Answer:
Usually we take three major types of food (carbohydrates, fats and proteins). During digestion, digestive enzymes break the chemical bonds of these complex food and little amount of gas is produced.

Among food items, carbohydrates are the most effective gas producers. About 50 percent people do not completely break down carbohydrates and intestinal bacteria act on them to produce gas. This is the mechanism of production of gas.

Before going to describe the management of your problem, I need to know your age, body weight, blood pressure and blood sugar level. But you did not mention these things.

There may be two possible causes which are either cardiac or gastrointestinal problem. In order to differentiate this and for appropriate diagnosis, you need to perform some laboratory investigations like ECG, ultrasonography, endoscopy of gastrointestinal tract.

Evaluating the reports of the investigations, physician will give you a proper treatment guideline.

You can continue the drugs you are taking now for 4 to 8 weeks. If you have sleep disturbances, you may take anxiolytic drug (tablet Bromazepam) for the same duration as well.

It is strongly recommended that you consult with a physician before start any medication.

There are also some ways to reduce gas formation. Eat slowly and thoroughly chew the food, sip rather than gulp liquids, minimise fizzy beverages, avoid milk and dairy products, rich food, chewing gum. Using ginger may also help you in this regards.

Send health related queries to Your Doctor, Star Health, The Daily Star, 19, Karwan Bazar, Dhaka 1215 or e-mail your problem to [email protected]