Intestinal Gas

  • Debra R. Goldstein
  • C. S. Pitchumoni
  • C. S. Pitchumoni
  • C. S. Pitchumoni


Belching, bloating, and flatulence are ubiquitous. The underlying physiology involves a complex interplay of diet, bacterial gut flora, and basic metabolic pathways. Patterns of behavior and emotional factors play a role as well. The clinical gas syndromes intersect with the aging process to create issues that are unique to the elderly. Therapeutic intervention should be focused first on dietary modifications. Pharmacologic modalities are imperfect, and caution must be taken to avoid the untoward side effects to which the older population, by virtue of age and of polypharmacy, are particularly prone. When treating quality of life issues and not life-threatening illness, caution and patience must be the cornerstone of care.


Irritable Bowel Syndrome Irritable Bowel Syndrome Patient Short Bowel Syndrome Lower Esophageal Sphincter Pressure Small Intestinal Bacterial Overgrowth 
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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Debra R. Goldstein
    • 1
  • C. S. Pitchumoni
    • 2
  • C. S. Pitchumoni
    • 3
  • C. S. Pitchumoni
    • 4
  1. 1.Department of Internal MedicineSaint Peter’s UniversityNew BrunswickUSA
  2. 2.Robert Wood Johnson School of Medicine, Drexel University School of MedicinePhiladelphiaUSA
  3. 3.New York Medical CollegeVallhalaUSA
  4. 4.Gastroenterology, Hepatology and NutritionSaint Peter’s University HospitalNew BrunswickUSA

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