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Intestinal gas: has diet anything to do in the absence of a demonstrable malabsorption state?
- Source :
-
Current opinion in clinical nutrition and metabolic care [Curr Opin Clin Nutr Metab Care] 2012 Sep; Vol. 15 (5), pp. 489-93. - Publication Year :
- 2012
-
Abstract
- Purpose of Review: To summarize the relevant publications during the last 12 months supporting that diet can influence gas-related symptoms in the absence of a malabsorption state.<br />Recent Findings: Gas symptoms during carbohydrate fermentation: a diet incorporating beans is well tolerated by a majority of individuals involved in a program of heart disease biomarkers. By contrast, in patients with irritable bowel syndrome, a diet avoiding fermentable carbohydrates improved gas-related abdominal symptoms. The rate of fermentation determines the production of abdominal symptoms, and many slowly fermentable fibers have a rapid fermentation profile that can generate abdominal symptoms. Modulation of visceral sensitivity: diet can influence gas symptoms by increasing the tolerability of the intestine to gas. Capsaicin decreases visceral hyperalgesia and improved bloating in patients with irritable bowel syndrome. Changes in gas-producing bacteria: different strains of Lactobacillus have antimicrobial properties against gas-forming coliforms. New clinical studies show beneficial effects of prebiotics and probiotics on abdominal bloating.<br />Summary: Actual data suggest that diet could improve gas-related abdominal symptoms acting on several mechanisms: gas production, visceral hypersensitivity and modulation of gas-producing enteric bacteria.
- Subjects :
- Capsaicin pharmacology
Dietary Carbohydrates metabolism
Dietary Fiber microbiology
Enterobacteriaceae metabolism
Humans
Hyperalgesia prevention & control
Intestinal Diseases metabolism
Intestinal Diseases microbiology
Intestines drug effects
Intestines microbiology
Irritable Bowel Syndrome metabolism
Irritable Bowel Syndrome microbiology
Malabsorption Syndromes
Prebiotics
Probiotics
Diet
Dietary Carbohydrates adverse effects
Dietary Fiber metabolism
Gases metabolism
Intestinal Diseases etiology
Intestines physiology
Irritable Bowel Syndrome complications
Subjects
Details
- Language :
- English
- ISSN :
- 1473-6519
- Volume :
- 15
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Current opinion in clinical nutrition and metabolic care
- Publication Type :
- Academic Journal
- Accession number :
- 22797569
- Full Text :
- https://doi.org/10.1097/MCO.0b013e328356662d