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this happens after every meal and usually after dinner and sleep is difficult I have seen as Gastro doctor and nothing has worked I'm careful about my diet and stay away from gassey foods although I don't believe it is excessive gas The only thing that has worked has been oatmeal before I go to bed or cereal no bran with soy milk This problem has been very discomforting because I've had to take Klonopin and Ambien to sleep occasionally a few times a week and they both have side affectsAny advice would be helpful ...Thanks
 

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Davis, have your tried gut directed hypnotherapy?On here is some info an a graph on HT and distension. http://www.ibshypnosis.com/IBSresearch.html It certainly helped mine very much, didn't make it go away completely, but helped a lot with this and all the other symptoms I had with IBS, including non gi ones like insomnia and back pains and muslce tension and specifically pain a lot.It can help global IBS symptoms as well as distension and even other non gi complaints at the same time. Just curious.
 

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I too have uncomfortable and sometimes painful bloating before bedtime. I find that a cup or two of strong fennel tea (covered and steeped for at least 10-15 minutes) works well to expel the gas. You can find this in any good health food store, either the seeds or bags. I've recently started drinking ginger tea also, and found that it also relieve gas pressure and a not-so-sure-it's-related BM. For sleeping, I take GNC's Melatonin (sub-lingual cherry flavored tabs) occasionally. I find that there is no side affects for me, but you may want to do a Google search.I HATE HATE the bloating in my tummy! It makes me feel like a big tub of fat. I'm in otherwise good health, great shape and at a good weight for myself. It kills me that my most self conscious area (my tummy) is affected by this so much. UGH!!!
 

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Hi--What is Klonopin? I have taken Ambien every nite for about 3 years and it works pretty well for me even tho I don't sleep through the nite.I haven't seemed to have any side effects from it, but I know meds are different for each of us.
 

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FYIReview article: bloating in functional bowel disorders.Zar S, Benson MJ, Kumar D.OGEM Department, St George's Hospital Medical School, London, UK.Bloating is a frequently reported symptom in functional bowel disorders. It usually occurs in combination with other symptoms, but may also occur in isolation. The severity of bloating tends to worsen during the course of the day and improves overnight. Although frequently considered to be a subjective phenomenon, recent studies have shown that bloating is associated with a measurable increase in abdominal girth. The pathophysiology of bloating remains elusive, but the evidence supports a sensorimotor dysfunction of the bowel. The possible mechanisms include abnormal gas trapping, fluid retention, food intolerance and altered gut microbial flora. Further studies are needed to define the sensorimotor abnormalities associated with bloating, which might be segmental and transient rather than generalized and persistent. The lack of understanding of this symptom is paralleled by a limited availability of therapeutic options. Conventional medications used in functional bowel disorders are not helpful and may indeed worsen the symptoms. In future, new drugs with activity against serotonin and kappa receptors, or novel approaches such as the use of exclusion diets, probiotics and hypnotherapy, may prove to be useful.Publication Types: Review Review, Tutorial PMID: 12390095
 

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Davis 2002,My thoughts on my bloating:1. It is not gas.2. Sometimes painful, always uncomfortable and stressful.3. Doc's have been no help.4. The only way I know to stop it for me is to quit eating, liquids only, but it takes one to three days for the bloating to go down. If you find a better way to stop it, let me know.dro
 

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FYI9. Gas and Bloating / W.G. Thompson 9.1 Synonyms and Related Terms page 15 Burbulence, flatulence, burp, belch, borborygmi, gaseous distention, wind, flatus, fart. Gas and bloating embrace three unrelated phenomena. Farting is a physiologic phenomenon due to the production of gas by colon bacteria. Excessive belching or burping is associated with aerophagia air swallowing. This is also partly physiological, but it may become exaggerated through habit. The mechanism of bloating is obscure. These phenomena are unrelated, yet they often occur together. 9.2 Gas, Wind, Flatus page 16 9.2.1 MECHANISM Farting is a physiologic excretory process. Normally, the gut contains 100 to 200 mL of gas. An average person on a normal diet emits about 1 L per day. We pass 50 to 500 mL a mean of 13.6 times per day, although there is great variation from person to person and from time to time. Those prone to produce greater amounts of gas or who are unduly sensitive may suffer socially. Most emitted gas originates in the colon. Some carbohydrates such as cellulose, glycoproteins and other ingested materials, not assimilated in the small intestine, arrive intact in the colon where resident bacteria digest them to produce hydrogen, carbon dioxide, methane and trace gases. Intestinal floras differ from person to person. Some bacteria produce hydrogen, while others consume it. In one person out of three, an organism called Methanobrevibacter smithii converts hydrogen to methane. The presence of this organism and the methane-producing trait are a result of early environment. Spouses do not share the trait with one another. Another product of fermentation, carbon dioxide, is also released when hydrochloric acid reacts with bicarbonate in the intestines. However, this gas is quickly absorbed. Hydrogen, carbon dioxide, methane and swallowed nitrogen comprise 99% of colon gas. The remaining 1% consists of trace gases that compensate for their small quantities by their strong odors. Smelly gases include hydrogen sulfide ammonia, skatole, indole and volatile fatty acids. Borborygmi is the name given to the noises generated as air and fluid gurgle through the gut. Farting and borborygmi do not account for bloating. 9.3 Aerophagia page 16 9.3.1 MECHANISM During inspiration, the normally negative intraesophageal pressure draws in ambient air. Forced inspiration against a closed glottis intentionally closed windpipe draws in even more air. The air may be forced out again as intra-esophageal pressure increases with expiration. Adolescents love to shock their elders with voluntary belching. As a practical application, those who have lost their larynx because of cancer put this learnable skill to use in generating esophageal speech. More commonly, aerophagia is an unwanted habit in those who repeatedly belch in response to other gut symptoms. Some air is ingested with each swallow, perhaps more with food. Nervous patients undergoing abdominal x-rays accumulate more intestinal gas than those who are relaxed. Other mechanisms of aerophagia include thumb sucking, gum chewing, drinking carbonated drinks, rapid eating and wearing poor dentures. Stomach gas has the same composition as the atmosphere. In achalasia, where the lower esophageal sphincter cannot relax, the stomach is gasless. In bowel obstruction or a gastrocolic fistula colon gases reach the stomach. Sometimes gastric stasis permits bacteria to grow and produce hydrogen in the stomach. Normally, gastric gas is swallowed air. 9.3.2 CLINICAL MANIFESTATIONS OF AEROPHAGIA Belching is to bring forth wind noisily from the stomach. The word burp means to "cause to belch," as one would burp a baby, but colloquially, the terms are used interchangeably. A belch after a large meal is a physiologic venting of air from the stomach. A meal stretching the muscle of the stomach, which can stretch to accommodate food, causes distress with little increase in intragastric pressure. A satisfying belch eases the discomfort. Some individuals seem unduly sensitive to intragastric pressure. People with gastroenteritis, heartburn or ulcers swallow more frequently. If release of gas transiently relieves the distended feeling, a cycle of air swallowing and belching may be established. The swallow-belch cycle may continue long after the original discomfort is forgotten. Of course, venting gas is important, as those unable to do so will attest. When the lower esophageal sphincter is reinforced by antireflux surgery, belching may be impossible. Bedridden patients such as those recovering from surgery may trap air in the stomach. In the supine position gastric contents seal the gastroesophageal junction so that air cannot escape until the subject assumes the prone position. While a patient may insist that his or her stomach is producing prodigious amounts of gas, in reality air is drawn into the esophagus and released. A little may even reach the stomach. Some can belch on command, and the inspiration against a closed glottis is demonstrable. Most sufferers are relieved to have their habit pointed out, but some are incredulous. Quitting the habit is often difficult. Repeated and intractable belching is termed eructio nervosa. 9.4 Functional Abdominal Bloating page 17 9.4.1 MECHANISM Those complaining of bloating and distention are often convinced that it is due to exess intestinal gas. Although the sensation may induce aerophagia, it seldom results from it. Farting may temporarily relieve bloating, but intestinal gas production does not cause it. Research has demonstrated that gas volume in bloaters is not abnormal. Despite visible distention, x-rays and computerized tomography CT show no large collections of intestinal gas. The distention disappears with sleep and general anesthesia. Gut hypersensitivity may explain the sensation of abdominal bloating. The hypersensitive gut feels full at lower than normal filling, and abdominal muscles relax to accommodate the perceived distention. The stomach is and feels distended with normal amounts of air. Abdominal girth of female irritable bowel syndrome IBS patients complaining of distention may increase 3 to 4 cm over an eight-hour day. CT has demonstrated the change in profile despite unchanged gas content or distribution. There were no corresponding changes in control subjects. Lumbar lordosis arching of the spine is sometimes increased. When women deliberately protrude their abdomens, the configuration is different from when they are bloated, so a conscious mechanism poorly explains increased abdominal girth. Perhaps abdominal muscles are weakened. The reality of the phenomenon is indisputable; the mechanism remains a mystery. 9.4.2 CLINICAL FEATURES Bloating occurs in 30% of adults and is frequent in 10%. Amongst those with the irritable bowel syndrome and dyspepsia the figures are much higher. It is often the most troublesome feature of these conditions. Typically, the abdomen is flat upon awakening, but distends progressively during the day, only for the distention to disappear with sleep. Women complain of the need to let out their clothing and sometimes volunteer "It�s as if I�m six months pregnant." Many report that bloating occurs quickly, in some cases within a minute. It is often aggravated by eating and relieved by lying down. Menstrual periods and stress affect a few cases. Usually, it is most obvious in the lower abdomen, but many report it near the umbilicus or all over the belly. 9.4.3 DIFFERENTIAL DIAGNOSIS Observable bloating has been called hysterical nongaseous bloating, pseudotumor or pseudocyesis false pregnancy. If distention is present at the time of the examination more likely late in the day, the phenomenon is likely functional. There is no abdominal tympany to suggest gaseous intestines, and sometimes the distended abdomen can be mistaken for ascites or a tumor. Bloating is often associated with dyspepsia or IBS. On its own, it is not a symptom of organic disease and should prompt no investigation. In intestinal obstruction or postoperative ileus paralyzed intestines, gas accumulates and distends the gut to cause discomfort and pain. In such a case, there are other symptoms and signs with which to make a diagnosis. http://gastroresource.com/GITextbook/En/chapter1/1-9.htm
 

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You are special, hi, there are two options, one to go see a hypnotherapist who specializes in it and the other a home course that a lot of us have used on the bb here, there are condierations to both really, the home course is way cheaper then seeing one and has proven effective on the bb here, but with seeing one they maybe able to individualize some forms of treatment some. The important thing really though is that it is hypnotherapy for IBS and gut directed.Its also possibe to try the home course and then see one afterwards if you want to keep going or could not stay on the program for some reason or because you like it, most people do.These are the ones a lot of us have used with success and years ago I started to help him with his website after he helped me with the tapes, because it was the best thing I had ever done for my IBS. He was a member here before I joined years ago.Its http://www.ibsaudioprogram.com/ His name is Michael Mahoney and he is a leader in England on HT for IBS.He also trains others all over the UK to treat IBS. So he knows what he is doing and has many years of experience.These are people here who have been helped and their comments with the tapes.One thing about doing these are people are around to help you through them if you need it. http://www.ibsgroup.org/ubb/ultimatebb.php...c;f=11;t=000017 Its amazing tapes and make you feel so much better in regards to the IBS.The other is to see one and you have to find one which can be hard.This is a site worth reading and at the end is a list of them in the US. http://www.ibshypnosis.com/ This site is from and IBS researcher at the UNC one of the top centers on IBS in the US if not the top one.They can use clinical gut directed hypnotherapy in small groups for IBS and it still works so its not that crucial for IBS that its individual all though it may help if there are other issues for a person to be addressed or for a few other reasons.It is for most a very pleasant experience so you know and not stage hypnosis at all. If you have any other questions let me know.The tapes helped me more then anything I have ever done for my IBS in over thirty some years and I did almost everything, I have not done the new drugs for IBS however, because I am an allternator and pain predominate.I would also read the current thread on it I just posted all the way through and all the links.
Hope that helps. A lot of people don't understand it so they maybe hesitant to try it at first, then surprized they like it, it is a shame really not to try it, its safe and effective and even helps non gi complaints. Its one of the most effective treatments to date for IBS if not the most effective on global symptoms and long term.
 
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