Evaluation of an extremely flatulent patient: Case report and proposed diagnostic and therapeutic approach

  title={Evaluation of an extremely flatulent patient: Case report and proposed diagnostic and therapeutic approach},
  author={Michael D. Levitt and Julie K. Furne and M. R. Aeolus and Fabrizis L. Suarez},
  journal={American Journal of Gastroenterology},
We recently encountered a patient with severe flatulence who previously had been subjected to innumerable diagnostic tests and ineffective therapies based on the belief that his rectal gas was produced in the colon. Analysis of three flatus samples demonstrated that nitrogen (N2) was the predominant flatus gas whereas the three gases produced in the gut (CO2, H2 [hydrogen], and CH4 [methane]) comprised <16% of rectal gas. This result plus a series of other diagnostic tests clearly indicated… 

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