Everybody (pregnant or not) has some gas. You may have
even more gas than usual during pregnancy. Don't be surprised
if you find yourself belching like a beer drinker or having
to unbutton your pants to relieve bloating many weeks before
you're actually showing. That's primarily because the major
doses of progesterone your body produces early in pregnancy
relax smooth muscle tissue throughout your body, and that
includes your gastrointestinal tract. This relaxation slows
your digestive processes, which can cause more gas, bloating,
burping, flatulence, and generally miserable sensations
in your gut, especially after a big meal. In later pregnancy,
your growing uterus crowds your abdominal cavity, which
can further slow digestion, and pushes on your stomach,
making you feel even more bloated after eating. You may
also start to experience heartburn or constipation during
pregnancy even if you've never had it before.
There are two ways that gas gets caught in the digestive
tract. It happens when you swallow air, and it's also a
normal by product when undigested foods get broken down
by bacteria in your colon. Most gas in the stomach is the
result of swallowing air and is generally released by burping,
though a small amount can continue down to the colon to
be released at the other end.
Normally gas that causes flatulence is produced when food
that was incompletely digested in the stomach and small
intestine is broken down in the large intestine by the bacteria
that reside there. Certain carbohydrates are the main culprits.
Protein and fat are not major gas producers, though fats
can contribute to a sense of bloating because they slow
stomach-emptying time.
How does pregnancy cause an increase in gas? Pregnancy slows
digestion, giving the bacteria more time to work on the
undigested material before it's excreted, so you have increased
fermentation and hence more gas. Actually, anything that
slows down bowel function can increase gas, so constipation
can also cause you to feel more gassy and bloated as well.
Some people get a lot of gas from certain foods that don't
bother others at all. A prime example is lactose intolerance:
Some people don't make enough lactase — the enzyme
that breaks down lactose (the sugar in dairy products) —
so they get bloated and gassy if they have too much milk
or ice cream. There's also individual variation in the balance
of bacteria in the colon, and some think that, too, may
affect how much gas is made.
Diet Helps To Relief Gas Problem
The most effective way to reduce gas may be to cut back
on the foods that seem to be primarily causing it. You may
want to start by cutting out the most common culprits and
if that gives you relief, start adding these foods back
into your diet one by one to see if you can pinpoint what's
causing the problem for you. Keeping a food diary can help
you see associations between eating certain foods and having
more gas.
The foods most likely to cause gas are beans, cabbage,
cauliflower, Brussels sprouts, broccoli, and asparagus.
These foods all contain a sugar called raffinose that causes
gas for a lot of people. Other people have trouble with
onions, pears, and sodas and fruit drinks sweetened with
the sugar fructose. (Soda and fruit drinks are just empty
calories anyway, and the carbonation in sodas can exacerbate
bloating.)
Some starches (such as pasta and potatoes but not rice)
can cause gas for some people, and some fibre-rich foods
(such as oat bran, beans, and many fruits) cause gas because
they're normally broken down in the large intestine. One
exception is wheat bran, which passes through your system
without getting broken down. (This makes wheat bran a winner
if you have constipation and need more fibre but also suffer
from flatulence.)
Those who are lactose intolerant will find that dairy products
give them gas. If you're highly intolerant you'll likely
already be aware of this before pregnancy, since dairy may
even cause diarrhoea and abdominal pain for you. But if
you're only somewhat intolerant, you may start to feel some
distress during pregnancy if you dramatically increase your
intake of dairy products. If you think this is a problem
for you, you can find lactose-free or soy milk in many supermarkets.
(If you aren't drinking any kind of milk, you'll probably
need to take a calcium supplement.)
Finally, you may want to avoid very fatty or fried foods.
They don't cause gas, but they can make you feel more bloated
because they slow down digestion.
These suggestions may also lessen the frequency and severity
of your symptoms:
Don't eat big meals. Instead, eat several small meals throughout
the day.
• Don't talk while you're eating. Take your time
eating, and chew thoroughly.
• Limit your fluid intake during meals (take
it between meals).
• Drink from a glass, not a bottle or a
straw, and don't gulp your beverages.
• Avoid carbonated drinks.
• Sit up while you're eating or drinking,
even if it's just a small snack.
• Wear loose, comfortable clothing; avoid any
tightness around your waist and tummy.
• Don't chew gum or suck on hard candies.
• Avoid products sweetened with Sorbitol (certain
gums and candies).
• Exercise — even a brisk walk can help
your sluggish digestive tract.
• Avoid constipation (can make flatulence worse
and no doubt a sense of abdominal bloating).
• Don't smoke (this is a habit you should break
before getting pregnant).
• Consider practicing yoga (or a similar discipline)
for relaxation and good breathing techniques. (Some
people tend to swallow more air when they're excited or anxious
if they're prone to hyperventilating.)
• If the above relief measures don't help, ask
your practitioner if you can take an over-the-counter anti-gas
remedy that contains simethicone. (Activated charcoal tablets,
another anti-gas remedy, aren't safe
during pregnancy.)
Can gas pain ever be a sign that something is wrong?
Call your practitioner if your gas discomfort ever feels more
like abdominal pain or cramping or is accompanied by blood
in your stool, severe diarrhea, or constipation, or an increase
in or new bout of nausea and vomiting.