Ignore these intrusive thoughts. What ignore means is dont repeat. Whatever the circumstance may be, to avoid developing waswasah, dont repeat. This is your fiqhi duty.
Such medical condition has different degrees. If gas keeps on passing continuously with out holding period. In this case, you perform Wudhu for every Salah and pray even if gas passes during prayer.
if gas stops for a while enough to pray the obligatory Salah, then perform Wudhu and Salah during that gap even if you leave recommended acts of Salah just to keep your obligatory Salah with Wudhu.
Indeed, you must be concerned, and if not stopped, it will consume her, and make her life miserable, and everyone around her as well.
She must only follow her shar'i takleef. Nothing more, nothing less. Her duty is to constantly dismiss her doubts, and consider whatever she does as correct, even if other thoughts enter her mind, and even if she continues to think she did it wrong. She ignores it.
Once she does this for a while, it will, in shaa Allah, break the cycle of her intrusive thoughts.
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