Thanks for posting your query at DoctorSpring.com
I am Dr.R.K and I am pleased to assist you.
You have two issues - GERD and increased flatulence.
GERD symptoms can be controlled with medications like prilosec and dietary modifications. Take prilosec once a day before breakfast for 4-8 weeks. Avoid coffee, citrus, chocolates, fatty food, tomatoes tec. Eat multiple smaller meals and go to bed at least 2-3 hours after food.
Increased flatulence is due to increased intestinal gas. This in turn can occur if you have gut infection or due to certain food items. Get a stool test to rule out gut infection. You can take a course of Rifaximin to treat gut infection. You can take probiotics/yogurt regularly.
Since milk makes you very gassy, you can consider avoiding it or alternatively take Beano to control gas due to drinking milk.
Avoid gas forming food items like cabbage, beans, cauliflower, broccoli etc.
Simethicone also helps to reduce flatulence.
I hope that answers your query.
Let me know if you have any more questions.
Patient replied :
HI, Dr. I am wondering what is causing this anal gas seepage?
I think it is because you have an intenstinal infection as mentioned in my previous reply.
Once you take Rifaximin, it will settle down.