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.

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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):
  • Food Allergies
  • Small Intestine Cancer
  • Gastroenteritis
  • Irritable Bowel Syndrome
  • Atrophic Gastritis
  • Mesenteric Ischemia
  • Gallbladder Disease
  • Lactose Intolerance

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:
bloating caused by many foods
moderate right hypochondriac pain
dark areas under eyes
dull epigastric pain after meals
significant hypogastric pain
constant bowel movement changes
meal-induced pain for 1-4 weeks
major left iliac pain after meals
meal-induced pain for under a week
very frequent stools
regular episodes of diarrhea
frequent meal-related burping
... and more than 120 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
Small Intestine Cancer 94% Confirm
Mesenteric Ischemia 27% Unlikely
Gallbladder Disease 17% Unlikely
Food Allergies 5% Ruled out
Gastroenteritis 1% Ruled out
Lactose Intolerance 1% Ruled out
Atrophic Gastritis 1% Ruled out
Irritable Bowel Syndrome 1% 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.

In the Gastrointestinal Symptoms section of the questionnaire, The Analyst™ will ask the following question about flatulence:
Do you suffer from excess lower bowel gas (flatulence)? The average adult passes gas ("farts") 8 to 20 times a day, but this depends on various factors. Try to compare yourself to others with similar diet and eating habits.
Possible responses:
→ No / average / only after overeating / don't know
→ Yes, but it is probably due to my diet
→ Somewhat more than most people
→ Very much more than most people
Based on your response to this question, which may indicate flatulence, excessive flatulence or severe flatulence, The Analyst™ will consider possibilities such as:
Gallbladder Disease

Persistent and severe flatulence may be a symptom of gallbladder problems.

IBS (Irritable Bowel Syndrome)

The altered digestion found in IBS will usually lead to higher gas production.  If intestinal transit is too quick, food is only partially digested.  Natural bacteria residing in the gut will cause fermentation of this food, producing gas.  Fast-moving bowel contents may also lead to pockets of trapped gas, worsening the problem.  Some studies suggest that the populations of gut bacteria in IBS patients differ from the normal, with more 'bad' than 'good' bacteria, which can cause excess flatulence.

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]


Gas can be caused by stress and the nervous habit of frequent swallowing.

Concerned or curious about your health?  Try The Analyst™
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