Does Simethicone Work?

  1. 0
    I am a new grad nurse and a few of my patients have gotten simethicone for gas pain, both in my 5 months as a nurse as well as when I was a student. The other day my patient had excruciating gas pain, and had just had a BM an hour before so he wasn't constipated. I asked the doctor what she thought about giving him simethicone. She told me no because research shows that simethicone does not work. I tried to find the research supporting this but couldn't find it. Has anyone else heard this recently? What else could be done to relieve his gas pain? This patient is a chronic care patient and immobile so ambulating is not an option and he eats solely via gtube feeds so I can't encourage a different diet.
  2. 18,013 Visits
    Find Similar Topics
  3. 14 Comments so far...

  4. 2
    Works for most of my patients. We had someone who had un-diagnosed abdominal pain. They admitted her to my floor because they were afraid her AAA was dissecting. Turned out that simethicone helped relieve the pain, and they eventually diagnosed her with celiac disease. I'm not sure why your provider wouldn't just write the order. Even if it has "placebo" effect, how will it hurt the patient?
    xtxrn and tyvin like this.
  5. 2
    some say it works some say it doesn't......the MD's personal opinion is what this is about........ask again and ask her what will it hurt??
    xtxrn and tyvin like this.
  6. 3
    Vent the g-tube. Works way better than mylicon.
    Ashley, PICU RN, nurse15dc, and tyvin like this.
  7. 1
    It definitely works for me ... the docs opinion is just that; an opinion. Ask the patient if it helps and you'll have your answer. To the docs credit there are studies that have been done that show the placebo was just as effective as the simethicone...it still works for me though and I know it's not in my head.
    xtxrn likes this.
  8. 2
    Just like any other RX, different patients respond differently.
    whereslilly and maelstrom143 like this.
  9. 2
    I do know that beano works and it comes in drops .
    FancypantsRN and sparklie.lady like this.
  10. 5
    I buy the stuff in pallets.

    Works very well.... maybe there are some impervious types of gas that it doesn't work on....but for pre-syncopal intensity gas, I won't let my supply run out.

    Dog likes it, too Chews up the Extra Strength Cherry Creme like candy- and makes sleeping with her butt near my face less than a cruel torture.
  11. 0
    Quote from wooh
    Vent the g-tube. Works way better than mylicon.
    Exactly! To vent the G-tube, get a 60 cc syringe and pull the plunger out entirely. Then attach the syringe to the g-tube, open the clamp and raise the syringe and tube straight in the air. This allows the air to rise up and bubble out of the stomach. You can also gently decompress the stomach while doing this.

    Another way to do it is simply empty the stomach using a syringe. Pull out whatever contents are in the stomach and keep pulling until you get resistance. Then put the stomach contents back in.

    You can also help with the gas by making sure that as a little air as possible enters the tube during feedings and med administration.
  12. 0
    Quote from Ashley, PICU RN
    Exactly! To vent the G-tube, get a 60 cc syringe and pull the plunger out entirely. Then attach the syringe to the g-tube, open the clamp and raise the syringe and tube straight in the air. This allows the air to rise up and bubble out of the stomach. You can also gently decompress the stomach while doing this.

    Another way to do it is simply empty the stomach using a syringe. Pull out whatever contents are in the stomach and keep pulling until you get resistance. Then put the stomach contents back in.

    You can also help with the gas by making sure that as a little air as possible enters the tube during feedings and med administration.
    To "rack" an adult, would an IV pole be enough to suspend the syringe from?


Top