-Month-Old

  • Non-absorbable antibiotics, such as rifaximin, have been shown to reduce intestinal gas production and gas-related symptoms in functional patients 3
  • Simethicone, an antifoaming agent, has been used to treat gas-related symptoms, but its effectiveness is still debated 4, 5, 6
  • Probiotics have been found to be effective in treating various gastrointestinal conditions, including functional gastrointestinal disorders, and may be beneficial for infants with gas-related symptoms 7
  • Activated charcoal has been used to adsorb intestinal gas, but its effectiveness in patients with gas complaints is still unclear 3, 4
  • Dietary modification may be beneficial in certain cases, but more research is needed to determine its effectiveness 4

Medications and Supplements

  • Rifaximin has been shown to significantly reduce hydrogen excretion and overall severity of symptoms in patients with gas-related symptoms 3
  • Simethicone has been found to improve colon cleanliness and reduce abdominal bloating, but its effect on adenoma detection rate is still unclear 5, 6
  • Probiotics, such as Lactobacillus and Bifidobacterium, have been found to be safe and effective in treating various gastrointestinal conditions, including functional gastrointestinal disorders 7

Lifestyle Changes

  • Dietary modification, such as avoiding gas-producing foods, may be beneficial in reducing gas-related symptoms 4
  • Prokinetic agents may be beneficial in treating gas-related symptoms related to abnormal intestinal motility 4

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Gastrointestinal gas.

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 1988

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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