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Flatulence

MedGen UID:
5208
Concept ID:
C0016204
Sign or Symptom
Synonym: Flatus
SNOMED CT: Full of wind (162076009); Wind symptom (308698004); Flatus, function (40015002); Flatulence (249504006); Passing flatus (249504006); Wind - flatus (249504006); Flatus (249504006); Flatulence symptom (308698004); Flatus (40015002); Intestinal gas excretion (40015002); Passage of gas by anus (40015002)
 
HPO: HP:0033589

Definition

Passage of excessive amounts of gas and the feeling of abdominal fullness and bloating. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFlatulence

Conditions with this feature

Nonpersistence of intestinal lactase
MedGen UID:
75659
Concept ID:
C0268181
Disease or Syndrome
In humans, the activities of lactase and most of the other digestive hydrolases are maximal at birth. The majority of the world's human population experiences a decline in production of the digestive enzyme lactase-phlorizin hydrolase during maturation, with the age of onset ranging from the toddler years to young adulthood. Due to the reduced lactase level, lactose present in dairy products cannot be digested in the small intestine and instead is fermented by bacteria in the distal ileum and colon. The fermentative products result in symptoms of diarrhea, gas bloat, flatulence, and abdominal pain. However, in a minority of adults, high levels of lactase activity persist in adulthood. Lactase persistence is a heritable autosomal dominant condition that results in a sustained ability to digest the milk sugar lactose throughout adulthood (Olds and Sibley, 2003).

Professional guidelines

PubMed

Catanzaro R, Sciuto M, Marotta F
Nutr Res 2021 May;89:23-34. Epub 2021 Mar 21 doi: 10.1016/j.nutres.2021.02.003. PMID: 33887513
Di Rienzo T, D'Angelo G, D'Aversa F, Campanale MC, Cesario V, Montalto M, Gasbarrini A, Ojetti V
Eur Rev Med Pharmacol Sci 2013;17 Suppl 2:18-25. PMID: 24443063
Rubio-Tapia A, Hill ID, Kelly CP, Calderwood AH, Murray JA; American College of Gastroenterology
Am J Gastroenterol 2013 May;108(5):656-76; quiz 677. Epub 2013 Apr 23 doi: 10.1038/ajg.2013.79. PMID: 23609613Free PMC Article

Recent clinical studies

Etiology

Wu J, Masuy I, Biesiekierski JR, Fitzke HE, Parikh C, Schofield L, Shaikh H, Bhagwanani A, Aziz Q, Taylor SA, Tack J, Van Oudenhove L
Aliment Pharmacol Ther 2022 Mar;55(6):670-682. Epub 2022 Feb 15 doi: 10.1111/apt.16812. PMID: 35166384
Bushyhead D, Quigley EM
Gastroenterol Clin North Am 2021 Jun;50(2):463-474. Epub 2021 Apr 23 doi: 10.1016/j.gtc.2021.02.008. PMID: 34024452
Skrzydło-Radomańska B, Prozorow-Król B, Cichoż-Lach H, Majsiak E, Bierła JB, Kosikowski W, Szczerbiński M, Gantzel J, Cukrowska B
Nutrients 2020 Jul 5;12(7) doi: 10.3390/nu12071999. PMID: 32635661Free PMC Article
Leis R, de Castro MJ, de Lamas C, Picáns R, Couce ML
Nutrients 2020 May 20;12(5) doi: 10.3390/nu12051487. PMID: 32443748Free PMC Article
Didari T, Mozaffari S, Nikfar S, Abdollahi M
World J Gastroenterol 2015 Mar 14;21(10):3072-84. doi: 10.3748/wjg.v21.i10.3072. PMID: 25780308Free PMC Article

Diagnosis

Bushyhead D, Quigley EM
Gastroenterol Clin North Am 2021 Jun;50(2):463-474. Epub 2021 Apr 23 doi: 10.1016/j.gtc.2021.02.008. PMID: 34024452
Catanzaro R, Sciuto M, Marotta F
Nutr Res 2021 May;89:23-34. Epub 2021 Mar 21 doi: 10.1016/j.nutres.2021.02.003. PMID: 33887513
Roszkowska A, Pawlicka M, Mroczek A, Bałabuszek K, Nieradko-Iwanicka B
Medicina (Kaunas) 2019 May 28;55(6) doi: 10.3390/medicina55060222. PMID: 31142014Free PMC Article
Di Costanzo M, Berni Canani R
Ann Nutr Metab 2018;73 Suppl 4:30-37. Epub 2019 Feb 19 doi: 10.1159/000493669. PMID: 30783042
Vandenplas Y
Asia Pac J Clin Nutr 2015;24 Suppl 1:S9-13. doi: 10.6133/apjcn.2015.24.s1.02. PMID: 26715083

Therapy

Zhao Y, Dong BR, Hao Q
Cochrane Database Syst Rev 2022 Aug 24;8(8):CD006895. doi: 10.1002/14651858.CD006895.pub4. PMID: 36001877Free PMC Article
Goldenberg JZ, Yap C, Lytvyn L, Lo CK, Beardsley J, Mertz D, Johnston BC
Cochrane Database Syst Rev 2017 Dec 19;12(12):CD006095. doi: 10.1002/14651858.CD006095.pub4. PMID: 29257353Free PMC Article
Staudacher HM, Whelan K
Gut 2017 Aug;66(8):1517-1527. Epub 2017 Jun 7 doi: 10.1136/gutjnl-2017-313750. PMID: 28592442
Rubio-Tapia A, Hill ID, Kelly CP, Calderwood AH, Murray JA; American College of Gastroenterology
Am J Gastroenterol 2013 May;108(5):656-76; quiz 677. Epub 2013 Apr 23 doi: 10.1038/ajg.2013.79. PMID: 23609613Free PMC Article
Eswaran S, Muir J, Chey WD
Am J Gastroenterol 2013 May;108(5):718-27. Epub 2013 Apr 2 doi: 10.1038/ajg.2013.63. PMID: 23545709

Prognosis

Lai H, Li Y, He Y, Chen F, Mi B, Li J, Xie J, Ma G, Yang J, Xu K, Liao X, Yin Y, Liang J, Kong L, Wang X, Li Z, Shen Y, Dang S, Zhang L, Wu Q, Zeng L, Shi L, Zhang X, Tian T, Liu X
Gut Microbes 2023 Jan-Dec;15(1):2197837. doi: 10.1080/19490976.2023.2197837. PMID: 37078654Free PMC Article
Goltstein LCMJ, Grooteman KV, Rocco A, Holleran G, Frago S, Salgueiro PS, Aparicio T, Scaglione G, Chetcuti Zammit S, Prados-Manzano R, Benamouzig R, Nardone G, McNamara D, Benallaoua M, Michopoulos S, Sidhu R, Kievit W, Drenth JPH, van Geenen EJM
Lancet Gastroenterol Hepatol 2021 Nov;6(11):922-932. Epub 2021 Sep 9 doi: 10.1016/S2468-1253(21)00262-4. PMID: 34508668
Goldenberg JZ, Yap C, Lytvyn L, Lo CK, Beardsley J, Mertz D, Johnston BC
Cochrane Database Syst Rev 2017 Dec 19;12(12):CD006095. doi: 10.1002/14651858.CD006095.pub4. PMID: 29257353Free PMC Article
Di Rienzo T, D'Angelo G, D'Aversa F, Campanale MC, Cesario V, Montalto M, Gasbarrini A, Ojetti V
Eur Rev Med Pharmacol Sci 2013;17 Suppl 2:18-25. PMID: 24443063
Drugs R D 2006;7(6):374-8. doi: 10.2165/00126839-200607060-00006. PMID: 17073520

Clinical prediction guides

Lai H, Li Y, He Y, Chen F, Mi B, Li J, Xie J, Ma G, Yang J, Xu K, Liao X, Yin Y, Liang J, Kong L, Wang X, Li Z, Shen Y, Dang S, Zhang L, Wu Q, Zeng L, Shi L, Zhang X, Tian T, Liu X
Gut Microbes 2023 Jan-Dec;15(1):2197837. doi: 10.1080/19490976.2023.2197837. PMID: 37078654Free PMC Article
Shang X, E FF, Guo KL, Li YF, Zhao HL, Wang Y, Chen N, Nian T, Yang CQ, Yang KH, Li XX
Nutrients 2022 Jun 15;14(12) doi: 10.3390/nu14122482. PMID: 35745212Free PMC Article
Shep D, Khanwelkar C, Gade P, Karad S
Trials 2019 Apr 11;20(1):214. doi: 10.1186/s13063-019-3327-2. PMID: 30975196Free PMC Article
Didari T, Mozaffari S, Nikfar S, Abdollahi M
World J Gastroenterol 2015 Mar 14;21(10):3072-84. doi: 10.3748/wjg.v21.i10.3072. PMID: 25780308Free PMC Article
Di Rienzo T, D'Angelo G, D'Aversa F, Campanale MC, Cesario V, Montalto M, Gasbarrini A, Ojetti V
Eur Rev Med Pharmacol Sci 2013;17 Suppl 2:18-25. PMID: 24443063

Recent systematic reviews

Zhao Y, Dong BR, Hao Q
Cochrane Database Syst Rev 2022 Aug 24;8(8):CD006895. doi: 10.1002/14651858.CD006895.pub4. PMID: 36001877Free PMC Article
Leis R, de Castro MJ, de Lamas C, Picáns R, Couce ML
Nutrients 2020 May 20;12(5) doi: 10.3390/nu12051487. PMID: 32443748Free PMC Article
Guo Q, Goldenberg JZ, Humphrey C, El Dib R, Johnston BC
Cochrane Database Syst Rev 2019 Apr 30;4(4):CD004827. doi: 10.1002/14651858.CD004827.pub5. PMID: 31039287Free PMC Article
Goldenberg JZ, Yap C, Lytvyn L, Lo CK, Beardsley J, Mertz D, Johnston BC
Cochrane Database Syst Rev 2017 Dec 19;12(12):CD006095. doi: 10.1002/14651858.CD006095.pub4. PMID: 29257353Free PMC Article
Ford AC, Quigley EM, Lacy BE, Lembo AJ, Saito YA, Schiller LR, Soffer EE, Spiegel BM, Moayyedi P
Am J Gastroenterol 2014 Oct;109(10):1547-61; quiz 1546, 1562. Epub 2014 Jul 29 doi: 10.1038/ajg.2014.202. PMID: 25070051

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