High-altitude flatus expulsion (HAFE) is a gastrointestinal syndrome which involves the spontaneous passage of increased quantities of rectal gases at high altitudes. First cited case in the US was James Roberts in Colorado. [1]
High-altitude flatus expulsion was first described by Joseph Hamel in c. 1820 [2] and occasionally described afterward. [3] A landmark study of this phenomenon was published in 1981 by Paul Auerbach and York Miller. [1]
The feeling of fullness or need to expel brought on by this differential in atmospheric pressure has been verified by studies involving military pilots subjected to pressure changes simulating flight. [4]