Digestive discomforts such as intestinal gas are universal problems that affect people all over the world. For Brazilians living in or passing through the United States, finding relief from these symptoms can be a different experience than what they are used to in Brazil. The available options, brand names, and even active ingredients vary significantly between the two countries.
Understanding Intestinal Gas and Its Impacts
Gas is a natural part of the digestive process. According to Harvard Medical School, it’s normal for a person to pass gas at least 14 times a day. However, when excessive gas production causes pain, abdominal bloating, and social embarrassment, it’s time to seek relief.
Gas formation occurs mainly when bacteria in the intestine ferment incompletely digested food. This can happen for a number of reasons: intolerance to certain foods, eating habits, consumption of carbonated drinks, or even swallowing air during meals.
Main Differences Between Medications in Brazil and the USA
One of the first surprises for Brazilians in the US is to discover that some popular medicines are not available in Brazil or are known by completely different names. In addition, there are important differences in the regulation of these products:
Common Medications in Brazil That Require Attention in the US
Before using any gas medication you brought from Brazil, it is important to know that some active ingredients popular there face restrictions in the US. For example, bromopride (Digesan) is not approved by the FDA (Food and Drug Administration), the American regulatory body equivalent to ANVISA.
Other common medications in Brazil, such as dipyrone, present in some formulations for abdominal pain, have been banned in the US since the 1970s due to the risk of agranulocytosis, a rare but serious condition that affects the production of white blood cells.
Best Gas Remedy Options in the US
Americans have their own solutions for the discomfort caused by intestinal gas. Here are the most popular and effective options available in American pharmacies:
Simethicone: The Most Popular American Anti-Gasps
Simethicone (found in brands such as Gas-X, Phazyme, and Mylanta Gas) is the most commonly recommended active ingredient by American doctors and pharmacists for gas relief. This medication works by breaking up gas bubbles in the digestive system, making it easier to eliminate and relieving symptoms such as bloating and abdominal discomfort.
Typical adult dosages range from 60mg to 125mg, and can be taken up to four times a day after meals and before bed. There is also an Ultra Strength version, with 180mg, and a Maximum Strength version, with 250mg per dose.
Simethicone is considered safe, including for pregnant and breastfeeding women (under medical supervision), and has few side effects, being generally well tolerated by most people.
Alpha-Galactosidase: For Gas Caused by Certain Foods
Sold under brand names such as Beano and BeanAssist, alpha-galactosidase is an enzyme that aids in the digestion of complex carbohydrates found in beans, vegetables, whole grains and sugars. This option is ideal for preventing the formation of gas after consuming these foods, as it limits the fermentation that would result in flatulence.
The enzyme should be taken just before meals for it to work most effectively. It is important to note that alpha-galactosidase can interact with other medications, including simethicone itself, so consult a doctor before combining it with other medications.
Activated Charcoal: An Absorbent Option
Activated charcoal (found in products such as CharcoCaps or Actidose-Aqua) works by absorbing gases in the digestive system through its pores. This product is widely available in American pharmacies.
The recommended dosage generally varies between 10 and 100 mg dissolved in water. An important point: activated charcoal can also absorb nutrients and medications, so it should be taken separately (at least two hours before or after) other medications.
Lactase Supplements: For Lactose Intolerance
For those who have difficulty digesting dairy products, lactase supplements (such as Lactaid or Digest Dairy Plus) are excellent options for preventing gas and abdominal discomfort. They provide the enzyme that is naturally lacking in people with lactose intolerance.
These capsules should be taken immediately before consuming dairy products to aid in the digestion of milk sugar (lactose).
Bismuth Subsalicylate: A Multifunctional Option
Bismuth subsalicylate, known by the brand name Pepto-Bismol, is widely used in the United States to treat both gas and diarrhea. The medication reduces inflammation and helps control digestive problems, including gas formation.
Natural Solutions Available at American Pharmacies
In addition to conventional medications, American pharmacies offer several natural options for relieving gas:
Probiotics
Available in capsule, liquid or fermented food form, probiotics help regulate intestinal flora, potentially reducing gas production. Products containing Bifidobacterium lactis or Bifidobacterium longum are particularly beneficial for this purpose.
Teas and Herbal Supplements
Many American pharmacies sell standardized extracts or teas of herbs traditionally used to relieve gas, such as:
- Fennel: helps relax the intestinal muscles and promotes the elimination of gases
- Ginger: improves digestion and reduces muscle spasms
- Peppermint: reduces bowel movements and relieves digestive discomfort
When to Seek Medical Attention
Although intestinal gas is usually harmless, some symptoms warrant medical attention. See a doctor if you experience:
- Severe or persistent abdominal pain
- Change in bowel habits (prolonged constipation or diarrhea)
- blood in the stool
- unexplained weight loss
- Excessive gas that does not respond to home or over-the-counter treatments
Tips for Preventing Gas in the USA
Changing eating habits when moving to the United States can contribute to digestive problems. Some strategies for minimizing gas production include:
- Gradually adapting to the new American diet
- Avoid foods known to cause gas (beans, broccoli, onions, high-fat foods)
- Limit consumption of carbonated beverages, which are common in the American lifestyle
- Eat slowly and chew your food well
- Practice physical activity regularly
- Stay well hydrated
Conclusion
Dealing with digestive discomfort in a new country can be challenging for Brazilians living in the US. Knowing the available options and understanding the differences between medications in both countries is essential to finding adequate relief. Always remember to read labels carefully and, if in doubt, consult a pharmacist or doctor for specific guidance on the best option for your case.
If symptoms persist or worsen, seek medical advice, as excessive gas may be a symptom of underlying conditions that require specific treatment.
