Flatulence

What Causes Flatulence?

Flatulence can have various causes, ranging in severity from 'minor' to 'generally fatal'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose flatulence, we could:
  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "flatulence" as a symptom.  Here are eight of many possibilities (more below):
  • Lactose Intolerance
  • Ovarian Cancer
  • Stomach Acid Deficiency
  • Low Digestive Enzymes
  • Poor Digestion
  • Bacterial Dysbiosis
  • Food Allergies
  • Candida / Yeast

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
bags under eyes
PPI antacid use
craving specific foods
cigarette smoke sensitivity
above average sneezing frequency
past pain/burning behind breastbone
coated tongue
frequent colds/flus
difficulty falling asleep
craving and eating wheat
bloating caused by many foods
discomfort caused by mold/mustiness
... and more than 100 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of flatulence:
Cause Probability Status
Bacterial Dysbiosis 93% Confirm
Ovarian Cancer 14% Unlikely
Food Allergies 12% Unlikely
Lactose Intolerance 5% Ruled out
Low Digestive Enzymes 4% Ruled out
Candida / Yeast 0% Ruled out
Poor Digestion 0% Ruled out
Stomach Acid Deficiency 0% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

If you indicate digestive problems, The Analyst™ will ask further questions including this one:
Do you suffer from excess lower bowel gas (flatulence)?
Possible responses:
→ No / 'average' / don't know
→ Somewhat more than most people
→ Very much more than most people
Based on your response to this question, which may indicate general flatulence, The Analyst™ will consider possibilities such as:
Lactose Intolerance
"Lactose malabsorption and lactase deficiency are chronic organic pathologic conditions characterized by abdominal pain and distention, flatulence, and the passage of loose, watery stools.  Once correct diagnosis is established, introduction of a lactose-free dietary regime relieves symptoms in most patients...  who remain largely unaware of the relationship between food intake and symptoms." [Journal of Clinical Gastroenterology, 1999 Apr, 28:3]

Related Questions

Gastro-Intestinal Symptoms