From the Guidelines
Holding in gas can lead to discomfort, bloating, and abdominal pain, and it is recommended to avoid holding in gas for extended periods to prevent worsening of these symptoms. When you prevent the natural release of intestinal gas, it builds up in your digestive tract, stretching the intestinal walls and potentially causing cramping 1. This trapped gas can also move to other parts of the colon, creating pain in different areas of your abdomen. The body naturally produces gas during digestion as bacteria in your intestines break down undigested food, and this gas needs to be expelled either through belching or flatulence.
Some key points to consider when dealing with gas and bloating include:
- Dietary modifications, such as reducing consumption of gas-producing foods, can help alleviate symptoms
- Over-the-counter remedies like simethicone (Gas-X) can help break up gas bubbles
- Products containing alpha-galactosidase (Beano) can aid in digesting complex carbohydrates before they cause gas
- Central neuromodulators, such as antidepressants, may also be effective in reducing visceral sensations and improving symptoms of bloating and distention 1
It is essential to note that while holding in gas occasionally for short periods is generally harmless, doing so regularly or for extended periods can worsen bloating and discomfort. If you frequently experience excessive gas, it is recommended to consult with a healthcare professional to determine the best course of treatment.
In terms of treatment options, anorectal biofeedback therapy may be effective in helping to reduce bloating symptoms, particularly in patients with dyssynergic defecation 1. Additionally, brain–gut behavioral therapies, such as hypnotherapy and cognitive-behavioral therapy, may also be beneficial in improving overall quality of life and reducing symptoms of bloating and distention 1.
From the Research
Effects of Holding Gas
- When gas is held in, it can lead to bloating and discomfort, as the body is unable to release the built-up gas [ 2 ].
- Studies have shown that intestinal gas production is increased in individuals with gas-related symptoms, and that this production can be reduced with the use of certain medications, such as rifaximin [ 2 ].
- Rifaximin has been shown to significantly reduce hydrogen excretion and overall severity of symptoms, including bloating and abdominal pain [ 2 ].
Management of Gas-Related Symptoms
- Simethicone, an adjunct used during bowel preparation, has been shown to decrease bloating and improve bowel preparation effectiveness [ 3 ].
- The use of simethicone has been found to improve colon cleanliness and adenoma detection rate, particularly in patients receiving single-dose polyethylene glycol [ 3 ].
- Simethicone has also been found to decrease abdominal bloating, but has no effect on nausea, vomiting, and abdominal pain [ 3 ].