Why am I so gassy?

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Welcome to Sarah has questions. We have a good one today. We're

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talking about gas, burps, farts, and

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everything in between, and we have some burning listener

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questions that I just can't wait to ask. So

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I have lots of questions and I have no dignity left, so I'm gonna ask

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them all. So let's get into it. I'm Sarah King and I have a

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lot of questions. What exactly happens when you orgasm

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physically? Will popping a knuckle or a joint give us arthritis?

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What can we learn from from our poop? The size of your body doesn't necessarily

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indicate your measure of health. Yes. And what are your thoughts on that?

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Cleansing. Do we need to do anything special to

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our nether regions? In this show, I get to ask all these

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questions to WakeMed doctors who happen to know

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everything about everything. Sarah has questions is a production of Capital

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Broadcasting Company and Mix 101.5. It's presented by

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WakeMed. So today, we have a, gastrointestinal

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physician's assistant named Jordan Meaton with us. Then we're gonna talk

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burps and farts today. We all do it. You know? And That's right.

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Some people blame it on elephants. Some people blame it on, you know, ducks. But,

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really, it's us. And we're gonna get to the bottom of why it happens. So

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let's just start from the beginning. Where is all this air? We're gonna start with

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burps first. Let's start with the top half of our body. Alright. Where is all

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this this, gas coming from? Every time we swallow,

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eat anything, a little bit of air always goes down to the esophagus and down

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to the stomach. Mhmm. Most of the time when we burp it out, it's the

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air from the stomach that's coming up. Okay. Most of the time? Most of the

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time. Yes. Where else could it be coming from? Well, it could be coming from

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air that actually doesn't get all the way down to the stomach and is actually

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coming from the esophagus. Oh, and can you feel it when that happens? Like, can

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you feel that it didn't make it all the way down to your belly or

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is it just something that happens and we don't even notice it? Typically, the

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type of air that's coming straight from the esophagus is when we're eating too

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quickly and the air just doesn't have time to get all the way down there.

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And if we're eating too fast, it tends to come back up quick. And that's

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why in China, it is a compliment to burp after a meal because you were

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so hungry and you liked it so much. And I don't even know if that's

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true. I apologize if that's not true, but I can't comment on that. I'm not

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sure. Yeah. Me neither, but I said it anyway.

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Where does the burp sound come from? The burp

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sound? Well, that's, you know, that's a good question. I don't know if I have

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a actual medical answer for that one. I'm guessing it would come from,

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just the from the vibration of the air moving up through the esophagus and out

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the mouth. Shaking stuff. Yeah. It's like a personal earthquake. Why do some people

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burp so much more than others? The average person will

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burp, probably at least 10 to 20 times a day.

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Really? Usually, they're it's not usually necessarily an

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audible one. What are those little, like, you you beat your chest a little bit?

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I mean, it's probably something that you don't even feel or even necessarily know is

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happening. Our body naturally, kinda vents the air from the stomach

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out. Well, so some people though do belch more than others. Mhmm. I can

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think of a few right off the top of my head. And, it's a

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a lot of time, it can have to do a diet. A lot of things

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that, can increase belching is, eating quickly, smoking.

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Smoking? Why smoking? Well, it just, it it disrupts,

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the digestive system. It's, I don't know of any particular scientific,

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you know, chemical, issue that happens when you smoke,

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but it is seen that folks that do smoke have increased

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belching. Interesting. I wonder So you we're not exact

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the science isn't clear on why it's happening though? Not the not to my not

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from what I've, But you mentioned that it does disrupt the digestion. How is it

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disrupting digestion? And you know, it's, from what I've seen is that

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smoking increases risks of just about everything. It's real bad for

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you. And, that along with the known effects on

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your lungs Oh, yeah. And, you know, cardiovascular system, it also

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affects the gastrointestinal system. Mhmm.

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So diseases like acid reflux, all sorts of

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GI pathologies like, cancer and Mhmm. You name it.

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Smoking will increase the risks of that. Got it. Based on studies they've

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done of people, when they've been studying belching and

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the they've seen that folks that do smoke have an increased risk.

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Can burping or belching, which I believe is the medical term belching,

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actually, it's irritation. Oh, irritation.

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Yeah. Can irritation, signify a disease

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sometimes? In a way, yes. Very common example that I

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see, gastroesophageal reflux disease, oftentimes,

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referred to as GERD. A lot of folks that, will report

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increased belching, and they oftentimes attribute that to

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underlying reflux disease. Now an actual pathological

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burping is really just when belching disinterferes with your daily life.

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Yeah. I've heard that before. When it it feel when it affects your quality of

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life, then it's a problem. And that's that's quite rare. People that even,

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sense that they are belching more than others or they think they're belching more than

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they should, they tend to still fall within that range of normal frequency. They're just

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on the high end. Either on the high end or they just notice it more

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more. Yeah. You some and sometimes you get that thought in your head and it

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just makes you notice things more. Sure does. Does chewing gum and using straws

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cause you to belch more? So chewing gum,

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yes. The more swallowing that you're doing while you're chewing the gum

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Makes sense. Where it gets down. Straws, not

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I I haven't seen any information on that. I'd like to suggest that

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that would do it. Okay. Are there foods that trigger burps?

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Yes. One that most people would probably think of as carbonated beverages. Well,

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that's one of the main ones. Yeah. Makes sense. You're swallowing gas. Yes. Exactly.

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Yes. There's a oftentimes, there are a variety of

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different foods and food groups that are associated with, increased

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gas in the digestive system. Oftentimes, that's, flatulence,

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though. Oh, yeah. We'll get there in a minute. We're at the top of the

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scene now. Yes. But, it's and not

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everybody gets affected the same way by a lot of these foods. Okay. So,

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some foods that are associated with, increased gas are

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lactose, see, wheat or wheat germ, whole grains, that type of

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thing, pork. Pork? Yeah. But not beef or chicken?

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Well, not necessarily. No. See. And then there's a a number of different

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vegetables. Oh, broccoli. Broccoli is one of them, cauliflower, garlic,

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onions. Okay. Okay. Yeah. Those all those sound like all

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the things that take a little more time to digest as well. Can

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burping signify an intolerance? Not necessarily.

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It's I mean, intolerance, I guess, is a

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subjective term. Oh, okay. If if if if any type of gas

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is gonna disrupt you, then sure. Having increased gas would be

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intolerance. How about that quality of life? Yeah. Yes. But, as you know,

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many people seem to eat them just fine. Yeah. That's true, and they don't care.

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Yes. Yeah. My brother. I mean, I didn't say that. How

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come sometimes the like, you get gas caught in your chest?

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It feels like you're it it hurts. You know? Like, babies will have this happen

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to them where you have, like, a big bubble of air in your

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chest. Like, I often when that happens to my kid or when it happens

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to me, I'll I'll drink a a warm soda to try to get it out.

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What's happening there? So that sensation you're talking about, is that like a

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more of a sensation of air feeling trapped in your chest or is it something

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that is When I burp, I feel better. Okay. Well, that

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that would, most likely just be in that case, increased

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gas either in the stomach or even just, starting to come out of the

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stomach or in the esophagus. You sense it there if it's, pressing on

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the esophagus there, the stomach. Yeah. That'll, that could hurt. So it

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yeah. Yeah. So just just normal gas. Oh, it's just normal. There's nothing going on

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there. It's like, I just don't understand why the valve doesn't let up. You know,

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you're just like you feel like you wanna beat your chest, like, get out of

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me. Well, and you know what? Yeah. It's a there's oftentimes though

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the esophagus connecting the stomach to the,

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to your mouth and throat. It's not necessarily just a big open pipe.

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There's a whole lot of important things in our neck and chest, so everything's pretty

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packed together pretty tight. So, things have to open up to allow for the air

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to come up. Oh, I see. Well, then that's interesting. It doesn't just come up

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immediately. Okay. And then, last burp question,

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which is alcohol. Does it play a role in burping? Well, if it's

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carbonated That that would certainly do it. Yeah. As far as

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just, causing extraordinary belching, not to my knowledge.

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Now alcohol itself does increase risk of

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number of different GI pathologies, which may in turn then

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cause you to have The person belching a little more. Not necessarily

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from from what I've seen itself. Okay. Alright. Well, you've

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covered the top half. Yeah. Now it's time to go to the bottom half. We're

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gonna talk about farts or what's the medical term

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for farts? Flatus. Flatulence. Flatus. Yes. Oh,

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Flatus. And tell me the burp one again? Irritation. Oh,

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god. I love these words. There's a lot of points in Scrabble. We'll be right

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back because you know I have more questions.

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Okay. So now we're on the opposite end of things. What causes the gas to

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build up down there? Now as far as gas in our digestive system,

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we swallow oxygen and nitrogen, from the air around

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us and that can pass through the digestive system, not just through the stomach but

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also through the intestines. Mhmm. Now, the other, gases that are

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most commonly found in the GI tract there

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are there's, methane. Okay. Alright.

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There's also, hydrogen. Mhmm. Alright. And a lot of

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these, the methane, is actually produced from the bacteria

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that are that's in our digestive system. Okay. The small and large intestine. A lot

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of this a lot of these gases are either absorbed by the bacteria and

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then excreted out. So the gas comes from, I guess, the atmosphere. We

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swallow some of it and the other is bacteria. That's, I guess, the short simple

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answer to your question. I like it. And, what foods make us

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gassy? Well, a lot of the ones that I we had

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mentioned before. So there's numerous different vegetables,

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onions, broccoli, cauliflower, cabbage. Mhmm.

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They call cruciferous? Cruciferous? I think that could be.

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I don't know. I don't have to We'll go with it. We'll we'll go with

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it. I guess, Do fatty foods make us go? Yes.

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They can. Pork is another big one. Yeah. You mentioned pork before, and it's so

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funny that you picked that one meat out of all the meats available. Pork is

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actually associated with increased production of sulfur

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in the in the bowel tract, and that's actually what causes most

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flattest to smell. Oh, we're gonna get to that. I have so many questions.

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Yes. Okay. So about and you said lactose as well. Why is lactose

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because I'm I have to say I am lactose intolerant. Yes. This is a personal

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question for me. So please take your time. Alright. So, yes, lactose is

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another common food associated with increased gas, and it's

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really, not necessarily something that our own

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body produces. It's the bacteria in our guts that when we don't process

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lactose, the way they process it causes

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increased gas. I see. Okay. So from what

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I understand, it's like the bacteria is working extra hard to

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try to to try to to digest whatever you you know, like the

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lactose for me and so that in doing so produces extra gas

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because they're working extra hard. Is that right? That sounds right to me. Yes. Oh,

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it does. Okay. Great. Look at me. And why am

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I sometimes bloated and I can't release the gas? Oftentimes,

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bloating is that, I think from now correct me if I'm wrong. Do you mean

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that sensation of just feeling full and feeling like just Distended.

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Feeling distended. Yeah. So oftentimes, if, there's a few

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things that can cause that sensation, one is actually, yes, increased gas

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volume Yeah. In your bowels. Most people tend to have

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pretty steady amount of gas within their digestive tract. Let's say

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it's if your bowels aren't moving very quickly or as quickly as they

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should, if they've slowed down for whatever reason, that can cause a

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sensation of distension and cause bloating. Certain,

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if you're eating certain foods that cause you increased gas, that can certainly

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cause that sensation, the bloating sensation. Okay. There's a variety of

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things that it could be. Yeah. Okay. So I have a couple questions.

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First of all, back to anatomy real quick. Sure. So I know,

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you have your rectum, you have your colon. Where are the bowels? What

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is a bowel? So bowel is essentially, your small

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intestine or your large intestine. Oh. That's that's what that's what I'm referring to. Just

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a different word? In a way, yes. It's just a different way of, categorizing it.

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Yes. I think so. So small intestine, we sometimes refer to as your small

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bowel. Okay. Large bowel, large intestine. Wow. Yes. And then

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there's just after the large intestine is the rectum and and the

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anus. Okay. And so then why do why does the gas feel like it's stuck?

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Why won't it come out? Like I had kind of, mentioned before, it just takes

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time for your body to move those things through. Okay. There's a quite a lot

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of, length in your small intestine and some degree of

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your large intestine as well and it just takes time for it to, for those

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muscles in the small intestine and large intestine to contract and move that gas through.

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And are all people's, small and large intestine lengthwise the

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same? I'm sure there are some minor variations but,

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for the most part. Yes. Interesting. Okay. And you mentioned this earlier, but I wanna

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delve into it a little further. Why are some farts smelly and some are

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not? Well This is the meat of the the crux of

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the podcast right here. Yeah. Well, so, it's

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really it is the the main chemical that causes that smelly

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component of lettuce is sulfur. Sulfur. And so if your

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food contains sulfur, you're gonna pay for it later. Well, it's really not that if

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the food contains sulfur. It's really the bacteria in your

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intestines as they digest your food and help you digest the food and process it.

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They produce sulfur. Okay. So, again, gonna blame the

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bacteria. Okay. That bacteria. Let me I'm glad that they're there. Yes.

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And here's one that, just gonna ask it

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because I do wanna know. How come some farts are hot and some

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farts are not? Because you have the same body temperature throughout

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your body, so why can you feel the heat sometimes? I

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should've cued Robert Palmer in that moment. Feel the heat.

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Oh, you could please continue. No. No. I'm good. I'm dead.

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With my extensive research and extensive

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googling, I could not actually find anything specifically

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about the heat, how the sensation of

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heat versus cool of, fart like that. So I

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my my best guess is just if the component, depending on the

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density and the components of the gas, you probably feel it a little

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more. You know what? A little denser gas may have. Yeah. You know, the my

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my in my house, we call it I was gonna say, we call it the

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ring sting. Oh.

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Anyway, I'm that's that's all of my questions. Okay. You

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did well. Okay. Okay. Great. Now I have listener questions. Boy. And these

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get spicy. First of all, sometimes I

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experience painful bloating. If I wanna know what food caused it,

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how far should I go back and look? Is bloating caused by what

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I ate 20 minutes ago or, like, 3:3 hours ago? In

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short, it could be either. I really, if

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you're trying to figure out and isolate foods that affect you, as

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far as gas, best bet would be to try to first,

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eliminate all those potential cause of agents. There's a

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For how long? Essentially, as long as you can, but probably at least a day.

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A lot of times, it can take, some material up to 2, 3 days to

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pass through the full digestive system for all of them. Give it a 3 day

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fast and whatever you think it might be. And then, and then, yes. So we

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start reintroducing the foods and see which one affects you. Okay. And maybe multiple,

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maybe none of them. Yeah. We gotta do it 1 at a time or else

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you're never gonna know. That's right. Okay. Number 2, my husband farts a

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lot. Thanks, listener. Is there a male or female component to

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gas? So no. Primarily, the the bacteria in

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your in your guts Yeah. And the food you eat And and the food you

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feed them. So if you're eating a lot, I mean, if you happen to

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have a gaseous nether region, can you

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take things like pro probiotics and whatnot? And do you find those to be helpful?

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So probiotics are Which is a whole another podcast, I realize. Yeah.

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That is that's that's a whole series probably. So

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I get that question a lot. It's a great one. In short,

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probiotics, they there's not a whole lot of science

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behind their, efficacy

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for most GI Pathologies. Oh. There's one

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very, small area that we don't need to get into that it's shown to essentially

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help, improve symptoms. When patients come and ask me

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that, I am upfront with them and tell them

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that, what I told you, there's not a whole lot of science behind it

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yet. They're they're working on it. Yeah. And, you know, it may, one

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day prove to be, they may find some good

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information to help treat, underlying, you know, different genetic

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consequences. There's lots of things they say they help with. But from what I've

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seen, they don't hurt. So if there's if you find one that helps you, I

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have a lot of patients swear by them. Okay. And so,

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I say go for it or try it if if you want to. Right. Yeah.

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Alright. Sometimes when you burp, you can taste the food you

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just ate. Sometimes it's just air. Why is that? I think that'd

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probably be because of the just the odor from the food that you ate coming

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back up. Okay. Yeah. Alright. This is a long one, and it

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feels contentious, and a marriage may be at at stake here. Oh, boy. My

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husband and I have an ongoing disagreement about the purpose of

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GasX and similar over the counter medications. He

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thinks it's supposed to stop you from passing gas.

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I think is to decrease painful bloating gas

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by any means necessary, which could mean it

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makes you pass more gas after taking

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it. Who's right? Do you understand that question? I think I do.

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And so most gas, is produced by the

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bacteria in our digestive tract. Yes. Gas X does not

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inhibit that. It doesn't act on the bacteria or

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necessarily inhibit their production of gas. Uh-huh. What it's supposed to

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do and efficacy the efficacy of it is

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really not proven, I have to say. But, but but, you know, it's New

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flash. But if you go by symptoms, if it, If it helps you, it helps.

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Yeah. If it helps you, yeah. The placebo effect is strong sometimes. Oh, yeah.

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So the so what Gas X does is it actually,

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it, reduces the surface tension of these gas bubbles. So in

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short, just making them not I guess a poor way to describe it would be

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smaller, but, makes them easier to pass through and it would prevent,

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theoretically, the bloating or The accumulation.

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Yes. It makes it easier to pass through and as opposed to building up in

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the digestive tract causing for just for, the description

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purposes, you know, like a big bubble in your intestine. It will help just diffuse

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it and allow it to pass through. So it doesn't actually prevent

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gas from accumulating. It's just supposed to make it easier to pass through. Yeah.

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Oh, wow. That's very informative. Thank you. Alright. Well, I think that's

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all. You I I learned a lot, and,

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I am curious to see of the probiotic studies because you hear all about that

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all the time, and you can spend some serious cash on those. Oh, you yes.

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You certainly can. And I, I I keep I get that

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question a lot. So I'm usually I'm usually checking, my

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resources. Send me, send me frequently. Okay. Great. Well, if

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you learn anything, please let me know. Thanks so much for coming in today. Of

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course. Thank you for having me. Of course. I

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love that I have a podcast where I can ask the burning

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questions. Why are some farts hot with a

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straight face? Or at least I tried to. I hope you got all your

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questions answered about gas. Jordan Meaton was my guest

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today. He works with gastroenterology at WakeMed, and you can find out

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more about the services at wakemed.org. We

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love listener questions. And if you have a question or a topic for a future

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episode, let us know at wralfm.com/sarahhasquestions.

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See you next time.