Q. I get gas often and it bothers me. Is it due to lactose intolerance?

Answered by
Dr. Naresh Kumar Monigari
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 29, 2019

Hello doctor,

I get gas when I eat anything and I mostly notice it when I am in a quiet room because I get nervous and try to hold it in. I have to pass stools every morning to get it out of my system as best as I can. This sounds gross but it has been bothering me for three and a half years. I think I am definitely lactose intolerant because I get gas and pain when I have dairy. But some days I have fruit, vegetables, and bread and it still happens. I have a lot of exams coming up and I am so nervous, I do not want to fart in the test hall and I do not want to hold it in. I literally have to squeeze my butt so tight and my whole body tightens when I feel it coming. I get so embarrassed just thinking about it. I feel like I am the only person with this problem.

Dr. Naresh Kumar Monigari

General Medicine Internal Medicine
#

Hello,

Welcome to icliniq.com.

I had gone through all the data you have posted. Sorry that you are going through all this. Some points to be made clear are if you were congenitally lactose intolerant these symptoms would have been severe during childhood, as they are for three years this condition is unlikely.

Secondary lactose intolerance is more commonly associated with bacterial overgrowth which ferments and produce more gas. Avoid dairy products and take Rifaximin 550 mg 1-0-1 for seven days, this helps to clear the bacteria form gut and may help to decrease farts. If this does not help then, you need a detailed evaluation.


Probable diagnosis:

Secondary lactase deficiency.

Treatment plan:

Tablet Rifaximin 550 mg 1-0-1 for seven days.

Preventive measures:

Avoid dairy foods.

Regarding follow up:

Kindly tell me the response after five days.


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