The topic at hand is about managing sudden excessive gas and pouch blow-outs after a total proctocolectomy. A person who has been living with this condition since 2007 has recently experienced a significant increase in intestinal gas, leading to occasional issues with their pouch. Despite no changes in diet, activity, or medication, they are seeking practical ways to control the excess gas. Here are some helpful suggestions:

1. Herbal ginger products:
- Drinking hot herbal ginger tea or eating ginger snaps can help reduce gas for some individuals.

2. Over-the-counter anti-gas medications:
- Gas-X (simethicone) chewable tablets, or any generic equivalent, can provide quick relief when taken at the first sign of gas.
- Chewable tablets tend to work faster than capsules or soft-gels.

3. Enzyme supplements before meals:
- Taking BEANO (alpha-galactosidase enzyme) with the first bite of a meal can help prevent gas, especially if the meal contains fermentable carbohydrates.

4. Everyday behaviors that may increase swallowed air (and therefore gas):
- Try to limit excessive talking while eating, drinking through straws, and chewing gum, as these can contribute to gas build-up.