Medicine for pain and bloating. Activated charcoal is inexpensive. Carminative drugs and defoamers

Flatulence is one of the most common signs of a violation of the digestive tract. Pathological symptoms can be eliminated with the help of folk recipes and pharmaceutical preparations. Tablets from gas formation in the intestines are represented by an impressive list. It remains only to visit a gastroenterologist, who will prescribe a suitable remedy.

Causes of bloating

Many factors contribute to active gas formation. These often become diseases of the digestive system:

• Chronic form of pancreatitis. Accompanied by enzyme deficiency. Bloating is noted after each meal.
• Irritable Bowel Syndrome. It is characterized by a violation of peristalsis. The condition is expressed in prolonged constipation or diarrhea, flatulence, the development of painful spasms.
• Dysbiosis. Pathology is accompanied by a violation of the intestinal microflora. The gases produced by harmful microorganisms - methane, ammonia, hydrogen sulfide - provoke severe bloating.
• Lactose intolerance. In an adult, there are no enzymes responsible for the breakdown and absorption of milk sugar.
• Violation of the patency of the intestine. The accumulation of gases is due to the presence of a tumor, polypous growths.

But most often, the main cause of gases is nutritional errors. The condition can be provoked by the use of large volumes of sweet carbonated lemonades or the presence of gas-forming products on the menu, which include:

• candies;
• bakery products;
• black bread;
• beans;
• peas.

Some contain a lot of fiber, others - starch or easily digestible carbohydrates.

The rapid absorption of food is accompanied by the ingestion of a certain volume of air into the stomach, which also causes increased gas formation.

Complex treatment

Condition therapy involves an extended approach and includes:

• Diet review.
• Eliminate the root cause of flatulence.
• Restoration of intestinal microflora.

Bloating often occurs precisely because of malnutrition, so the basis of therapeutic measures is its correction.

Foods with a high percentage of coarse fiber cause increased gas production. To reduce the symptoms of flatulence, you need to limit the consumption of legumes, fresh vegetables and fruits.

Fermentation in the intestines is also provoked by dairy products. With lactose intolerance, you will need to exclude from the diet:

• kefir;
• cream.

Good results give fractional nutrition. Eating small meals up to 6 times a day benefits the gastrointestinal tract:

• Promotes better absorption of nutrients.
• Prevents the development of fermentation processes.
• Stabilizes the functioning of the digestive system.

Remedies for gas formation in the intestines in adults

From the severity and bloating of the abdomen, the following groups of drugs are used:

• defoamers;
• enterosorbents;
• prokinetics;
• probiotics;
• prebiotics;
• enzymes;
• antispasmodics;
• herbal medicines.

Defoamers for the intestines

Medicines in this group reduce gas formation as a result of the collapse of the bubbles. They are absorbed by the mucous membranes of the gastrointestinal tract and excreted naturally. Contraindications to the use of this group of drugs are intestinal obstruction and severe forms of digestive disorders.

A typical representative of defoamer preparations is Espumizan. It is offered in a capsule format and in the form of drops, which allows you to use the product for bloating tummies in infants. The drug does not penetrate into the bloodstream, so a long period can be used. It goes well with taking other medicines.

Enterosorbents

Treatment of flatulence is also carried out by adsorbing agents. Drugs in this group absorb and remove toxic substances from the intestines.

Enterosgel is a new generation of enterosorbents. The active active ingredient is polymethylsiloxane polyhydrate. Passing through the intestines, it captures harmful particles and is excreted with them naturally. The tool is offered in the form of a paste and gel, has no contraindications and is combined with other medications.

Other enterosorbents include:

• Activated carbon. Cheap but very effective. It is used to cleanse the gastrointestinal tract, relieve the symptoms of flatulence. With frequent use, it causes a violation of the integrity of the mucous membranes of the digestive tract.
• "Polysorb". Approved for long term use. Does not cause the development of constipation, does not change the intestinal microflora.
• "Filtrum". It is recommended to be taken to quickly eliminate the symptoms of flatulence. It has high absorption rates, is not absorbed by the mucous membranes of the gastrointestinal tract. Excreted naturally.
• Lactofiltrum. The composition of the sorbent is represented by lignin and lactulose. Promotes the restoration of local microflora, reduces bloating, eliminates diarrhea. Approved for use in diagnosed obstruction of the intestinal tract.

Prokinetics

Taking prokinetics leads to an improvement in the motor function of the gastrointestinal tract. This group includes the following drugs:

• "Motilium". Stimulates intestinal motility, which contributes to the removal of gases in a natural way.
• "Duspatalin". Combines the properties of prikinetics and antispasmodics. Relieves pain, accelerates the discharge of gases. Not suitable for frequent use, as it violates the local microflora.
• "Eglonil". Stimulates peristalsis, has a mild effect on the duodenum, helps to remove gases and reduce the rate of their formation.

Probiotics and prebiotics

Prescribed to restore the microflora of the gastrointestinal tract. More often to the appointment are appointed:

• "Hilak forte". It is considered the best effective drug for eliminating gas formation. Creates a favorable environment for the growth of beneficial bacteria.
• Linex. Contains Lactobacillus, Bifidobacterium, Enterococcus. It is used for colic in a child and flatulence in adults.
• "Portalak". The active ingredient is lactulose. Recommended for use in constipation and dysbiosis.
• "Bifidumbacterin". Contains only bifidobacteria. Has immunostimulating properties.
• "Eubicor". The basis of the drug is fiber. It removes toxins, which causes an independent normalization of the local microflora.

Enzyme preparations

A group of medicines that are prescribed to eliminate problems with digestion.

Common drugs are the following:

• "Abomin". The active ingredient is pepsin. A substance of organic origin that improves the processing of incoming food.
• "Pancreatin". A commonly prescribed enzyme based on lipase. Provides the removal from the gastrointestinal tract of the waste products of pathogenic microflora, as well as the remains of rotting food, accumulation of gases and fecal stones.
• "Oraza". An enzyme of plant origin, for the production of which lipase is used. It is recommended for the development of intoxication, violations of the digestive processes - active gas formation, loss of appetite, belching.
• "Somilaza". In the composition - hemicellulose, which contributes to the rapid removal of the symptoms of flatulence. Used in the treatment of bloating due to malnutrition. Prohibited for use in pancreatitis and hepatitis.
• "Festal". Contains enzymes necessary for the complete breakdown of incoming food.

Antispasmodics

To alleviate the condition can be assigned:

• Mezim Forte. Active active ingredients - lipase, pancreatin. Relieves pain, reduces the feeling of heaviness, bloating. It is not used as an absorbent. Tablets are taken after meals.
• "Motijekt". Initially, it is an antiemetic. Among its capabilities is the removal of symptoms of flatulence.
• "Motilium". The active ingredient is domperidone. It has a stimulating effect on the peristalsis of the gastrointestinal tract, relieves painful spasms, removes accumulated gases.

herbal medicines

The active components of this group of drugs are extracts from herbs, flowers and fruits:

• Dill seed tincture. These are inexpensive drops used to treat colic and bloating. Contribute to the elimination of painful spasms, improve the functioning of the stomach.
• Cumin berries. They have a powerful carminative effect.
• "Herbion". Drops contain only components of plant origin - extracts from gentian, chamomile, cumin and yarrow. They relieve pain, remove accumulated gases.

Means for pregnant women

During the gestation period, the use of drugs is highly undesirable. To eliminate discomfort, it is better to use carminative herbs.

Dill

A well-known remedy for gas in the intestines, allowed even for newborns. In addition to relieving pathological symptoms, dill water anesthetizes, reduces fermentation processes.

To prepare the product, brew 30 g of dill seeds in 500 ml of boiling water. Insist in a thermos for 30 minutes, filter and take warm.

Chamomile

Infusion from the inflorescences of the plant has a powerful anti-inflammatory effect. The drink relieves pain and reduces the amount of gases produced. To prepare medicinal tea, you need to pour a spoonful of raw materials with a glass of boiling water, leave for half an hour and drink before meals.

There are two other recipes for preparing a cure for flatulence:

• Take a bag of green tea, as well as equal parts of chamomile and thyme. Pour the mixture with boiling water, insist. Take it warm.
• Combine peppermint, chamomile, bay leaf in equal proportions. Pour in water and bring to a boil. Leave to insist. Drink ½ of a glass.

Lemon and ginger

To relieve pain in the intestines, you can chew the peel of citrus. A good recipe for eliminating bloating during pregnancy is freshly squeezed fruit juice with ginger.

A small part of the root (5 cm long) is carefully chopped with a blender. Add lemon juice and some salt to the mixture. Take the received remedy before meals. The medicine helps to eliminate pain and increased gas formation, stimulates the stomach, improves appetite.

Fennel

A medicinal drink must be prepared from the following collection:

• Combine fennel fruits, valerian root, mint grass in equal proportions.
• Pour the mixture with water and bring to a boil.
• Infuse for 15 minutes, filter.
• Drink with flatulence and painful spasms.

It is highly undesirable to take medications during pregnancy. But there are two drugs that can be used:

• "Espumizan". The drug works locally, without getting into the bloodstream, so it does not threaten the developing fetus.
• Activated carbon. Safe for pregnant women and children.

To eliminate flatulence, drugs from the group of enzymes - Creon, Cisapride can be prescribed.

Doctor's conclusion

Bloating is an unpleasant condition that can be accompanied by pain that worsens the quality of life of a person. Before starting medication, the cause of the development of the pathology is established, a medical examination is carried out. The medicine for gases in the intestines will help the attending physician choose, based on the results obtained and taking into account the existing contraindications.

Medications for bloating provide an opportunity to cope with a large number of etiological factors that could lead to the accumulation of a large amount of gas in the intestines. There are several groups of drugs that can overcome such an unpleasant symptom. Each of them has its own mechanism of influence and application features.

People who suffer from flatulence are shown the use of a whole range of medicines aimed at:

• contributing to the neutralization of the underlying disease, which served as the source of the appearance of such a symptom;
• normalization of intestinal microflora;
• restoration of motility and functioning of the digestive tract;
• removal of gases and prevention of their reappearance.

All pills for bloating and gas formation can be divided into the following groups:

• enzymatic substances;
• carminative preparations;
• defoamers;
• prokinetics;
• probiotics;
• enterosorbents;
• antispasmodics.

Due to the presence of a wide variety of drugs to neutralize this symptom, only a clinician can prescribe one or another drug, which will be based on the individual degree of intensity of the manifestation of bloating, which may be accompanied by gas formation and severity.

Enterosorbents

Medicines of this category are characterized by the fact that they can absorb gases and, together with them, be excreted from the body naturally. Such funds have gained wide popularity due to the rapid onset of their therapeutic effect, as well as the presence of organic substances in the composition.

One of the most common substances for bloating from this group is activated charcoal or its analogue, white charcoal. These are substances that absorb toxins and excess gases from the digestive tract. They must be taken on the basis that one tablet is designed for ten kilograms of the patient's weight. Overdose may cause constipation.

In addition, activated charcoal is considered one of the cheapest and most affordable medicines, which helps with many problems with the gastrointestinal tract. Nevertheless, it is worth considering that such a medication cannot be abused, since, in addition to harmful components, it also removes useful substances from the body.

"Laktofiltrum" is a medicine of plant origin. It contributes to the normalization of the intestinal microflora and improves the resistance of the immune system, and also binds and neutralizes pathogenic bacteria or toxins. In addition, such a medication leads to the multiplication of beneficial bacteria, as well as the absorption of vitamins and beneficial trace elements. Among undesirable situations for use, it is worth highlighting intestinal hemorrhages and obstruction.

Another inexpensive medicine for bloating is Polyphepan, which has a whole range of positive qualities, namely:

• stimulates peristalsis;
• adsorbs harmful substances;
• promotes an increase in the level of leukocytes;
• heals ulcers.

Do not use this medication for constipation and bleeding.

"White charcoal", as mentioned above, is an analogue of activated charcoal for bloating. A similar substance has similar properties as the original, and in addition improves intestinal motility. Among the contraindications it is worth highlighting:

• the period of bearing a child;
• allergy to the active substance;
• peptic ulcer;
• hemorrhages in the gastrointestinal tract;
• intestinal obstruction.

The recommended daily allowance is six tablets, two before meals. To achieve a quick effect, you should drink the medicine with plenty of water without gas. In cases of overdose, urticaria may appear.

In addition to the above drugs, the group of enterosorbents includes:

• "Litovit";
• "Enterosgel";
• "Polysorb".

Carminative drugs and defoamers

The main effect of such drugs for bloating is to reduce the formation of gases in the intestines.

The first substance from this group is "Espumizan" - it eliminates the main symptom in a short period of time, as well as such accompanying manifestations as pain and heaviness in the stomach. With such a disorder, it is indicated to take no more than ten tablets per day, two capsules at a time. A distinctive feature of such a medication is that it can be used for long-term treatment of bloating. Among the contraindications it is worth noting:

• the age of the patient is up to six years;
• intolerance to the active substance;
• blockage of the intestinal tract.

The drug against flatulence - "Pepsan-R". To reduce bloating, you need to drink one tablet of the medicine before each meal. Overdose may cause skin rash and urticaria. The medicine is strictly prohibited for children under the age of fourteen.

Defoamers are necessary for the deposition of slimy foam, the bubbles of which contain gas. They contribute to the easy release of gas from the intestines in a natural way or its absorption into the mucous membrane.

"Dimethicone" - has a defoaming effect and improves intestinal motility. When the drug enters this organ, it envelops it with a kind of protective film, and also reduces the surface tension of gas bubbles and contributes to their rapid release. The daily norm for adults is no more than 160 milligrams, for children it is determined according to age. It is best to use the drug at bedtime.

List of other medicines in this group that may be prescribed to patients:

• "Bobotik" - a medicine intended for children;
• "Disflatil";
• "Kuplaton";
• "Simikol";
• "Meteospasmil";
• "Sub-Simplex".

Enzyme products

When bloating occurs, this group of drugs is used to facilitate the functioning of the digestive system, as well as to neutralize some of the symptoms that may accompany the main symptom. Such symptoms include:

• flatulence;
• nausea;
• heartburn;
• heaviness and bursting;
• feeling of a full stomach.

A bright representative of this category is the drug Cholenzim. This is a substance that consists of natural ingredients. The use of such tablets three times a day before each meal is shown. Overdose may cause:

• allergic rashes;
• urticaria;
• lacrimation;
• redness of the skin.

Contraindications include acute pancreatitis and a violation of the outflow of bile.

"Mezim-Forte" is a drug necessary to eliminate discomfort after overeating, which include heaviness and bloating. The daily rate varies from one to six tablets, however, the final dosage for patients is determined by the attending physician. It only takes a few days to normalize the condition. With caution, you need to use it at any period of bearing a child, as well as during breastfeeding. For an overdose of the drug are characteristic:

• signs of allergy - redness or rashes;
• diarrhea or constipation;
• nausea;
• body weakness.

Among the enzyme preparations, it is worth highlighting:

• "Festal";
• "Pancreatin";
• "Creon";
• "Mikrazim".

Prokinetics

Substances from this category are aimed at normalizing the motor function of the gastrointestinal tract. It is advisable to take them if the appearance of the main symptom was due to the processes of fermentation or decay of food occurring in the intestines.

The remedy for bloating "Trimedat" is the most effective medicine that accelerates the movement of food masses through the intestines. A characteristic feature of such a medication is that it has practically no restrictions on its use. Among the few contraindications, only hypersensitivity to the active substance and the age category of the patient up to three years. The dosage and duration of the course of therapy is prescribed only by a doctor.

"Ganaton" - in addition to accelerating the movement of food through the gastrointestinal tract, it helps to eliminate increased gas formation, nausea and vomiting. Do not take more than three tablets per day. Undesirable situations for use include:

• the period of bearing a child;
• breastfeeding a baby;
• violation of the structure of the mucous membrane of the digestive tract;
• children and adolescents under the age of sixteen;
• internal hemorrhages.

"Motilium" - such a medicine is able to completely neutralize the manifestations characteristic of slow digestion, among which there is heaviness and bloating. The maximum daily dose is eight tablets. It is forbidden to drink medicine when:

• bleeding in the gastrointestinal tract;
• allergies to the active substance;
• obstruction of the stomach or intestines;
• kidney and liver diseases;
• children under the age of fourteen.

"Gastricumel" - eliminates painful spasms of the intestines, quickly removes accumulated gases and improves the processes of digestion. This medicine should not be given to children under three years of age.

Another remedy for bloating and heaviness of the abdomen is Avioplant. To restore the evacuation of food, you need to drink up to four tablets per day. Limitations include:

• severe toxicosis;
• period of pregnancy and lactation;
• the course of cholecystitis;
• age of patients less than twelve years;
• peptic ulcer of the stomach;
• gastritis.

Probiotics

It is in cases of a change in the number of beneficial microorganisms in the intestines that bloating occurs, and the medicines of this group are aimed at restoring balance. Probiotics are:

• "Linex" - contains a large number of microorganisms necessary for humans. Virtually no contraindications. Can be used for children and pregnant women;
• "Hilak-Forte" - is used to eliminate a large number of diseases of the gastrointestinal tract and bloating in particular;
• "Probifor" is a medicine that has antitoxic and antidiarrheal properties. It is safe for children and pregnant women;
• "Lactobacterin";
• "Enterol";
• "Laktovit-Forte" - is used for bloating of various etiologies.

Antispasmodics

Such drugs are indicated for use only in cases where bloating is accompanied by intense pain. Antispasmodics have a quick therapeutic effect even with the most severe pain spasms. Against this background, gas is released, which leads not only to a decrease in soreness, but also to the elimination of bloating.

"Meteospasmil" is a complex medication that normalizes the functioning of the gastrointestinal tract, reduces the manifestation of symptoms with bloating and promotes the release of gases. You need to take the medicine three times a day before meals.

"Drotaverine" - is prescribed by clinicians for intense pain spasms of the smooth muscles of the intestine. Adults can take two tablets three times a day, and children one tablet a day. In cases of overdose, the following may occur:

• dizziness;
• increased sweating;
• increase in heart rate.

"Duspatalin" - is used for the symptomatic treatment of soreness. Contraindicated in pregnancy and lactation, as well as children under twelve years of age. The daily norm is 400 milligrams. Among the side effects are distinguished.

In the case of increased gas formation, it is important to know what to take with bloating, how to get rid of discomfort. The development of flatulence is accompanied by an increase in the volume of gas by 10-20 times, compared with its normal amount in the intestine. Taking a carminative and other medicines is the best way out of an unpleasant situation.

During conversations, with poor chewing and quick swallowing of food, frequent chewing of gum, more air enters the digestive tract than usual. Bacteria in the intestines constantly release gaseous waste products. Gases come out during belching, through the rectum and anus. There is another way of excretion - penetration from the intestines into the blood, the path through the systemic circulation and removal during exhalation.

The total volume of gases in the intestine during the day can increase 20 times (from 150 to 3000 ml). The intensity of gas formation largely depends on how much food is digested, how long it is exposed to enzymes. With flatulence, too fast or slow passage of the food bolus is observed.

Important! Increased gas formation is associated with the consistency and composition of the products used, the features of the functioning of the gastrointestinal tract of a particular person.

Bloating is often caused by digestive disorders and dysbacteriosis. In the intestine, a nutrient medium is created for microbes that produce hydrogen, methane, and hydrogen sulfide. Bloating often occurs in people with a certain mental warehouse (emotional, suspicious, shy). Everything is interconnected, and a person suffering from bloating and gas becomes irritable, more withdrawn.

If only increased discharge of flatus periodically worries, there is no pain in the abdomen, the stool is normal, then this may be the result of a temporary indigestion. To eliminate the discomfort that has arisen, carminatives are used, for example, Espumizan syrup and tablets from gas formation. It is recommended to be more careful in choosing food, choosing to avoid food that causes flatulence.

What to take for bloating to quickly get rid of gas

It happens that the patient experiences abdominal pain, he has increased gas formation in the intestines, diarrhea or constipation, but the exact cause of the discomfort cannot be recognized. Then doctors diagnose a functional disorder. This is a large group of disorders in the digestive system. Drugs belonging to several therapeutic groups will help to cope with bloating.

Carminatives

This group includes tablets for bloating and gas formation Espumizan, Meteospazmil and Disflatil. The preparations contain simethicone (silicon oil and silicon dioxide). The active substance weakens the surface tension of gas bubbles in the gastrointestinal tract, promotes their rupture and absorption in the intestine.

Effective defoamers Espumizan, Bobotik, Pepfiz and Meteospasmil do not irritate the mucous membrane of the digestive tract, do not adversely affect bowel function. On the contrary, they create a protective film on the walls of the organ.

Children in infancy often suffer from an excessive accumulation of air in the intestines. During the first three months of a child's life, colic in the abdomen disturbs. The baby's intestines must adapt to new food, so new milk formulas and complementary foods are introduced gradually. A woman who is breastfeeding a child should avoid products that cause fermentation processes in the digestive tract.

Antispasmodics

Preparations of this group reduce the tone of smooth muscles and intestinal peristalsis. Take these pills for flatulence and gases with spasms, colic, abdominal pain and to prevent the appearance of discomfort. The combined remedy Meteospasmil, in addition to simethicone, additionally contains the antispasmodic alverin. The active substance of No-Shpa and Spazmonet preparations is drotaverine. The active ingredient in Duspatolin, Sparex and Niaspam capsules is mebeverine.

Herbal remedies suppress the spasm of muscle cells in the intestinal walls: peppermint tincture, madder extract in tablets, Plantex granules with fruits and fennel essential oil.

Antisecretory drugs

Proton pump blockers act on the movement of H+ and K+ ions across cell membranes. The preparations contain omeprazole and active substances similar in properties. The advantage of Omez DSR tablets is the combination of domperidone and omeprazole. The drug has a complex effect on the causes of dyspepsia, pain in the upper abdomen and increased gas formation. Take the tablets 30 minutes before meals without chewing. Can be combined with adsorbents for maximum effect on bloating.

Intestinal sorbents

Preparations of this group have the ability to absorb and retain bubbles due to the porous structure. Find the most widely used in functional disorders of the gastrointestinal tract cheap tablets Activated charcoal. White carboactive Dill is also an inexpensive medicine from the group of adsorbents. It will cost more to purchase Laktofiltrum tablets, Smecta powder or Enterosgel paste in a pharmacy.

Dietary supplements and tablets from gas formation (active substances in the composition):

• White carboactive, Polysorb MP, White coal (silicon dioxide).
• Activated carbon, Extrasorb (activated carbon).
• Enterosgel (hydrogel with polymethylsiloxane).
• Diosmectite, Neosmectin, Smecta (diosmectite).
• Polyphepan, Laktofiltrum (lignin).

A feature of the treatment of increased gas formation with the help of intestinal sorbents is the use of tablets or hydrogel approximately 1 hour before a meal or 2 hours after a meal, as well as a short course of treatment.

Bloating is a symptom of gastrointestinal diseases

With flatulence, a combination of several signs is observed. Discomfort occurs constantly, even small errors in nutrition cause bloating, seething in the intestines. The patient is looking for the most effective fart pills, but this symptom is just the tip of the iceberg of problems. The cause may be infectious diseases, an inflammatory process in the gastrointestinal tract, anatomical defects in the intestine or neoplasms.

The main complaints in adults with flatulence:

1. Feeling of heaviness, pressure and fullness in the upper abdomen.
2. Passing gases or flatulence more than 15-20 times a day.
3. Excessive belching.
4. Cutting and pain in the abdomen.
5. Nausea.
6. Constipation or diarrhea.
7. Depressed mood.
8. Dull pain in region of heart.
9. Offensive odor of escaping gases.
10. Spasm and pain in the abdomen disappear after the discharge of flatus.

The presence of most of these problems is characteristic of inflammatory processes in one or more parts of the digestive system, dysbacteriosis and irritable bowel syndrome. Any one medicine and gas pills will provide only short-term relief. After another violation of the diet, the stress problem returns. Comprehensive treatment is needed.

What helps with bloating and gas in diseases of the gastrointestinal tract

If you are concerned about increased gas formation, then doctors recommend taking medications that belong to several therapeutic groups. Among them are many over-the-counter drugs. There are remedies designed to quickly get rid of abdominal discomfort, but do not cure the underlying disease. Other medicines improve digestion, eliminate the conditions under which excess gas accumulates in the intestines.

Important! Carminative drugs and adsorbents will help to quickly get rid of bloating. For excessive flatulence, doctors often prescribe antacids, digestive enzymes, prokinetics, and symbiotics.

It is not necessary to seek medical attention for every case of bloating. You should visit the doctor when flatulence becomes permanent, severe cramps and pain in the abdomen, persistent diarrhea or constipation are disturbing. Unreasonable weight loss, the appearance of blood in the stool are also alarming. It is necessary to pay a visit to the clinic or call a doctor at home if there are signs of an infectious disease of the gastrointestinal tract: vomiting, chills, diarrhea, high fever.

Adsorbents

Activated charcoal and other intestinal bloating tablets from the group of intestinal sorbents irritate the gastrointestinal mucosa with prolonged use. Such funds are not recommended for flatulence, which develops against the background of inflammatory processes in the stomach and pancreas. The intestinal sorbent Enterosgel, dietary supplements with dietary fiber, cereal bran, apple pectin act more gently.

The harm of long-term treatment with adsorbents is to reduce the concentration of vitamins and mineral components in the body. Sorbent preparations, along with gases and toxins, absorb and remove beneficial substances from the intestines.

Antacids

Doctors prescribe combined preparations Almagel Neo, Maalox and Almagel A for diseases of the gastrointestinal tract. These are medicines for bloating and gas formation that have arisen against the background of hypersecretion of hydrochloric acid (malnutrition, reflux, peptic ulcer, pancreatitis). Suspension Almagel Neo contains adsorbing, antacid components and simethicone. The composition of the drug Almagel A also includes the anesthetic benzocaine.

Thanks to the combination of active substances, the acid in the stomach is neutralized, gas formation is reduced and pain is relieved. However, with prolonged use, there may be metabolic disorders that affect diseases of the bones and joints. The drugs are intended for the treatment of adults and children over 10 years of age.

Enzymes and choleretic agents

Preparations of this group will help in case of increased gas formation that has arisen against the background of a deficiency of pancreatic enzymes. The components of these medicines are derived from processed pork or beef pancreas. Capsules contain microgranules of amylase, protease and lipase in various concentrations.

Medicines for heaviness in the stomach based on enzymes for better digestion of food:

• pancreolipases
• Mezim forte
• Pancreatin
• Panzinorm
• Micrasim
• Ermital
• Creon

Pancreatin - inexpensive tablets of domestic production. They contain the same components that are included in the composition of imported drugs, but differ in the concentration of active substances. The medicine for flatulence with enzymes provides better digestion of food, more active absorption of nutrients in the intestines. As a result, gas formation decreases, stool normalizes.

Prokinetics

Dyspepsia is a syndrome characterized by bloating and a feeling of fullness in the upper abdomen. The condition is most often caused by diseases of the stomach, inflammation in the pancreas, stones in the gallbladder. If doctors do not detect gastrointestinal diseases during a thorough examination of the patient, then they diagnose him with functional dyspepsia.

Assign drugs for bloating, stimulating the motility of the digestive tract. Motilium tablets contain the active ingredient domperidone, which positively affects the timely emptying of the stomach and intestinal motility. Motilium is preferable to the drug Cerucal, similar in properties, has fewer side effects.

Herbal preparations for the treatment of functional disorders and diseases of the gastrointestinal tract

Hofitol is a choleretic herbal remedy for bloating, used to treat dyspepsia and flatulence. Contains artichoke leaf extract, available in the form of tablets and syrup for oral administration, solution for injection.

Even more herbs in the composition of Iberogast drops (for oral administration). The tool has an anti-inflammatory effect, regulates the motility of the gastrointestinal tract. Take Iberogast drops for heaviness, distension and pain in the upper abdomen, flatulence, constipation and diarrhea.

Treatment with synbiotics

Probiotics in combination with prebiotics normalize the intestinal microflora. With dysbacteriosis, enterocolitis, colitis, there is a change in the species composition of microorganisms in the intestine. Probiotics contain cultures of lactobacilli, bifidobacteria and enterococci, which are beneficial for the gastrointestinal tract and the whole organism.

Capsules and tablets from flatulence and gases, to normalize the intestinal microflora:

• Baktisubtil.
• Florin forte.
• Bifiform.
• Acipol.
• Linex.

Linex capsules are used for dysbacteriosis, flatulence, dyspepsia, irritable bowel syndrome. The drug has no contraindications and side effects, can be used by patients of all ages.

Hilak forte is intended for the treatment of gastrointestinal diseases, the growth of beneficial intestinal microflora, and the regeneration of the intestinal wall epithelium. You can drink from bloating if the cause of increased gas formation is gastroenteritis, colitis, flatulence, senile bowel syndrome. It is considered safe to take the drug during pregnancy and breastfeeding.

Important! With severe bloating, which is combined with diarrhea, you can eat boiled rice, drink herbal tea with dried raspberry leaves, mint, blackberries and bird cherry.

It is recommended to make changes to the usual diet, for example, cook boiled and stewed chicken instead of beef and pork. It is undesirable to drink milk, but you can include yogurt, cheese in small quantities in the menu.

Anton Palaznikov

Gastroenterologist, therapist

Work experience more than 7 years.

Professional skills: diagnosis and treatment of diseases of the gastrointestinal tract and biliary system.

Flatulence is an excessive accumulation of gases in the organs of the digestive tract, which stretches the walls, causes discomfort and pain. Flatulence is accompanied by a feeling of heaviness in the stomach, bloating and is a symptom of an inflammatory process in the abdominal cavity. Most often, the cause of increased gas formation is diseases of the gastrointestinal tract or liver, less often - an incorrectly composed diet.

Flatulence is not an independent disease, therefore, its treatment is reduced to the treatment of the underlying disease, which provoked increased gas formation. In mild cases, it is enough to adjust the diet. In parallel, tablets are prescribed for bloating and gas formation, which normalize the patient's condition.

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Classification of drugs for flatulence

The pharmaceutical industry produces various drugs for bloating and heaviness of the abdomen, which can be divided into several groups:

1. 1. Enterosorbents. They have a sorbing ability and effectively remove gases, toxins, pathogenic microorganisms, salts of heavy metals from the intestines;
2. 2. Defoamers. Preparations from the group of defoamers destroy gas bubbles that have accumulated in the intestines and prevent the formation of new ones. In this case, the released gas is excreted from the body due to the contraction of the muscles of the gastrointestinal tract or absorbed by the intestinal lining;
3. 3. Prebiotics. The action of prebiotics is aimed at increasing the beneficial microflora of the gastrointestinal tract. The active substances of these drugs are not digested in the stomach, but contribute to an increase in the number of beneficial bacteria, due to which the normal functioning of the gastrointestinal tract is restored;
4. 4. Probiotics. Preparations from the group of probiotics contain ready-made bacteria that "settle" in the intestine and have a beneficial effect on its condition;
5. 5. Prokinetics. Medicines of this group activate intestinal motility, facilitating the passage of gases in case of their stagnation;
6. 6. Enzyme preparations. These drugs contain enzymes that help break down proteins and fats that enter the digestive tract. The lack of enzymes in the body causes increased gas formation. The appointment of such drugs is necessary for enzymatic insufficiency of the pancreas;
7. 7. Herbal remedies. Some medicinal plants have a beneficial effect on the intestines, improve its peristalsis and reduce the manifestations of flatulence. This group includes both folk remedies and pharmaceutical preparations containing substances of plant origin.

The appointment of a drug of any group should be carried out by a doctor, taking into account the assessment of the patient's condition and the presence of concomitant diseases. Each group of medicines for bloating and gas includes several drugs.



Enterosorbents

Adsorbents of intestinal action facilitate and accelerate the release of gases from the intestines. This group of drugs includes several inexpensive and effective drugs.

• Activated carbon

Activated charcoal is perhaps the most famous and cheapest pill for bloating. The medicine is available in the form of black tablets and is used as a first aid for gas formation. Activated charcoal absorbs excess gases in the stomach and helps them to pass naturally. The medicine for flatulence is taken for 3-7 days, 3-4 times a day, while one dose requires 1-2 g (4-8 tablets).



Black tablets are also drunk for food and chemical poisoning, as they are a wonderful tool for removing toxins from the body. But the medicine for gas formation has one drawback - with abuse and prolonged use, beneficial bacteria and enzymes, amino acids and vitamins are removed from the body. Activated charcoal is contraindicated in case of individual intolerance, as well as ulcers and bleeding of the gastrointestinal tract. The most common side effects are constipation, vomiting, diarrhea, hypovitaminosis. A pack of 10 tablets costs up to 10 rubles.

• White coal

White coal is not at all an analogue of activated carbon, as many mistakenly think. This preparation contains monocrystalline cellulose, silicon dioxide, potato starch and powdered sugar. White charcoal has adsorbent properties and is used as a remedy for bloating, as well as for food poisoning, acute intestinal infections and gastric disorders. As a therapeutic dose for bloating, the drug is prescribed 3-4 tablets before meals up to 4 times a day.

White charcoal is more expensive than activated charcoal (about 150 rubles), but it is more selective. Manufacturers claim that the drug removes only harmful substances from the body: pathogenic microorganisms, toxins, products of incomplete metabolism and protein breakdown, which provoke the development of gas formation in the intestines. At the same time, vitamins, trace elements and water that are useful for the body are not affected.

White coal is produced not only in the form of tablets, but also in vials containing a powdered substance that is dissolved in chilled boiled water. The drug is contraindicated in intestinal obstruction, gastric and intestinal bleeding and ulcerative pathologies of the gastrointestinal tract, pregnancy and lactation, individual intolerance.

• Smecta

Smecta is a relatively cheap drug from the group of enterosorbents with a selective adsorbing effect. Thanks to Smecta, pathogenic bacteria, viruses and toxins are removed from the body. The drug is available in the form of a powder sealed in single sachets. Take medication for bloating for 3-7 days. In adults, the daily dose is 3 sachets per day, in children, the dosage is calculated individually, depending on the age of the child.

Smecta is allowed to be taken even by newborns, but is contraindicated in intestinal obstruction and hypersensitivity. A pack of 10 bags costs about 150 rubles.

• Polyphepan

Polyphepan is an inexpensive medicine for bloating and heaviness of the abdomen. The drug is available in the form of a dark brown powder, odorless and tasteless. This enterosorbent is produced from the wood of coniferous trees. The drug has a beneficial effect on the functioning of the intestine, accelerates its peristalsis, removes toxins and pathogens.

Polyphepan is taken in accordance with the instructions for the drug, where dosages are indicated depending on the age and body weight of patients. The medicine can be taken at any age, while only anacid gastritis and individual intolerance are noted as contraindications. You can buy Polyphepan for 100-150 rubles, and the exact price depends on the region and packaging.

• Polysorb

Polysorb is available in the form of a powder, which is mixed with water to obtain a homogeneous suspension. The dosage is calculated individually, taking into account body weight, age of the patient and symptoms of the disease. Suspension Polysorb absorbs and removes from the body excess gases, food and bacterial allergens, toxic products from the breakdown of proteins and microbial toxins accumulated in the intestines. As contraindications, diseases traditional for all sorbents are indicated: peptic ulcer, intestinal atony, gastrointestinal bleeding and hypersensitivity. A 25 g can of Polisorb will cost about 200 rubles, a package weighing 50 g will cost more than 300 rubles.





Defoamers

Medicines from the group of defoamers have the ability to reduce the surface tension of gas bubbles, so that they break up and then are absorbed by the intestinal walls or are excreted due to intestinal motility. Defoamers are taken orally during meals or after a meal, in some cases at night.



The most popular means of bloating from the group of defoamers (the price is not higher than 500 rubles):

• Espumizan

The drug is available in the form of gelatin capsules and emulsion vials. Thanks to advertising, Espumizan is considered the best medicine for gases in the stomach and intestines. The main active ingredient is simethicone. The therapeutic dose is calculated individually, adults are usually prescribed 2 capsules (80 mg of simethicone) 3-4 times a day. Tablets from flatulence are recommended for adults and children from 6 years old, for babies from birth to 6 years of age it is more convenient to give the remedy in the form of an emulsion. Espumizan does not contain glucose, therefore it is safe for insulin-dependent patients.

• Sub Simplex

Emulsion Sub Simplex contains simethicone as an active ingredient. It is used undiluted, small children can add medicine to water or milk.

• Bobotic

According to moms, Bobotik is the best cure for flatulence and bloating in babies. Available in two dosage forms: drops and emulsion. Hypersensitivity and complete intestinal obstruction are indicated as contraindications. The daily dose is determined in accordance with the instructions for the drug, since the recommended amount of the drug increases with the age of the patient.

• Meteospasmil

The drug contains two active ingredients - simethicone and alverin citrate, which causes relaxation of the smooth muscles of the intestinal walls and creates a protective layer on the mucous membranes of the digestive tract. Meteospasmil is indicated for adults and children from 12 years of age. To eliminate the symptoms of flatulence, it is enough to take 2-3 times a day, 1 tablet of the drug.

• Pepsan-R

It differs from the above drugs in its pharmacological composition. It does not contain simethicone, but contains dimethicone and guaiazulene, which relieve the stomach and intestines from the painful symptoms of flatulence, reduce gas and foaming. The drug is prescribed only for adults at the rate of 1 capsule or 1 sachet 4 times a day.

Defoamers are safe for patients of any age, even for newborns and the elderly, while they have practically no contraindications and side effects.





Prebiotics and Probiotics

One of the causes of flatulence may be dysbacteriosis, as a result of which the balance of the intestinal microflora is disturbed. In this case, patients are prescribed drugs from the group of prebiotics and probiotics. These drugs are not considered drugs, but belong to the so-called dietary supplements - dietary supplements.

Prebiotics contain components necessary to increase the number of bifidus and lactobacilli in the intestine. Probiotics include strains of live bacteria that are protected from the acidic environment of the stomach. When ingested, beneficial bacteria begin to multiply and normalize the state of the microflora. Some of the most popular and inexpensive probiotics and prebiotics include:

• Gastrofarm;
• Yogulact;
• Hilak Forte;
• Linex;
• Lactofiltrum;
• Acipol;
• Normobact;
• Maxilak;
• Bifiform;
• Rio Flora.



There are a lot of drugs in this group, in any pharmacy they can offer different options that can replace any of the listed drugs. Probiotics have no contraindications (except for individual intolerance) and side effects. They can be used to normalize the functioning of the gastrointestinal tract in patients of any age, and are also safe during pregnancy and lactation. With all this, the need and duration of probiotic therapy should be agreed with the doctor.

Prokinetics

Drugs for flatulence from the group of prokinetics have a beneficial effect on intestinal motility, accelerate the progress of the digestive masses and the process of crushing gas bubbles. Due to this, painful and uncomfortable symptoms associated with slow digestion of food pass quickly. Prescribed medications to improve intestinal motility:

• Avioplant;
• Passagex;
• Neobutin;
• Motilac;
• Trimedat;
• Gastricumel;
• Motilium.



Reception of intestinal motility stimulants is not recommended for children, pregnant and lactating women. Contraindications also include intestinal obstruction, renal and heart failure, gastrointestinal bleeding, diarrhea. Prokinetic drugs can cause abdominal pain and cramps, upset stools, and allergic reactions.

Important! Medications for flatulence from the group of prokinetics relieve pain and discomfort for a while, but do not treat a chronic disease, a symptom of which is increased gas formation and bloating. Therefore, it is advisable to take them only in cases where it is necessary to improve the condition and get rid of flatulence as soon as possible.

Enzyme preparations

With insufficient production of enzymes in the body necessary for the normal digestion of food, the breakdown of food particles worsens. Subsequently, undigested residues decompose under the action of bacteria, as a result of which gas formation increases. Medications containing bile components and pancreatic enzymes help to quickly eliminate symptoms in the form of heaviness, bloating and increased gas formation, as well as improve the absorption of fats, proteins and carbohydrates by the intestinal walls.

The most effective drugs for bloating:

• Pancreatin;
• Penzital;
• Mezim;
• Panzinorm;
• Festal;
• Holenzim;
• Pangrol.



The duration of treatment is selected individually depending on the diagnosis and can last from 1-2 weeks to several months. If you need constant replacement therapy, you will have to take the medicine for several years.

Herbal formulations

Not only pharmaceutical preparations, but also folk remedies will help to cope with flatulence. The most effective of them is dill water, prepared from the seeds of an umbrella plant. This remedy is safe at any age - dill water is given even to babies. To prepare a healing infusion 1 tsp. dill seeds are poured into a thermos, a glass of boiling water is also poured into it. The thermos is closed and infused for an hour. Babies are given chilled, usually 1 tsp. infusion three times a day, adults can drink 1 glass during the day. Dill seeds can be bought at a pharmacy (about 60 rubles for a package weighing 50 g) and a fresh infusion can be prepared daily.

Bloating or flatulence- excessive accumulation of gases in the intestines, which develops due to increased gas formation, malabsorption or insufficient excretion.

Symptoms. Increased gas formation is manifested:

• a feeling of fullness and fullness in the abdomen;
• discomfort;
• rumbling;
• flatulence - the release of gases from the lower intestines, which may be accompanied by a sound of varying volume.

Bakposev - a study of bacteria contained in feces, which allows to evaluate the ratio of "normal" and conditionally pathogenic microorganisms and identify pathogens.

Normal performance

Treatment for bloating

First aid for bloating

Gas tube can only be used as a last resort for infants and bedridden patients. Its frequent use, especially in children, can lead to addiction - the child will not be able to get rid of gases on his own. In addition, with careless administration, there is a risk of damaging the intestinal walls and causing bleeding.

Do I need to call an ambulance for bloating?

If, after these measures, the patient continues to complain of severe pain in the abdomen, then this may indicate serious diseases:

• an attack of acute appendicitis;
• peritonitis;
• intestinal obstruction;
• ruptured ovarian cyst.

1. Complete sleep. Chronic lack of sleep leads to disruption of the work of all internal organs and slowing down of intestinal motility. A healthy 8-hour sleep improves intestinal innervation and accelerates motility.
2. Sufficient physical activity. Hypodynamia leads to a delay in the contents of the digestive tract. Constipation violates the composition of the microflora and causes flatulence. Hiking and playing sports improve intestinal motility. Exercises that involve the abdominal muscles are especially useful: bicycle, scissors, torso.
3. Lack of stress. Nervous shocks disrupt the innervation of the intestine, which entails a slowdown in its motility and reabsorption of gases.
4. Limit smoking especially during meals. In smokers, a large amount of air and smoke enters the stomach, which contributes to an increase in the volume of intestinal gas.

Eliminate foods that cause or increase fermentation from the diet

• indigestible meats: goose, pork, lamb;
• legumes: peas, beans, chickpeas, lentils;
• cereals: millet, barley;
• easily digestible carbohydrates: fresh pastries, cookies, cakes and pastries, chocolate;
• whole milk, cream, ice cream, milkshakes;
• Borodino bread, bread with bran;
• raw and pickled vegetables containing coarse fiber: cabbage of all kinds, radishes, tomatoes;
• fruits and berries: grapes, dates, kiwi, pears, apples, gooseberries, raspberries;
• greens: spinach, sorrel, green onions;
• carbonated drinks, kombucha, kvass, beer;
• mushrooms;
• alcohol;
• chewing gum.

• crumbly cereals from buckwheat and millet;
• dairy products;
• wholemeal bread from yesterday's baking;
• boiled and baked vegetables and fruits.