Wednesday, December 29, 2010

Gas Trouble or Adhmaan

Everyone has gas and eliminates it by burping or passing it through the rectum. However, many people think they have too much gas when they really have normal amounts.

Gas is made primarily of odorless vapors--carbon dioxide, oxygen, nitrogen, hydrogen, and sometimes methane. 
The unpleasant odor of gas comes from bacteria in the large intestine that release small amounts of gases that contain sulfur.
Although having gas is common, it can be uncomfortable and embarrassing.

Causes :

The main cause of the disease is our faulty eating habits. Eating in hurry, eating at wrong time, talking during eating, excessive intake of water during eating and eating of more spicy food are the factors which increase the gastric trouble. Taking of more hot and more cold meal also help developing this condition. Tense and irritated mind is also a major cause of Gastric trouble.

Problems inside the stomach and chest can be the reason for gas trouble. Diagnosis is normally conducted based on factors such as the occurring time, when uneasiness increases, and related problems if any.

Ulcer is a defect that cause gastric trouble. The problem if ignored saying “it is gas”, could turn complicated resulting in bleeding and intestinal breakage. 
Long term gastric trouble could be due to the problems in oesophagus. If not diagnosed and treated in time, the ulcer could  turn cancerous.

Gas formation is normal for most intestinal malfunctions. 

Normally a patient suffering from gas trouble, will be having problem in oesophagus, intestine or duodenum. Excess acid formation in stomach, thinning of tissues that resist the formation of digestive juices or acid entering the oesophagus could also be the reasons for gas formation. Faulty bowel movement also causes gas trouble. 
Erosive and non erosive gastro-oesophagal reflex disease, hiatus hernia, gastritis, duodenitis and gastric ulcer causes gas formation and is the most visible symptom in these cases. 
Gas trouble sometimes evolve from gall bladder or pancreas. These glands have effective participation in the digestion process. 
Chronic cholesystitis and chronic pancreatitis are the diseases which normally infect these glands. Along with these diseases stone formations are normally found in these glands.

Indigestion is also a reason for gas trouble. When things like annagen which is difficult to digest, increases out of  proportion in the intestines, causes gastrouble. When blocks appear in the small and large intestines this symptom occur in the initial stages. Apart from all these causes gas trouble is occured due to the defect in other organs of the body. 
Defect in heart, lungs, kidney, lever and endocrine glands also create such symptoms. Mental disorders, immunity problems and epidemic are sometimes miscounted as gas trouble.

Gas in the digestive tract (that is, the esophagus, stomach, small intestine, and large intestine) comes from two sources: 

1. Swallowed air 
2. Normal breakdown of certain undigested foods by harmless bacteria naturally present in the large intestine (colon)


Swallowed Air :

Air swallowing (aerophagia) is a common cause of gas in the stomach. Everyone swallows small amounts of air when eating and drinking. 
However, eating or drinking rapidly, chewing gum, smoking, or wearing loose dentures can cause some people to take in more air.
Burping, or belching, is the way most swallowed air leaves the stomach. 
The remaining gas moves into the small intestine, where it is partially absorbed. 
A small amount travels into the large intestine for release through the rectum. 
The stomach also releases carbon dioxide when stomach acid and bicarbonate mix, but most of this gas is absorbed into the bloodstream and does not enter the large intestine.


Breakdown of Undigested Foods :

The body does not digest and absorb some carbohydrates (the sugar, starches, and fiber found in many foods) in the small intestine because of a shortage or absence of certain enzymes.
This undigested food then passes from the small intestine into the large intestine, where normal, harmless bacteria break down the food, producing hydrogen, carbon dioxide, and, in about one-third of all people, methane. Eventually these gases exit through the rectum.
People who make methane do not necessarily pass more gas or have unique symptoms. 
A person who produces methane will have stools that consistently float in water. Research has not shown why some people produce methane and others do not.
Foods that produce gas in one person may not cause gas in another. 
Some common bacteria in the large intestine can destroy the hydrogen that other bacteria produce. 
The balance of the two types of bacteria may explain why some people have more gas than others. 

Symptoms :

The most common symptoms of gas are flatulence, abdominal bloating, abdominal pain, and belching. 
However, not everyone experiences these symptoms. 
The determining factors probably are how much gas the body produces, how many fatty acids the body absorbs, and a person's sensitivity to gas in the large intestine.

Flatulence :

Another common complaint is passage of too much gas through the rectum (flatulence). 
However, most people do not realize that passing gas 14 to 23 times a day is normal. 
Too much gas may be the result of carbohydrate malabsorption.


Abdominal bloating :

Many people believe that too much gas causes abdominal bloating. 
However, people who complain of bloating from gas often have normal amounts and distribution of gas. They actually may be unusually aware of gas in the digestive tract.
Bloating is usually the result of an intestinal disorder, such as irritable bowel syndrome (IBS). The cause of IBS is unknown, but may involve abnormal movements and contractions of intestinal muscles and increased pain sensitivity in the intestine. These disorders may give a sensation of bloating because of increased sensitivity to gas.
Any disease that causes intestinal inflammation or obstruction, such as Crohn's disease or colon cancer, may also cause abdominal bloating. 
In addition, people who have had many operations, adhesions (scar tissue), or internal hernias may experience bloating or pain. Finally, eating a lot of fatty food can delay stomach emptying and cause bloating and discomfort, but not necessarily too much gas.


Abdominal Pain and Discomfort :

Some people have pain when gas is present in the intestine. 
When pain is on the left side of the colon, it can be confused with heart disease. 
When the pain is on the right side of the colon, it may mimic gallstones or appendicitis.

Belching :

An occasional belch during or after meals is normal and releases gas when the stomach is full of food. 
However, people who belch frequently may be swallowing too much air and releasing it before the air enters the stomach.

Sometimes a person with chronic belching may have an upper GI disorder, such as peptic ulcer disease, gastroesophageal reflux disease (GERD), or gastroparesis.
Occasionally, some people believe that swallowing air and releasing it will relieve the discomfort of these disorders, and this person may intentionally or unintentionally develop a habit of belching to relieve discomfort.
Gas-bloat syndrome may occur after fundoplication surgery to correct GERD. The surgery creates a one-way valve between the esophagus and stomach that allows food and gas to enter the stomach but often prevents normal belching and the ability to vomit. It occurs in about 10 percent of people who have this surgery but may improve with time.

Ayurvedic view :

Adhmaan :

In Ayurveda gas trouble or gas related problems are known as ADHMAAN. 
Adhmaan is caused in body by increased or disturbed vat dosha. . 
In vata dosha the fifth type of vayu (apaan vayu) is affected. 

The blockage of apaan vayu creates heaviness in lower abdomen and patient gets relief after air is passed through rectum. In this disease patient complains on heaviness in abdomen especially in lower abdomen, pain and abdominal distension.

Treatment :
In Ayurveda there is a three-fold treatment method for the problem of Aadhmaan. 
The three principles involved are:

1. Deepana
2. Paachana 
3. Vatanulomana

Nature Cure of Gastric Trouble :

01. Pound dried ginger, ajwain and black salt and make a mixture taking equal parts of each. Take 1 gm twice with warm water after meals.

02. Take 2-3 cloves of garlic with warm water first thing in the morning.

03. Sprinkle a few drops of fresh lemon juice on a piece of ginger and black salt. Take it with meals for a few days.

04. Hot fomentation of stomach is recommended.

05. Pound 1 to 2 gm of hing and mix in warm water, take approx 20 ml twice a day.

06. Cardamom (Elaichi) is a highly useful home remedy. 5 gm of its powder can be taken with water. 
Take 5 gm each of fried asafoetida commonly known as hing (by frying in ghee, hing becomes pure), black salt (commonly known as Kalanamak) cardamom (Elaichi) and dry ginger known as sonth. Make fine powder, mix well and store in a clean bottle. ½ teaspoon of this powder can be given along with some lukewarm water 2 to 3 times a day which instantly gives relief from gas.

07. Mixture of 2 gm of ajmoda (celery seeds) and 1 gram saunph (anisi seeds) and sugar (as required) is given in doses of ½ to 1 teaspoon with lukewarm water. This also gives prompt relief from gas problems.

Classical Preparations :

01. Hingvastaka Choorna
02. Hingutriguna Taila
03. Kumari Asava 
04. Sukumara Rasayan
05. Parooshakaadhi Lehya
06. Indukantham Kashayam
07. Sukumaram Kashayam
08. Gandharva hasthaadhi Kashaayam
09. Thippali Kashaayam
10. Abhayarishtam
11. Pippalyaasavam
12. Ayamodha Dravakam
13. Rasonadhi Kashaayam
14. Lashoona erandaadhi Kashaayam
Do's & Don'ts :
1. Avoid smoking and pan eating/chewing.
2. Cut down drastically on your daily number of cold drinks and cups of tea.
3. Cut off intake of milk and sweets, if these increase gas.
4. Eat less than appetite demands.
5. Eat slowly, fully concentrating on the food, do not indulge in thinking while eating - this prevents swallowing of air.
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  1. Wish I found this a few days ago.. would have helped me so much when I was still learning! Great resource :)

  2. if a person released gas 30 times a day with much sound and sometime irritating smell does he survived gastric carcinoma or some thing other and how to confirm that particular problems which test is good for verification does he survive or not
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