How to manage bloating without flatulence?

From the Guidelines

Management of Bloating without Flatulence Bloating without flatulence can be managed with dietary changes, such as eating oats and linseeds, and limiting high-fiber foods, resistant starch, and fresh fruit intake, as suggested by 1.

Key Recommendations

• Eat regular meals and take time to eat, avoiding missing meals or leaving long gaps between eating 1
• Drink at least 8 cups of fluid per day, especially water or other non-caffeinated drinks 1
• Restrict tea and coffee to 3 cups per day, and reduce intake of alcohol and fizzy drinks 1
• Limit intake of high-fiber foods, such as whole-meal or high-fiber flour and breads, cereals high in bran and whole grains, like brown rice 1
• Reduce intake of “resistant starch” found in processed or recooked foods 1
• Limit fresh fruit to 3 portions per day, with a portion being approximately 80 g 1
• Consider a low FODMAP diet, under the guidance of a healthcare professional, as it has been shown to reduce symptoms of bloating in patients with IBS, as reported by 1

Additional Therapies

• Central neuromodulators, such as antidepressants, may be effective in reducing bloating symptoms by regulating brain-gut dysregulated control mechanisms and improving psychological comorbidities, as suggested by 1
• Gut-related medications that treat constipation, such as secretagogues and 5-hydroxytryptamine 4 receptor agonists, may also help alleviate bloating symptoms, as reported by 1
• Brain-gut behavioral therapies, including hypnotherapy and cognitive-behavioral therapy, may be beneficial in managing bloating symptoms and improving overall quality of life, as recommended by 1

From the FDA Drug Label

This product contains an enzyme that helps digest the complex carbohydrates found in manyfoods, so they don’t cause gas, bloating and discomfort‡. Use for the relief of pressure and bloating commonly referred to as gas

To manage bloating without flatulence, consider using alpha-galactosidase (PO) 2 or simethicone (PO) 3, as both products are indicated for relief of bloating.

• Alpha-galactosidase (PO) works by digesting complex carbohydrates in foods to prevent bloating and discomfort.
• Simethicone (PO) is used for the relief of pressure and bloating. Note that alpha-galactosidase (PO) may also help reduce gas, but if bloating without flatulence is the primary concern, simethicone (PO) may be a more targeted option.

From the Research

Managing Bloating without Flatulence

There are no research papers to assist in answering this question, as the provided studies do not address the topic of managing bloating without flatulence.

• The studies 4, 5, 6 focus on various pharmaceutical topics, including the safety and efficacy of neratinib, LX9211, and verapamil, but do not provide relevant information on managing bloating without flatulence.
• None of the studies mention bloating or flatulence as a primary or secondary outcome, and therefore, do not offer any insights or recommendations on managing these symptoms.