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To the Editor:—
In his article "What Causes Flatulence?" (The Journal, September 5), Alvarez describes several disorders and diseases that are often accompanied by flatulence. He says that a failing heart, insanity, anxiety or pain, cholecystitis, colds, the eating of certain foods, plus a few more disorders, may cause flatulence. One is also led to conclude that the mechanism responsible for the flatulence in each of these disorders would be different for each disorder.During the past four and one-half years I have treated patients with peptic ulcer, pseudoulcer, angina pectoris, pseudoangina, hypertension, recurrent abdominal pain and anxiety states with a diet in which all carbohydrate rich foods are eliminated. Carbohydrate present in 5 and 10 per cent fruits and vegetables was permitted. After a few days, and sometimes after the first meal on such a diet, the flatulence would disappear completely. The patients would be free from flatulence as
Sandler BP. CARBOHYDRATES IN DIET AND FLATULENCE. JAMA. 1942;120(4):309. doi:10.1001/jama.1942.02830390059023
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