Food comes up when i burp: Dyspepsia | Michigan Medicine
Dyspepsia | Michigan Medicine
Dyspepsia is a common condition and usually describes a group of symptoms rather than one predominant symptom. These symptoms include:
- Belly pain or discomfort.
- Feeling uncomfortably full after eating.
- Loss of appetite.
- Burping up food or liquid (regurgitation).
Most people will experience some symptoms of dyspepsia within their lifetimes.
Common causes of dyspepsia include:
- Burped-up stomach juices and gas (regurgitation or reflux) caused by gastroesophageal reflux disease (GERD) or a hiatal hernia.
- A disorder that affects movement of food through the intestines, such as irritable bowel syndrome.
- Peptic (stomach) ulcer or duodenal ulcer.
- An inability to digest milk and dairy products (lactose intolerance).
- Gallbladder pain (biliary colic) or inflammation (cholecystitis).
- Anxiety or depression.
- Side effects of caffeine, alcohol, or medicines. Examples of medicines that may cause dyspepsia are aspirin and similar drugs, antibiotics, steroids, digoxin, and theophylline.
- Swallowed air.
- Stomach cancer.
You can make changes to your lifestyle to help relieve your symptoms of dyspepsia. Here are some things to try:
- Change your eating habits.
- It’s best to eat several small meals instead of two or three large meals.
- After you eat, wait 2 to 3 hours before you lie down. Late-night snacks aren’t a good idea.
- Chocolate, mint, and alcohol can make dyspepsia worse. They relax the valve between the esophagus and the stomach.
- Spicy foods, foods that have a lot of acid (like tomatoes and oranges), and coffee can make dyspepsia worse in some people. If your symptoms are worse after you eat a certain food, you may want to stop eating that food to see if your symptoms get better.
- Do not smoke or chew tobacco.
- If you get dyspepsia at night, raise the head of your bed 6 to 8 inches by putting the frame on blocks or placing a foam wedge under the head of your mattress. (Adding extra pillows does not work.)
- Do not wear tight clothing around your middle.
- Lose weight if you need to. Losing just 5 to 10 pounds can help.
Treatment depends on what is causing the problem. If no specific cause is found, treatment focuses on relieving symptoms with medicine.
Current as of:
April 15, 2020
Author: Healthwise Staff
E. Gregory Thompson MD – Internal Medicine
Adam Husney MD – Family Medicine
Current as of: April 15, 2020
4 Things Your Burps Are Trying To Tell You
Belching can be embarrassing, but eructation (the medical term for burping) is rarely a sign of anything serious. “In the vast majority of cases, it’s a benign symptom,” says Paul Berggreen, MD, a gastroenterologist and the founder of Arizona Digestive Health. “Intestinal gas, on the other hand, may be associated with some food intolerances.” In other words, if you have a lot of gas coming out the other end, it could be caused by lactose intolerance, fructose intolerance, or conditions that interfere with carbohydrate absorption, like celiac disease.
Of course, the fact that burping is usually harmless is probably not much consolation if you’ve ever let one slip during an important meeting or a first date. Still, your burps can offer a few clues about your health and your eating habits. Here’s what they want you to know. (Heal your whole body with Rodale’s 12-day liver detox for total body health.)
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“You’re eating too fast.”
“Your sinuses are acting up.”
“You’re drinking a lot of soda.”
Ever noticed how you (or a less well-mannered friend) can really project burps after chugging a can of soda? Carbonated beverages basically deliver air directly to your stomach—and burps that come from the belly, rather than the esophagus, tend to be noisier and smellier. “In general, burps from the esophagus are smaller,” Berggreen says. “Carbonated drinks usually cause gas to come out of the solution in the stomach. Burps that come from the stomach typically have a stronger smell, as the food has been at least partially digested.”
MORE: 8 Things That Happen When You Finally Stop Drinking Diet Soda
“You might have reflux.”
If belching is accompanied by nausea or heartburn—or it feels like you throw up in your mouth a little when you burp—you might actually have gastroesophageal reflux disease (GERD), also known as acid reflux. “People sometimes feel food or fluid coming up into their chest or even into their throat,” Berggreen says. If those symptoms ring true for you, he suggests a few tips for reducing reflux:
- Avoid lying down for 3 hours after eating.
- Go to bed on an empty stomach.
- Eat smaller meals.
- Avoid citrus, caffeine, and spicy or acidic foods.
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Gastroesophageal reflux disease (GERD) | Gastrointestinal Society
Click here to download a PDF of this information.
Gastroesophageal reflux disease occurs when the upper portion of the digestive tract is not functioning properly, causing stomach contents to flow back into the esophagus. The esophagus is a muscular tube linking the mouth to the stomach. In normal digestion, a specialized ring of muscle at the bottom of the esophagus called the lower esophageal sphincter (LES) opens to allow food to pass into the stomach and then quickly closes to prevent backflow into the esophagus. The LES can malfunction, allowing contents from the stomach, including food and digestive juices, such as hydrochloric acid, to push up into the esophagus. In gastroesophageal reflux disease (GERD), this backflow is ongoing.
Symptoms of GERD
Acid reflux is responsible for the majority of the symptoms and/or damage to the esophagus. Approximately 13-29% of Canadians experience recurring GERD symptoms. GERD has a significant negative impact on wellbeing and quality of life.
Heartburn is the most common symptom of GERD. It usually feels like a burning pain in the chest, beginning behind the breastbone and moving toward the neck and throat. It often worsens after eating and while lying down, and can last for a few hours at a time. Pain results from the irritating effects of stomach acid on the inner esophagus wall, which does not have the same natural protection from acid that exists in the stomach lining.
Another common symptom is a sensation of food or liquid coming up into the throat or mouth (regurgitation), especially when bending over or lying down. This can leave a bitter or sour taste in the mouth. While many Canadians experience occasional heartburn or regurgitation, these symptoms are frequent in persons with GERD who are not receiving adequate treatment.
Individuals with GERD can also experience less common symptoms, including persistent sore throat, hoarseness, chronic coughing, difficult or painful swallowing, asthma, unexplained chest pain, bad breath, a feeling of a lump in the throat, and an uncomfortable feeling of fullness after meals.
Acid erosion of tooth enamel, which a dentist will notice, can be a sign of GERD in someone who is not yet experiencing typical symptoms.
In some cases, the acid may travel all the way up the esophagus past the upper esophageal sphincter (UES) and damage the structures in the throat. Known as laryngopharyngeal reflux disease (LPR), this has now become an important diagnosis for physicians to consider in individuals with chronic throat clearing, coughing, and a feeling of a lump in the throat. Sometimes, the acid lingering in the throat is drawn into the lungs, irritating the delicate tissues there and causing symptoms that mimic those common in lung diseases. A person could have LPR without symptoms of heartburn because the larynx is much more sensitive to acid injury than is the esophagus.
Too much stomach acid reflux can result in inflammation of the esophagus (esophagitis), which can lead to esophageal bleeding or ulcers. Chronic scarring may narrow the esophagus and interfere with a person’s ability to swallow, requiring surgery. Rarely, some individuals may develop a condition known as Barrett’s Esophagus that is severe damage to the cells lining the lower area of the esophagus, which increases the risk of developing esophageal cancer. Please talk to your physician if your GERD symptoms change.
In most cases, if your symptoms are primarily heartburn or acid regurgitation, your doctor can accurately diagnose GERD. However, testing may be required to confirm the diagnosis or to determine the degree of esophageal damage from GERD. Testing also rules out other possible causes of your symptoms. These tests may include an upper GI series, an upper GI endoscopy, and 24-hour pH monitoring. Other less frequently performed tests include the Bernstein test and esophageal manometry.
Management of GERD
Dietary and Lifestyle Modifications
Although clinical evidence suggests that dietary and lifestyle modifications are usually not sufficient to bring chronic GERD under control, your physician might suggest a number of dietary and lifestyle changes directed at reducing your symptoms, and adhering to these recommendations might provide some relief. The first goal of treatment is to prevent the reflux of stomach acid into the esophagus. Foods that trigger reflux and its symptoms vary from person to person. By paying close attention to your diet and symptoms, you may be able to identify which foods repeatedly contribute to your reflux. Common trigger foods include alcohol, caffeine, fatty foods, and some spices. Avoiding large portions at mealtime and eating smaller, more frequent meals might aid in symptom control.
Many overweight individuals find symptom relief when they lose some weight, as excess bulk, especially around the abdomen, might put pressure on the digestive tract, negatively affecting its function. Avoid clothes that fit tightly around the waist, as these also increase abdominal stress.
Smoking cessation is also important for reducing GERD symptoms, as studies point to relaxation of the LES with smoking.
People who have GERD should avoid lying down right after eating and refrain from eating within two to three hours of bedtime.
To reduce nighttime symptoms, elevating the head of the bed about six inches may also help, but make sure to do this by propping up the mattress or bed frame, not by using pillows. Using pillows can lead to back or neck pain and compression on the stomach that could actually increase GERD symptoms.
There are two main approaches to treating GERD with medications: neutralizing acid and blocking its production.
For neutralizing acid, over-the-counter medications such as Maalox®, Tums®, and Pepto-Bismol® may subdue symptoms. Another product, Gaviscon®, neutralizes stomach acid and forms a barrier to block acid rising into the esophagus. Some find that these non-prescription antacids provide quick, temporary, or partial relief but they do not prevent heartburn. Consult your physician if you are using antacids for more than three weeks.
Two classes of medication that suppress acid secretion are histamine-2 receptor antagonists (H2RAs) and proton pump inhibitors (PPIs).
- H2RAs work by blocking the effect of histamine, which stimulates certain cells in the stomach to produce acid. These include cimetidine (Tagamet®), ranitidine (Zantac®), famotidine (Pepcid®), and nizatidine (Axid®). H2RAs are all available by prescription and some are accessible in a lower dose non-prescription formulation. Note: Two lots of Axid (nizatidine) were recalled in May 2020 due to presence of NDMA. See Health Canada for more information. In August 2020, one lot of ranitidine was also recalled. See Health Canada for more information.
- PPIs work by blocking an enzyme necessary for acid secretion. They have the best effect when taken on an empty stomach, a half-hour to one hour before the first meal of the day. PPIs include omeprazole (Losec®), lansoprazole (Prevacid®), pantoprazole sodium (Pantoloc®), esomeprazole (Nexium®), rabeprazole (Pariet®), and pantoprazole magnesium (Tecta®). Dual delayed release PPI capsules, in the form of dexlansoprazole (Dexilant®), deliver the medication at two intervals. PPIs have emerged as the most effective therapy for relieving symptoms and improving quality of life, as well as healing and preventing damage to the esophagus, in individuals with GERD. In Canada, PPIs are available only by prescription. Longer-term and multiple daily dose PPI therapy may be associated with an increased risk for osteoporosis-related fractures of the hip, wrist, or spine.
Treatments that reduce reflux by increasing LES pressure and downward esophageal contractions are metoclopramide and domperidone maleate. A plant-based prokinetic agent, Iberogast®, helps regulate digestive motility and improve GERD symptoms.
All of the medications discussed above have specific treatment regimens, which you must follow closely for maximum effect. Usually, a combination of these measures can successfully control the symptoms of acid reflux.
Some other medications and/or supplements may aggravate GERD. Be sure to ask your pharmacist or physician if any products you are currently taking could be affecting your symptoms.
GERD is a chronic condition that can range from mild to severe. Individuals can successfully manage most cases of GERD with lifestyle and dietary changes and medications. Serious complications are rare.
Want to learn more about GERD?
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Why It Happens & How To Make It Stop
A burp or belch can help ease an upset stomach. But if it happens often, it can be a sign of a health problem. If you burp a lot, it’s probably time to find out why.
Why Does It Happen?
When you swallow your food, it goes through a tube called your esophagus and into your stomach. There your body uses acid, bacteria, and chemicals called enzymes to break it down into nutrients it uses for energy.
If you swallow air along with your food or if you drink something like a soda or beer that has bubbles in it, those gases can come back up through your esophagus. That’s a burp.
What Causes It?
Carbonated beverages and swallowing air are the most common reasons people burp. Most of the time, that gas doesn’t make it to your stomach. Instead it stays trapped in your esophagus until it comes back up.
You’re more likely to swallow air and burp if you:
- Chew gum
- Eat too quickly
- Suck on hard candies
- Have dentures that don’t fit right
Foods with a lot of fat or oil in them can cause heartburn. This also can make you burp. So can drinks with caffeine or alcohol.
When Is It a Problem?
Burping as many as four times after a meal is normal. But some illnesses can make you burp a lot more than that:
- Gastroesophageal reflux disease (GERD), sometimes called acid reflux, happens when acid in your stomach flows back into your esophagus and causes heartburn. If you have this only occasionally, you can treat it with over-the-counter medicines. But if you have it a lot, you may need to make changes in your diet or take prescription drugs.
- Indigestion, also called dyspepsia, causes pain or discomfort in your upper belly. It can come with belching, bloating, heartburn, nausea, or vomiting.
- Gastritis happens when the lining of your stomach is irritated.
- Helicobacter pylori is a kind of bacteria that can cause an infection in your stomach and lead to ulcers.
- Irritable bowel syndrome (IBS) can also cause belly cramps, bloating, and diarrhea or constipation.
How Can I Stop Burping?
If you’re concerned about how much you burp, talk with your doctor. They might have some suggestions to help keep it from happening. They also may run tests to look for signs of a health problem.
If no medical issue is causing you to burp, you might try some of these:
- Eat or drink more slowly. You’re less likely to swallow air.
- Don’t eat things like broccoli, cabbage, beans, or dairy products. They can lead to gas in your stomach or intestines and make you burp.
- Stay away from soda and beer.
- Don’t chew gum.
- Stop smoking. Your doctor will give you lots of reasons to do this, but it also can help cut down on how much you burp.
- Take a walk after eating. A bit of exercise can help your digestion.
- Take an antacid.
Belching, gas and bloating: Tips for reducing them
Belching, gas and bloating: Tips for reducing them
Belching, gas and bloating can be embarrassing and uncomfortable. Here’s what causes these signs and symptoms — and how you can minimize them.
By Mayo Clinic Staff
Belching or passing gas (flatus) is natural and common. Excessive belching or flatus, accompanied by bloating, pain or swelling of the abdomen (distention), can occasionally interfere with daily activities or cause embarrassment. But these signs and symptoms usually don’t point to a serious underlying condition and are often reduced with simple lifestyle changes.
When belching, gas or bloating interferes with your daily activities, there may be something wrong. Find out how to reduce or avoid gas and gas pains, and when you may need to see your doctor.
Belching: Getting rid of excess air
Belching is commonly known as burping. It’s your body’s way of expelling excess air from your upper digestive tract. Most belching is caused by swallowing excess air. This air most often never even reaches the stomach but accumulates in the esophagus.
You may swallow excess air if you eat or drink too fast, talk while you eat, chew gum, suck on hard candies, drink carbonated beverages, or smoke. Some people swallow air as a nervous habit even when they’re not eating or drinking.
Acid reflux or gastroesophageal reflux disease (GERD) can sometimes cause excessive belching by promoting increased swallowing.
Chronic belching may also be related to inflammation of the stomach lining or to an infection with Helicobacter pylori, the bacterium responsible for some stomach ulcers. In these cases, the belching is accompanied by other symptoms, such as heartburn or abdominal pain.
You can reduce belching if you:
- Eat and drink slowly. Taking your time can help you swallow less air. Try to make meals relaxed occasions; eating when you’re stressed or on the run increases the air you swallow.
- Avoid carbonated drinks and beer. They release carbon dioxide gas.
- Skip the gum and hard candy. When you chew gum or suck on hard candy, you swallow more often than normal. Part of what you’re swallowing is air.
- Don’t smoke. When you inhale smoke, you also inhale and swallow air.
- Check your dentures. Poorly fitting dentures can cause you to swallow excess air when you eat and drink.
- Get moving. It may help to take a short walk after eating.
- Treat heartburn. For occasional, mild heartburn, over-the-counter antacids or other remedies may be helpful. GERD may require prescription-strength medication or other treatments.
Flatulence: Gas buildup in the intestines
Gas in the small intestine or colon is typically caused by the digestion or fermentation of undigested food by bacteria found in the bowel. Gas can also form when your digestive system doesn’t completely break down certain components in foods, such as gluten, found in most grains, or the sugar in dairy products and fruit.
Other sources of intestinal gas may include:
- Food residue in your colon
- A change in the bacteria in the small intestine
- Poor absorption of carbohydrates, which can upset the balance of helpful bacteria in your digestive system
- Constipation, since the longer food waste remains in your colon, the more time it has to ferment
- A digestive disorder, such as lactose or fructose intolerance or celiac disease
To prevent excess gas, it may help to:
- Eliminate certain foods. Common gas-causing offenders include beans, peas, lentils, cabbage, onions, broccoli, cauliflower, whole-grain foods, mushrooms, certain fruits, and beer and other carbonated drinks. Try removing one food at a time to see if your gas improves.
- Read labels. If dairy products seem to be a problem, you may have some degree of lactose intolerance. Pay attention to what you eat and try low-lactose or lactose-free varieties. Certain indigestible carbohydrates found in sugar-free foods (sorbitol, mannitol and xylitol) also may result in increased gas.
- Eat fewer fatty foods. Fat slows digestion, giving food more time to ferment.
- Temporarily cut back on high-fiber foods. Fiber has many benefits, but many high-fiber foods are also great gas producers. After a break, slowly add fiber back to your diet.
Try an over-the-counter remedy. Some products such as Lactaid or Dairy Ease can help digest lactose. Products containing simethicone (Gas-X, Mylanta Gas, others) haven’t been proved to be helpful, but many people feel that these products work.
Products such as Beano, particularly the liquid form, may decrease the gas produced during the breakdown of certain types of beans.
Bloating: Common but incompletely understood
Bloating is a sensation of having a full stomach. Distension is a visible or measurable increase in abdominal size. People often describe abdominal symptoms as bloating, especially if those symptoms don’t seem to be relieved by belching, passing gas or having a bowel movement.
The exact connection between intestinal gas and bloating is not fully understood. Many people with bloating symptoms don’t have any more gas in the intestine than do other people. Many people, particularly those with irritable bowel syndrome or anxiety, may have a greater sensitivity to abdominal symptoms and intestinal gas, rather than an excess amount.
Nonetheless, bloating may be relieved by the behavioral changes that reduce belching, or the dietary changes that reduce flatus.
When to see your doctor
Excessive belching, passing gas and bloating often resolve on their own or with simple changes. If these are the only symptoms you have, they rarely represent any serious underlying condition.
Consult your doctor if your symptoms don’t improve with simple changes, particularly if you also notice:
- Persistent or severe abdominal pain
- Bloody stools
- Changes in the color or frequency of stools
- Unintended weight loss
- Chest discomfort
- Loss of appetite or feeling full quickly
These signs and symptoms could signal an underlying digestive condition. Intestinal symptoms can be embarrassing — but don’t let embarrassment keep you from seeking help.
Feb. 13, 2020
- Gas in the digestive tract. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/gas-digestive-tract. Accessed Jan. 8, 2020.
- Abraczinskas D. Overview of intestinal gas and bloating. https://www.uptodate.com/contents/search. Accessed Jan. 8, 2020.
- Gas-related complaints. Merck Manual Professional Version. https://www.merckmanuals.com/professional/gastrointestinal-disorders/symptoms-of-gi-disorders/gas-related-complaints?query=gas-related complaints#. Accessed Jan. 8, 2020.
- Feldman M, et al. Intestinal gas. In: Sleisenger and Fordtran’s Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Saunders Elsevier; 2016. https://www.clinicalkey.com. Accessed Jan. 8, 2020.
- Cameron P, et al., eds. Peptic ulcer disease and gastritis. In: Textbook of Adult Emergency Medicine. 5th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Jan. 9, 2020.
- Rowland I, et al. Gut microbiota functions: Metabolism of nutrients and other food components. European Journal of Nutrition. 2018; doi:10.1007/s00394-017-1445-8.
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GERD (Chronic Acid Reflux): Symptoms, Treatment, & Causes
GERD or Acid Reflux
What is GERD (chronic acid reflux)?
GERD (gastroesophageal reflux disease, or chronic acid reflux) is a condition in which acid-containing contents in your stomach persistently leak back up into your esophagus, the tube from your throat to your stomach.
Acid reflux happens because a valve at the end of your esophagus, the lower esophageal sphincter, doesn’t close properly when food arrives at your stomach. Acid backwash then flows back up through your esophagus into your throat and mouth, giving you a sour taste.
Acid reflux happens to nearly everyone at some point in life. Having acid reflux and heartburn now and then is totally normal. But, if you have acid reflux/heartburn more than twice a week over a period of several weeks, constantly take heartburn medications and antacids yet your symptoms keep returning, you may have developed GERD. Your GERD should be treated by your healthcare provider. Not just to relieve your symptoms, but because GERD can lead to more serious problems.
What are the main symptoms of GERD (chronic acid reflux)?
The main symptoms are persistent heartburn and acid regurgitation. Some people have GERD without heartburn. Instead, they experience pain in the chest, hoarseness in the morning or trouble swallowing. You may feel like you have food stuck in your throat, or like you are choking or your throat is tight. GERD can also cause a dry cough and bad breath.
What is heartburn?
Heartburn is a symptom of acid reflux. It’s a painful burning sensation in the middle of your chest caused by irritation to the lining of the esophagus caused by stomach acid.
This burning can come on anytime but is often worse after eating. For many people heartburn worsens when they recline or lie in bed, which makes it hard to get a good night’s sleep.
Fortunately, heartburn can usually be managed with over-the-counter (OTC) heartburn/acid indigestion drugs. Your healthcare provider can also prescribe stronger medicines to help tame your heartburn.
What do I do if I think I have GERD (chronic acid reflux)?
With GERD — when reflux and heartburn happen more than once in a while — the tissue lining your esophagus is getting battered regularly with stomach acid. Eventually the tissue becomes damaged. If you have this chronic acid reflux and heartburn you can see it’s affecting your daily eating and sleeping habits.
When GERD makes your daily life uncomfortable in this way, call your healthcare provider. Although GERD isn’t life-threatening in itself, its chronic inflammation of the esophagus can lead to something more serious. You may need stronger prescription medications or even surgery to ease your symptoms.
How common is GERD (chronic acid reflux)?
GERD is very common. The condition and its symptoms touch a huge number of people: 20% of the U.S. population.
Anyone of any age can develop GERD, but some may be more at risk for it. For example, the chances you’ll have some form of GERD (mild or severe) increase after age 40.
You’re also more likely to have it if you’re:
- Overweight or obese.
- Smoking or are regularly exposed to second-hand smoke.
- Taking certain medications that may cause acid reflux.
Symptoms and Causes
What causes acid reflux?
Acid reflux is caused by weakness or relaxation of the lower esophageal sphincter (valve). Normally this valve closes tightly after food enters your stomach. If it relaxes when it shouldn’t, your stomach contents rise back up into the esophagus.
Stomach acids flow back up into the esophagus, causing reflux.
Factors that can lead to this include:
- Too much pressure on the abdomen. Some pregnant women experience heartburn almost daily because of this increased pressure.
- Particular types of food (for example, dairy, spicy or fried foods) and eating habits.
- Medications that include medicines for asthma, high blood pressure and allergies; as well as painkillers, sedatives and anti-depressants.
- A hiatal hernia. The upper part of the stomach bulges into the diaphragm, getting in the way of normal intake of food.
What are the symptoms of GERD (chronic acid reflux)?
Different people are affected in different ways by GERD. The most common symptoms are:
Infants and children can experience similar symptoms of GERD, as well as:
- Frequent small vomiting episodes.
- Excessive crying, not wanting to eat (in babies and infants).
- Other respiratory (breathing) difficulties.
- Frequent sour taste of acid, especially when lying down.
- Hoarse throat.
- Feeling of choking that may wake the child up.
- Bad breath.
- Difficulty sleeping after eating, especially in infants.
How do I know I’m having heartburn and not a heart attack?
Chest pain caused by heartburn may make you afraid you’re having a heart attack. Heartburn has nothing to do with your heart, but since the discomfort is in your chest it may be hard to know the difference while it’s going on. But symptoms of a heart attack are different than heartburn.
Heartburn is that uncomfortable burning feeling or pain in your chest that can move up to your neck and throat. A heart attack can cause pain in the arms, neck and jaw, shortness of breath, sweating, nausea, dizziness, extreme fatigue and anxiety, among other symptoms.
If your heartburn medication doesn’t help and your chest pain is accompanied by these symptoms, call for medical attention right away.
Can GERD (chronic acid reflux) cause asthma?
We don’t know the exact relationship between GERD and asthma. More than 75% of people with asthma have GERD. They are twice as likely to have GERD as people without asthma. GERD may make asthma symptoms worse, and asthma drugs may make GERD worse. But treating GERD often helps to relieve asthma symptoms.
The symptoms of GERD can injure the lining of the throat, airways and lungs, making breathing difficult and causing a persistent cough, which may suggest a link. Doctors mostly look at GERD as a cause of asthma if:
- Asthma begins in adulthood.
- Asthma symptoms get worse after a meal, exercise, at night and after lying down.
- Asthma doesn’t get better with standard asthma treatments.
If you have asthma and GERD, your healthcare provider can help you find the best ways to handles both conditions — the right medications and treatments that won’t aggravate symptoms of either disease.
Is GERD (chronic acid reflux) dangerous or life-threatening?
GERD isn’t life-threatening or dangerous in itself. But long-term GERD can lead to more serious health problems:
- Esophagitis: Esophagitis is the irritation and inflammation the stomach acid causes in the lining of the esophagus. Esophagitis can cause ulcers in your esophagus, heartburn, chest pain, bleeding and trouble swallowing.
- Barrett’s esophagus: Barrett’s esophagus is a condition that develops in some people (about 10%) who have long-term GERD. The damage acid reflux can cause over years can change the cells in the lining of the esophagus. Barrett’s esophagus is a risk factor for cancer of the esophagus.
- Esophageal cancer: Cancer that begins in the esophagus is divided into two major types. Adenocarcinoma usually develops in the lower part of the esophagus. This type can develop from Barrett’s esophagus. Squamous cell carcinoma begins in the cells that line the esophagus. This cancer usually affects the upper and middle part of the esophagus.
- Strictures: Sometimes the damaged lining of the esophagus becomes scarred, causing narrowing of the esophagus. These strictures can interfere with eating and drinking by preventing food and liquid from reaching the stomach.
Diagnosis and Tests
How is GERD (chronic acid reflux) diagnosed?
Usually your provider can tell if you have simple acid reflux (not chronic) by talking with you about your symptoms and medical history. You and your provider can talk about controlling your symptoms through diet and medications.
If these strategies don’t help, your provider may ask you to get tested for GERD. Tests for GERD include:
- Upper gastrointestinal GI endoscopy and biopsy: Your provider feeds an endoscope (a long tube with a light attached) through your mouth and throat to look at the lining of your upper GI tract (esophagus and stomach and duodenum). The provider also cuts out a small bit of tissue (biopsy) to examine for GERD or other problems.
- Upper GI series: X-rays of your upper GI tract show any problems related to GERD. You drink barium, a liquid that moves through your tract as the X-ray tech takes pictures.
- Esophageal pH and impedance monitoring and Bravo wireless esophageal pH monitoring: These tests both measure the pH levels in your esophagus. Your provider inserts a thin tube through your nose or mouth into your stomach. Then you are sent home with a monitor that measures and records your pH as you go about your normal eating and sleeping. You’ll wear the esophageal pH and impedance monitor for 24 hours while the Bravo system is worn for 48 hours.
- Esophageal manometry: A manometry tests the functionality of lower esophageal sphincter and esophageal muscles to move food normally from the esophagus to the stomach. Your provider inserts a small flexible tube with sensors into your nose. These sensors measure the strength of your sphincter, muscles and spasms as you swallow.
When does a child/infant need to be hospitalized for GERD?
GERD is usually treated on an outpatient basis. However your child will need to be hospitalized if he or she:
- Has poor weight gain or experiences a failure to thrive.
- Has cyanosis (a bluish or purplish discoloration of the skin due to deficient oxygenation of the blood) or choking spells.
- Experiences excessive irritability.
- Experiences excessive vomiting/dehydration.
Management and Treatment
What medications do I take to manage the symptoms of GERD (chronic acid reflux)?
Many over-the-counter (OTC) and prescription medications relieve GERD. Most of OTC drugs come in prescription strength too. Your provider will give you a prescription for these stronger drugs if you’re not getting relief from the OTC formulas.
The most common GERD medications:
Antacids (provide quick relief by neutralizing stomach acids) include Tums®, Rolaids®, Mylanta®, Riopan® and Maalox®.
H-2 receptor blockers (which decrease acid production) include Tagamet®, Pepcid AC®, Axid AR® and Zantac®.
Proton pump inhibitors (stronger acid blockers that also help heal damaged esophagus tissue) include Prevacid®, Prilosec®, Zegerid®, Nexium®, Protonix®, AcipHex® and Dexilant®.
Baclofen is a prescription drug used to reduce the relaxation of the lower esophageal sphincter which allows acid backwash.
Is there surgery to treat GERD (chronic acid reflux)?
GERD is usually controlled with medications and lifestyle changes (like eating habits). If these don’t work, or if you can’t take medications for an extended period, surgery may be a solution.
- Laparoscopic antireflux surgery (or Nissen fundoplication) is the standard surgical treatment. It’s a minimally invasive procedure that fixes your acid reflux by creating a new valve mechanism at the bottom of your esophagus. The surgeon wraps the upper part of the stomach (the fundus) around the lower portion of the esophagus. This reinforces the lower esophageal sphincter so food won’t reflux back into the esophagus.
- LINX device implantation is another minimally invasive surgery. A LINX device is a ring of tiny magnets that are strong enough to keep the junction between the stomach and esophagus closed to refluxing acid but weak enough to allow food to pass through.
What treatments approaches will be considered if my child has GERD?
Approaches may include one or more of the following:
- Advice on avoiding triggers (certain types of food, changing formulas in infants) that may be causing GERD symptoms or making them worse.
- Over-the-counter medications.
- Prescription medications.
- Information on proper body positioning, e.g., maintaining an upright position after eating meals/feedings.
- Surgery (reserved as a last resort, or for when certain surgical correctable causes are identified).
How do I prevent symptoms of GERD (chronic acid reflux)?
Here are 10 tips to help prevent GERD symptoms:
- Achieve and maintain a healthy weight.
- Eat small, frequent meals rather than huge amounts a few times a day.
- Reduce fat by decreasing the amount of butter, oils, salad dressings, gravy, fatty meats and full-fat dairy products such as sour cream, cheese and whole milk.
- Sit upright while eating and stay upright (sitting or standing) for 45 to 60 minutes afterward.
- Avoid eating before bedtime. Wait at least three hours after eating to go to bed.
- Try not to wear clothes that are tight in the belly area. They can squeeze your stomach and push acid up into the esophagus.
- When sleeping, raise the head of the bed 6 to 8 inches, using wooden blocks under the bedposts. Extra pillows don’t work.
- Stop smoking.
- Your healthcare provider may prescribe acid-reducing medications. Be sure to take them as directed.
- Cut out possible trigger foods.
What foods should I avoid if I have GERD (chronic acid reflux)?
Adjusting your diet and eating habits play a key role in controlling the symptoms of GERD. Try to avoid the trigger foods that keep giving you heartburn.
For example, many people get heartburn from:
- Spicy foods.
- Fried foods.
- Fatty (including dairy) foods.
- Tomato sauces.
- Garlic and onions.
- Alcohol, coffee and carbonated drinks.
- Citrus fruits.
Keep a record of the trigger foods that give you trouble. Talk with your provider to get help with this. They’ll have suggestions about how to log foods and times of day you should eat.
Outlook / Prognosis
What is the outlook for GERD (chronic acid reflux)?
You can control the symptoms of GERD. If you adjust your eating and sleeping habits and take medications when needed, you should be able to get your GERD symptoms to a manageable level.
When should I call my healthcare provider?
If you experience acid reflux/heartburn more than twice a week over a period of several weeks, constantly take heartburn and antacids and your symptoms keep returning, call your healthcare provider.
6 Reasons You Are Regurgitating and How to Stop It
There may be underlying causes if it’s happening a lot.
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Last updatedMarch 9, 2021
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What is regurgitation?
Regurgitation occurs when food, liquid, or stomach acids comes back up from the stomach and into the mouth. Unlike vomiting, there’s no nausea and no stomach pain or cramping. You may not even realize it’s happening until you feel or taste it in your mouth.
What is coming back up can include undigested food and drink along with stomach acid and yellowish-greenish liquid called bile.
It can be from eating too much or too fast. From being pregnant or obese. Or, though less likely, from serious medical conditions like multiple sclerosis.
It is important to figure out whether you have regurgitation or some other cause of an “upset stomach” such as gastroesophageal reflux disease (GERD), peptic ulcer disease, gastritis, gastroparesis, or irritable bowel syndrome. It can be confusing as there are many similar symptoms.
Recurrent (repetitive) regurgitation can also cause the same symptoms as these other diseases because the acid or bile can irritate the lining of your stomach, esophagus, and throat.
1. Gastric distention
Although regurgitation is unpleasant, it is rarely dangerous. —Dr. Chandra Manuelpillai
- Feeling uncomfortably full
Gastric distention mainly occurs when you eat or drink too much or too fast. Symptoms can get worse when you eat spicy, fried, or greasy foods or drink alcohol or carbonated beverages. It can also happen if you eat or drink before going to sleep, and if you have too much stress, take certain medications, or are overweight or pregnant.
Unfortunately, if it’s from overeating, you just have to wait until you feel better. Resting or light activity such as taking a walk may help. Or try an over-the-counter medication, including:
- Bismuth subsalicylate (Pepto-Bismol or Kaopectate) for upset stomach
- Anti-gas medicine such as simethicone (Gas-X)
- Antacids such as Tums (calcium carbonate) or Milk of Magnesia (magnesium hydroxide) or Maalox.
2. Overweight or pregnant
- Feeling full sooner than normal or after eating less than usual
Being overweight or pregnant can cause regurgitation. Normally, the sphincter (a ring of muscle) prevents stomach contents from going backwards into the esophagus (the tube connecting your mouth with your stomach).
But increased pressure in the abdomen (from excess weight or the developing baby) forces food back up through the sphincter and into your mouth.
Eating or drinking too much or too fast can cause symptoms. Eating certain foods or beverages (such as spicy, fried, or greasy foods, or alcohol or carbonated drinks) or lying down or going to sleep immediately after eating or drinking can worsen symptoms.
Treatment includes eating smaller, more frequent meals, avoiding foods that trigger symptoms, staying upright after eating, and not wearing tight-fitting clothing.
3. Abnormal anatomy
- Feeling as if food gets stuck in the esophagus
- Feeling like food sits in the stomach
- Feeling like food moves from the stomach back into the esophagus
Certain anatomical issues can interfere with your normal swallowing and digestion. These include esophageal stricture, hiatal hernia, or motility disorder.
- Esophageal stricture is an abnormal narrowing of the esophagus, which may be from a genetic birth defect, cancer, or inflammation or scarring from acid reflux. It is treated with a procedure to dilate (widen) the esophagus.
- A hiatal hernia is when part of your stomach is pushed into the chest cavity. Depending on the size of the hernia and the severity of symptoms, treatment can include weight loss, medications, or surgery.
- Motility disorders (problems with the gastrointestinal tract) can lead to delays in gastric emptying. This can then cause food to stay in the stomach too long and eventually come back up into the esophagus. These are usually treated with diet changes and medications.
4. Rumination syndrome
Recurrent regurgitation may result in a burning sensation in the center of the chest from repeated exposure to stomach contents, including acid and bile. While symptoms can become very similar to gastroesophageal reflux (GERD), they are not the same thing. —Dr. Manuelpillai
Rumination syndrome is a rare cause of regurgitation. It is more common in infants and those with developmental disabilities. It can be thought of as a chronic cause of regurgitation. Symptoms occur daily and with almost every meal. It is caused by involuntary muscle contractions moving food backward.
Treatment depends on the cause. The treatment of infants often focuses on teaching parents proper feeding positions and avoiding distractions during feeding. People with developmental disabilities may use behavior therapy such as diaphragmatic breathing and biofeedback.
Although there is no medication to treat rumination syndrome, a proton pump inhibitor such as omeprazole (Prilosec) can be taken to protect the lining of the esophagus from stomach acid.
Other possible causes
There are other conditions that may cause regurgitation, but they’re rare or the regurgitation is not a typical symptom of the disease. These include multiple sclerosis and Parkinson’s disease.
When to call the doctor
If symptoms are frequent, it is very important to discuss them with your doctor. Although it’s rarely a sign of something more serious, it can be a sign of diseases such as Parkinson’s and multiple sclerosis. Particularly if the symptoms of regurgitation are associated with difficulty swallowing, spasms, tremors, rigidity, numbness, or weakness. —Dr. Manuelpillai
- If the symptoms are frequent or interfere with daily life.
- If you develop other concerning symptoms such as tremors, rigidity, or a heavy sensation in your arms or legs, it could be a sign of Parkinson’s. If you experience blurry or double vision, numbness/tingling, or spasms, these may be early signs of multiple sclerosis.
Should I go to the ER for regurgitation?
Generally, you should not need to go to the emergency department for regurgitation. But if you are also having these symptoms, it could mean it’s a more serious problem:
- If you are unable to swallow liquid, food, or your own saliva, it may be a sign of an esophageal obstruction. It needs to be treated or it can cause tissue damage.
- If you are vomiting and unable to keep any food or fluid down.
- If you develop chest pain, difficulty breathing, or dizziness.
There are some things you can do to prevent regurgitation:
- Eat slowly and chew your food thoroughly.
- Eat smaller, more frequent meals.
- Avoid lying down after eating.
- Lose weight if you’re overweight.
- Wear loose pants and avoid belts. Tight-fitting clothes around the abdomen can put pressure on the stomach, which may cause regurgitation.
- Avoid certain foods and drinks (spicy, greasy foods, and carbonated and alcoholic drinks).
- Take antacids (such as TUMS) or proton-pump inhibitor such as esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), and pantoprazole (Protonix). These medications should not be used regularly.
Other treatment options
- If you are having frequent symptoms or are regularly taking over-the-counter medications, discuss your symptoms with your doctor so they can rule out other underlying issues and treat them separately.
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Slide 1 of 4
Acid reflux disease, also known as GERD, causes a burning pain or heartburn in the chest area. Acid reflux occurs because stomach acid flows up the esophagus. Changing what you eat is the easiest way to stop symptoms. Some people with GERD also take medication to lower the amount of stomach acid.
Irritable bowel syndrome (IBS) is a common, chronic disorder of the gut (primarily the intestines) that causes abdominal pain and constipation, diarrhea, or both. There is no cure for IBS, but there are many treatments to reduce symptoms.
Nausea is that queasy feeling in your stomach that makes you feel like you’re going to throw up. Usually, nausea is from an infection, pregnancy, taking certain medication, or acid reflux.
Abdominal pain is usually a sign of a common illness or infection. Other causes include indigestion, a stomach ulcer, IBS, or food poisoning.
90,000 Belching food 9,0001
The principle by which belching occurs, including belching with food , is, in essence, very simple.
If a person cannot restrain a burp at the table, and especially in the company of other people who share a meal with him, this certainly does not characterize him in front of them from the best side. However, the very essence of such cases lies not only in the violation of the rules of etiquette. Or rather, even, not only, but rather, not so much in what can be considered a sign of bad taste and tactlessness, but in the fact that belching is able to signal the presence of various disorders in the functioning of the gastrointestinal tract.
With the contraction of the stomach and the open cardiac valve acting as a sphincter between the stomach and the esophagus, a certain part of the contents moves to the oral cavity. That is, such an eructation is a phenomenon of minor vomiting that occurs without effort and often against the background of the process of expelling excess air from the stomach that may appear there after eating.
Based on the peculiarities of the belching that takes place, it becomes possible to determine for what reason it is provoked, and what disorders in the processes occurring in the body cause it.So belching, which has a sour taste, accompanies the fact that an environment with a high content of gastric juice is formed in the stomach. A strongly pronounced acidic belching may indicate that there is increased acidity or that there is insufficient hydrochloric acid in the gastric juice. Bitter belching occurs as a result of the fact that bile enters the stomach from the duodenum. Rotten putrid belching is caused by the decomposition of food during its prolonged stay in conditions of low acidity, which can take place in the stomach, where, as a result, a stagnant process occurs.This type of belching can also act as a sign of developing ulcers and stomach cancer.
Belching food, when it becomes systematic, requires mandatory medical advice and a survey to establish the objective reasons causing this phenomenon.
Causes of belching food
As such, belching is a fairly common phenomenon associated with the functioning of the gastrointestinal tract and in a healthy state of the body.
The occurrence of belching is caused by physiological movements inherent in peristalsis, which is accompanied by an increase in pressure in the stomach and a simultaneous weakening of the sphincter between the stomach and the esophagus. The result of this is that some of the air that has entered the stomach during a meal rushes towards the oral cavity. In some cases, a certain amount of previously eaten food may also be involved in this process, which acts as the cause of belching with food.
Belching with food or smelling it can occur as a result of slowing down the transport of stomach contents into the duodenum. We can talk about this on the basis of the fact that the appearance of such an eructation is also noted after 8 or more hours after eating.
The following is also a prerequisite for the appearance of belching with food. When a person actively conducts a conversation while eating, absorbs food in a hurry, not chewed enough, or is in a strong emotionally tense state, he tends to swallow air with the food.Subsequently, the stomach gets rid of the excess pressure arising in this connection in it through belching. And if it is extremely full as a result of overeating and intemperance of a person in food, this does not exclude the possibility that, together with air, a certain amount of gastric contents may appear in the oral cavity.
However, it is not only those factors that are important that are associated with the way in which food is taken, how a person eats, but also what foods take place in the diet.In particular, excessive consumption of strongly carbonated drinks, ice cream, milk, onions, cabbage, and legumes leads to an increase in gas-forming processes in the stomach.
The reasons for belching food can be very different, and although such a phenomenon in itself may not inspire any concern, nevertheless, if such cases become more frequent, it can become a harbinger of such serious problems as the development of pancreatitis, gastritis, gastroduodenitis, lesions of the gallbladder, hernia of the esophagus and ulcers.
Symptoms of belching food
When belching in healthy people, together with the air from the stomach, together with part of the air accumulated there after eating, a small part of the recently eaten food can enter the esophagus and further into the oral cavity. Belching itself is a completely natural physiological process inherent in the human body. It is another matter that the contents of the stomach in the mouth during belching in some cases may be in quantities that bring such belching closer to being classified as vomiting.
The symptoms of belching food often occur after a person has eaten too much and too much. Especially if the process of absorption of food was accompanied by washing it down with strongly carbonated drinks, leading to an increased content of gases in the stomach. The accompanying characteristic symptom is the appearance of bloating. In addition, pain in the abdomen may occur, constipation may appear, or vice versa diarrhea with flatulence. Nausea along with vomiting becomes frequent companions, or each of these manifestations can occur separately.In addition, a person may suffer from heartburn.
Thus, the totality of the above manifestations characterizes the symptoms of belching with food, but on the other hand, it, in turn, is capable of acting as one of the characteristic phenomena in gastric, liver diseases, gallbladder diseases, and in disorders of the gastrointestinal tract.
Constant belching of food
Since belching is by and large an integral aspect of the functioning of the human body, first of all, one should figure out when it can be considered not beyond the state of what is seen as the norm, and in what cases it is said that it occurs with an abnormally high frequency.In a healthy state of the body after eating, belching usually happens about 4 times. When this number reaches a value exceeding this value, this may indicate a certain pathology.
Constant belching of food, which is of a reflex nature, in many cases accompanies the course of many diseases of internal organs, including diseases of the stomach, disturbances in the activity of the gastrointestinal tract, liver and gallbladder. The high systematic nature of spontaneously arising processes of expulsion of air from the stomach along with a certain amount of food may be due to the existing disorders of the function of the closure of the sphincter separating the stomach from the esophagus.This can occur as a consequence of the surgical intervention performed on the gastrointestinal tract, and in addition, in the presence of a hernia in the diaphragm.
Constant belching is often provoked by neuropathy in its autonomous form, in which there is damage to the nerves that provide innervation to the digestive tract. As a result, the movement of food in the esophagus, and further in the stomach and intestines is uneven, since the rhythm of muscle contractions is disturbed.The consequence of this is that the evacuation of the contents is delayed, and the prerequisites for the development of reflux are created.
Constant belching of food is predominantly a reflection of the negative processes occurring in the body in the internal organs associated with the functions of digestion. Therefore, in order to cure such an eructation, it is necessary first of all to take measures against the underlying disease that causes it.
Diagnosis of belching food
Diagnosis of belching with food is carried out on the basis of a thorough study of the anamnesis of a person who applied for medical help on this matter.In the course of a consultation with a medical specialist, he clarifies information in terms of how long ago the patient noted its initial appearance, how often such an eructation occurs, in what time interval after a meal its manifestations take place, how long it usually lasts.
In the process of establishing a diagnosis, it is required to either state or exclude the presence of gastrointestinal diseases, gastritis, cholecystitis, gastric ulcer and duodenal ulcer.
Compulsory laboratory tests are prescribed. A person is sent for a clinical blood test, as well as for biochemistry. Feces are given for possible detection of hidden blood in it. It is also necessary to carry out a coprogram.
Diagnostic measures are advisable through the methods of instrumental research. They are carried out using ultrasound diagnostics, colonoscopy, esophagogastroduodenoscopy, breathing diagnostics in order to identify or refute the presence of Helicobacter pylori.In addition, the amount of gastric acid production is tested.
Diagnosis of belching with food allows, according to the results of the prescribed necessary studies and analyzes, to develop a plan for the rational treatment of the underlying disease, which is the main cause that causes involuntary regurgitation of food. By itself, eructation itself does not need any special treatment.
Treatment of belching with food
Treatment of belching with food is chosen taking into account those specific factors of the patient’s body condition that they cause the occurrence of such a phenomenon.It is possible that as a result of all the required diagnostic measures taken, it becomes possible with good reason to exclude the presence, of whatever kind, from diseases of the gastrointestinal tract from the number of probable causes. Treatment in this case is increasingly reduced to recommendations for the patient to be puzzled by the question of the correct approach to organizing his diet. It is necessary to strictly follow the received medical corrective prescriptions regarding the necessary diet. It is required to take food in small portions and chew food thoroughly.Care should be taken to ensure that the diet is balanced in terms of the content of all vitamins and minerals necessary for the normal functioning of the human body.
As for those cases in which it can be argued with complete certainty that belching of food is due to a particular gastrointestinal disease, the vector of targeted medical intervention should be directed primarily against this disease. By stopping the negative progress of its development, it will be possible to get rid of belching with food.
Treatment of belching with food, as is obvious from everything we have considered, involves an integrated approach, which includes the treatment of its main provoking disease, as well as the organization of a proper diet, which helps to reduce the risk of its occurrence in the future.
How to get rid of belching with food?
It is imperative to seek medical attention when it lasts with a large number of repetitions for an hour for at least five days.This may indicate the presence of a certain pathology in the body and requires an examination of the person to establish a diagnosis and begin treatment of the underlying disease as its main cause.
And belching food that happens sporadically, and does not have a place to be regularly on an ongoing basis, does not require any special treatment. Mainly, its occurrence occurs due to an irrational approach to the issue of proper nutrition.
There are a number of practical recommendations that can be helpful in how to get rid of belching with food.
The fundamental principle here is the exclusion of those foods, the digestion of which in the stomach takes a long time. It is also recommended to limit the consumption of strongly carbonated drinks, beer, oxygen cocktails. The diet should be based on the principles of fractional nutrition, adhering to which you need to eat a small portion of food up to five times throughout the day.
In addition, an indispensable condition in the fight against belching is the correct process of eating, during which one should not rush, but thoroughly chew everything.
Eating should always be done in moderation, avoiding overeating. And experiencing the consequences of any stressful situations, in a state of nervous tension, it is better to postpone the meal until it is possible to restore calmness and peace of mind. And while eating, try to refrain from talking at the table.
How to get rid of belching with food can also be understood if, by excluding certain dishes and foods, one comes to an understanding in which of them lies the main reason for such an individual reaction of the body manifested as belching.
Prevention of belching with food
Prevention of belching with food comes down to a number of relevant rules and principles, following which helps to reduce the likelihood of encountering this rather unpleasant phenomenon. Thus, the guide to action in this matter assumes literally the following.
The first step is to give up foods that lead to increased gas formation in the stomach.
The relevance of the problem of belching can be reduced as the disease recedes in the process of timely treatment of various diseases of the gastrointestinal tract that provoke them.After all, such eructations often appear against the background of inflammatory processes in the stomach – gastritis, in the gallbladder (cholecystitis), with gastric ulcer and duodenal ulcer. Successful healing of these lesions of the digestive system in the human body prevents the very possibility of belching in connection with them. Therapeutic measures aimed at curing hernias in the diaphragmatic region are also a positive preventive factor from belching with food, since due to a hernia, the activity of the sphincter separating the esophagus and the stomach is disrupted, due to which food from the stomach can move to the oral cavity.
And of course, one cannot ignore and emphasize once again that the best prevention against many diseases is a healthy lifestyle, moderation in food, quitting smoking and drinking alcoholic beverages only in reasonable quantities. The prevention of belching with food is also no exception.
Forecast of belching food
The prognosis of belching with food is determined by the degree of effectiveness of the applied therapeutic measures for a certain disease of the digestive system, the course of which it accompanies.Belching, in essence, being nothing more than a characteristic symptom, is not able to lead to an improvement or worsening of the condition, causing a tendency to positive or negative shifts in the course of the underlying disease.
However, this should in no way inspire confidence that therapeutic and prophylactic measures taken in order to prevent the development of diseases in which belching with food can occur can be neglected.
90,000 symptom of what disease (disease) is belching with air, rotten eggs – Clinic “Doctor near”
Most often, the belching symptom manifests itself in the following diseases:
Belching is the process of ejection of gases from the stomach into the oral cavity.Quite often, there is eructation of rotten eggs, indicating putrefactive processes developing due to impaired motor activity and a decrease in the secretory function of the gastrointestinal tract. Constant belching is a harbinger of a number of diseases and requires referral to a specialist for the correct diagnosis and treatment.
Causes of belching
Belching with rotten eggs occurs as a result of disruptions in the process of digesting food and its stagnation in the body. Subsequently, rotting and fermentation begins, bacteria are formed that provoke eructation with hydrogen sulfide, bad breath, and abdominal pain.Sour belching occurs with increased acidity of gastric juice, belching with air – with increased gas formation in the gastrointestinal tract, bitter belching – with the release of bile into the stomach.
In addition to pathologies of the gastrointestinal tract, liver diseases, belching may appear due to:
addiction to fried, fatty, spicy foods, alcoholic beverages, as well as regular overeating;
intolerance to certain types of foods, in particular, with hypolactasia (lactose intolerance), fructose intolerance, celiac disease (gluten intolerance)
Belching with Gilbert’s disease
Gilbert’s syndrome is a genetic liver disease characterized by a constant increase in unbound bilirubin and metabolic disorders.It is congenital and manifest (develops after a viral infection).
Gilbert’s disease is characterized by belching with a bitter taste.
Belching with antral gastritis 90 125
Antral gastritis is an inflammation of the gastric mucosa, which is chronic. One of the main reasons for its occurrence is the pathogenic Helicobacter pylori.
Belching with a sour taste is characteristic of antral gastritis.
Belching with ascites 90 125
Ascites is characterized by the accumulation of free fluid in the abdominal cavity. The development of ascites can provoke a large number of different diseases.
Ascites is characterized by frequent belching, often with a rotten taste.
Belching with atrophic gastritis 90 125
Atrophic gastritis is a type of chronic gastritis characterized by thinning of the gastric mucosa, a reduction in the number of glands and secretory insufficiency.It is considered the most dangerous precancerous condition.
Belching with air and a rotten taste is inherent in atrophic gastritis.
Belching with autoimmune gastritis 90 125
Autoimmune gastritis is a chronic inflammatory process that affects the stomach lining. In this disease, antibodies produced by the body attack the epithelial cells of the stomach, causing mucosal atrophy. This is a rather rare pathology.
Belching in autoimmune gastritis may have a rotten taste.
Belching with achalasia of the esophageal cardia
Achalasia of the esophageal cardia is a disease in which reflex relaxation of the lower esophageal sphincter is absent or insufficiently pronounced, due to which the patency of the esophagus is impaired.
Eructation with a rotten taste is characteristic of achalasia of the esophageal cardia.
Belching with acalculous cholecystitis
Acalculous cholecystitis is an inflammation of the gallbladder, in which gall stones do not form.The motor function of the organ is impaired, bile stagnation occurs. This disease occurs several times more often in women.
For acalculous cholecystitis, belching with air and with a bitter aftertaste is characteristic.
Belching with biliary pancreatitis 90 125
Biliary pancreatitis is a chronic inflammatory disease of the pancreas resulting from pathologies of the liver and bile ducts. Often combined with other diseases of the digestive system.
Biliary pancreatitis is characterized by eructation with a bitter aftertaste and a characteristic odor of bile.
Belching with bulbite 90 125
Bulbit is an inflammation of the duodenal bulb. It can be acute and chronic. The focal and diffuse nature of the inflammation is also highlighted. Bulbitis is a secondary disease, it is isolated on its own very rarely.
Bulbit belching may have a sour taste.
Belching with gastritis 90 125
Gastritis is an inflammatory disease, during which dystrophic changes in the gastric mucosa and impairment of its functions occur. Allocate gastritis with increased, normal and decreased acidity of the stomach. Gastritis is the most common cause of belching
With gastritis with high acidity 90 125
Acidic gastritis is characterized by increased production of hydrochloric acid, which helps dissolve food.As a result, the walls of the mucous membrane become inflamed and erosion is formed.
Belching during gastritis with high acidity has a sour taste.
With gastroesophageal reflux disease 90 125
Gastroesophageal reflux disease is a pathology in which there is a regular reflux of gastric or duodenal contents into the esophagus and inflammation of the walls of the lower esophagus.
Gastroesophageal reflux disease is characterized by gas and sour belching.
Belching with gastroenterocolitis
Gastroenterocolitis (food poisoning) is a disease in which an inflammatory process occurs in several parts of the gastrointestinal tract – the mucous membranes of the stomach, small and large intestines, and the digestive function is impaired.
When gastroenterocolitis occurs, belching with food or with a rotten taste.
With hepatomegaly 90 125
Hepatomegaly is a pathological or physiological increase in the size of the liver.The cause may be a number of diseases, including cirrhosis of the liver, viral hepatitis, mononucleosis, fatty degeneration, oncology, cardiovascular diseases.
Belching with hepatomegaly is frequent and prolonged with a rotten taste.
Belching with a hernia of the white line of the abdomen 90 125
A hernia of the white line of the abdomen is a protrusion of the abdominal organs and intestinal loops through the gap between the tendon plexuses along the midline of the abdominal muscles.Pathology occurs due to weakness and thinning of the connective tissues.
With a hernia of the white line of the abdomen, belching with a sour taste may occur.
Belching with hernia of the esophagus
Hernia of the esophagus (diaphragmatic hernia, hiatal hernia) is a common chronic recurrent pathology in which the initial abdominal part of the digestive tube moves into the supraphrenic zone through the esophageal opening of the diaphragm.
Hernia of the esophagus may have frequent belching with air and a bitter taste.
Belching with esophageal diverticulum 90 125
Esophageal diverticulum is an abnormal protrusion of the esophageal wall into the mediastinal cavity, which is represented by mucous, muscular and serous or only mucous membranes. In this regard, a distinction is made between true and false diverticula. As a result, the functions of swallowing and the movement of food in the esophagus are impaired.
With esophageal diverticulum, eructation with a rotten taste is not uncommon.
Belching with dysbiosis 90 125
Dysbacteriosis is an imbalance of microflora. The ratio of normal and opportunistic microorganisms is violated. This phenomenon can occur in the intestines (most often) and in the reproductive organs.
Dysbiosis is characterized by the occurrence of belching with air, with a bitter or rotten aftertaste.
With constant belching with an unpleasant aftertaste that causes discomfort, you need to see a specialist.To determine its causes, after interviewing the patient, a number of studies are carried out:
clinical and biochemical blood tests – to identify inflammatory processes, pathologies of the kidneys, pancreas, liver;
analysis of feces for occult blood, coprogram – to detect poorly digested food fragments, undigested fat, the presence of coarse dietary fiber;
assessment of gastric acid production – to determine the level of gastric acidity;
esophagogastroduodenoscopy – to assess the condition of the inner surface of the duodenum, stomach and esophagus, it is carried out through an endoscope with a mandatory biopsy;
impedance-pH-metry of the esophagus – to detect gastroesophageal ejection and assess the frequency, duration and severity of reflux;
ultrasound examination of the abdominal organs – to detect the presence of neoplasms on the pancreas, duodenum, stomach walls;
checking for the presence of the pathogenic Helicobacter pylori, which lives in the pyloric region of the stomach and provokes the development of many diseases of the gastrointestinal tract;
colonoscopy – to assess the condition of the inner surface of the colon using an endoscope.
After the examination and diagnosis, treatment of diseases that cause belching is prescribed. It is highly undesirable to independently treat the constantly emerging belching with folk methods or medicines. This can lead to extremely negative health consequences.
To prevent the occurrence of a pathological eructation, you should regularly undergo medical examinations.It is also recommended to limit the consumption of fried, fatty, spicy foods, legumes and foods high in yeast, fast food, confectionery, alcoholic and carbonated drinks. You should eat in small portions, avoiding overeating. It is not recommended to take a horizontal position immediately after eating.
Call our contact center at 8 (495) 230 03 09 and we will help you make an appointment with a specialist!
Belching after eating./ News
Some physiological phenomena are unpleasant, but do not go beyond the normal range. Nevertheless, we attach importance to them, because sometimes we do not know whether they can be a sign of pathology or not.
Belching can be considered a non-pathological physiological process if it is single after eating, does not have an unpleasant odor, and does not leave an unpleasant aftertaste in the mouth. Normally, it should not be associated with pain.
Belching after eating can be observed in such cases:
· Reception of carbonated drinks during a meal;
– Rapid consumption of food provokes the swallowing of air, which comes out in the form of belching. The same happens when eating food during a conversation.
· Eating too hot or too cold food or drinks;
· Exercise immediately after eating;
· Excessive emotional stress;
· Consumption of ice cream, legumes, whole milk, garlic, onions, cabbage;
· Eating fruit immediately after eating;
· If a protein meal was consumed, after which tea was immediately drunk, this combination can lead to a problem.Tea enzymes make it difficult to digest proteins;
· If you take a bath immediately after a meal, do not be surprised by the unpleasant phenomenon. Water procedures contribute to the weakening of blood flow in the stomach, which disrupts the digestive processes;
· Late pregnancy. The diaphragm of pregnant women is compressed due to the already rather large size of the fetus, so the air comes out under its pressure.
These cases do not indicate any pathologies and are a reaction of the body, which can be considered the norm.
Duodenal ulcer, stomach;
· Diseases of the biliary organs, pancreas;
· Decreased gastric acidity;
· Inflammatory processes in the mucous membranes of the digestive tract;
· Diseases developing in the lower alimentary sphincter;
· Defects in the structure of the digestive tract.
If belching with air or food fragments occurs frequently, you should visit a gastroenterologist.This phenomenon indicates pathologies.
Gastroenterologists and therapists with specialization in gastroenterology of the highest medical category conduct appointments in our center. Here you can undergo the necessary laboratory and ultrasound examination.
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What is frequent belching of air and why does it happen? This is an involuntary release of odorless gases into the mouth, independent of the person.A healthy person, with a normal swallowing movement, swallows a small portion of air (about 2-3 ml), which later comes back through the mouth in small portions and is not felt in any way.
In a normal state, the stomach of an adult can contain up to one and a half liters of air , which form internal pressure there. Normally, air can escape through the mouth, through the intestines, and be absorbed through the intestinal wall. With an increase in air pressure, the body itself regulates it by dumping excess.
Pathological belching of air occurs as a result of a regular excess of air in the stomach , which gets there when swallowing. This unpleasant phenomenon can be caused by pneumatosis or airbrushing. If burping is not associated with food and is disturbing at any time, then we can talk about neurotic aerophagia – a pathology characterized by nervous swallowing of air regardless of food.
There can be many reasons for normal physiological belching:
- problems with nasal breathing;
- Fast food or snacks on the go;
- dental problems;
- table conversations;
- physical activity after eating;
- addiction to gum;
- addiction to regular and alcoholic carbonated drinks;
- taking baking soda to reduce heartburn;
- during pregnancy, the uterus begins to raise the diaphragm, which can cause this condition;
Not a painful sign of belching after a heavy meal, when the stomach is clogged with food after a meal. In this case, the sphincter at the entrance to the stomach does not completely close, pushing gases back. If it appears regularly, it is necessary to consult a specialist for diagnosis. However, odorless belching is more often manifested in the absence of food culture.
Pathological belching is caused by diseases of the gastrointestinal tract, thyroid gland, etc. Usually it has a pronounced taste and smell: sour, bitter, acetone or smells like hydrogen sulfide.In all these cases, you should immediately contact a therapist.
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Belching with air after eating
If the gastrointestinal tract is working properly, belching with air is extremely rare. This happens due to snacking on the run or due to conversations (reading, working on a laptop, hobby for correspondence from a smartphone) while eating, and as a result – due to poor chewing of food and swallowing it in large chunks.
Due to accidentally swallowed air, a large air bubble forms in the stomach, pressing on its walls. Due to the increased pressure, the cardiac sphincter opens: air flows into the esophagus and further into the mouth.
Constant belching with air
Most often, constant belching with air occurs as a result of overeating, eating too often, poor chewing, etc. However, neurotic aerophagia can also cause this.
Symptoms of the manifestation of pathology are as follows:
- belching with a loud sound;
- burp can occur at any time: after eating and regardless of the meal;
- accompanied by a feeling of fullness and heaviness in the stomach;
- flatulence may sometimes occur;
- in patients with ischemia of the heart, painful sensations in the cardio region and angina attacks are observed;
- Difficulty breathing may sometimes occur.
With aerophagia, bloating of the upper abdomen is noticeable. An x-ray shows an air bubble in the stomach, which causes the diaphragm to rise. There is also accumulation of gas in the intestines.
Aerophagia in children
For newborns and infants, this is a fairly common pathology. The developing nervous system of the baby cannot cope with the regulation of the digestive process. Also, pathology can develop if the mother has little milk in her breast or the baby sucks on an empty nipple.
Main signs of aerophagia:
- nervousness and crying during feeding;
- Refusal to eat, leading to weight loss.
After belching, the child usually calms down. The diagnosis is confirmed by x-ray.
In older children, belching may occur due to chatter while eating or if the child is chewing a sandwich and running at the same time. It happens in children this phenomenon occurs after inhalation.It is also for children that the occurrence of belching due to ENT problems is characteristic:
- runny nose;
- sinus inflammation.
With these problems, the baby may swallow excess air while eating. As a rule, after recovery, these problems disappear.
Belching with air accompanied by pain
If belching with air is accompanied by pain in the stomach, it is safe to say that a gastrointestinal disease begins to develop in the body. Usually this symptomatology develops as a result of:
- Smoking after meals: most smokers are accustomed to finishing their meal with a cigarette, but when smoking, the smoker swallows the smoke;
- eating fruit for dessert. Traditionally, it is customary to end the meal with fruit, but gastroenterologists advise to eat fruit after a meal in a couple of hours. Otherwise, fruit organic acids interact with mineral elements from other eaten foods, having an undesirable effect on the digestive process;
- Traditional tea drinking after meals: the tea leaves contain enzymes that make proteins heavier and prevent digestion;
- The bathroom after dinner is generally not useful for digestion, since blood drains from the stomach, which weaken the digestive process;
- The habit of unbuckling the belt while eating has a negative effect on the intestines;
- drinking cold after meals (traditional cola after burger or finishing milkshake) interferes with fermentation and lipid absorption;
- Sleeping after a heavy meal can also lead to gastroenterocolitis, as the digestive process is disturbed during sleep.
Diseases characterized by belching with air along with pain:
- peptic ulcer;
- chronic cholecystitis;
- inflammation of the pancreas;
- malignant tumors with multiple symptoms.
When belching with painful sensations in the stomach appears, it is necessary to consult a gastroenterologist to identify the causes.
Lump in the throat and belching
The sensation of a lump in the throat, accompanied by belching, is typical for a wide range of pathologies of the gastrointestinal tract, thyroid gland, as well as neurological disorders. A patient should be examined not only by a gastroenterologist, but also by an endocrinologist and a neuropathologist. This symptomatology is typical for:
- osteochondrosis of the cervical spine;
- tumors of the larynx.
How to get rid of belching with air
Belching with air is not only a malfunction of digestion, but also a socio-aesthetic problem. Few people enjoy sitting in a large company and burping noisily all the time.
All other recommendations refer to the process of eating:
- when eating, no need to talk;
- food should be eaten slowly, chewing small portions thoroughly with the mouth closed;
- it is better to exclude from the menu foods that linger in the stomach for a long time, contain carbon dioxide, onions, dairy products;
- It is better to eat 5-6 times in small portions;
- not rushing to eat in a state of psycho-emotional overexcitement;
- Do not get carried away with chewing gum: chew the gum for no more than 15 minutes;
- Do not eat too cold or hot food, do not drink hot drinks, avoid oxygenated drinks;
- Avoid physical activity after meals, do not sleep after meals – prefer a quiet rest;
- It is better not to swallow saliva, but to spit it out.
If belching is rare, drug therapy is not required. With constant belching after eating, treatment consists in taking Gastal, Almagel, Rennie. These drugs normalize acidity and enzyme levels, and also have an enveloping and mild anesthetic effect. Psychotherapy is used to treat neurotic aerophagia.
Video – goodbye, belching
Any violation of the rules of nutrition can remain without consequences for up to forty, on average, years.After 40 – the enzymatic functions of the body begin to deteriorate and any sins against its own digestive system can lead to a wide variety of problems: from exceeding the body mass index, which is a risk factor for a huge number of diseases, to the development of regurgitation.
Belching – a symptom of a disorder of the digestive tract | Healthy life | Health
However, if it began to arise in you often, you cannot let it take its course.
Our expert – gastroenterologist-hepatologist, Candidate of Medical Sciences David Matevosov .
Overeat … air
Belching is an involuntary release of air from the stomach into the oral cavity. In healthy people, it appears, as a rule, after eating. When we eat, we involuntarily swallow a certain amount of air. In order for it to come out, the muscles of the stomach, peritoneum, and diaphragm contract. This leads to the release of “gas”, accompanied by a characteristic sound.
Belching is especially common in those who are used to eating quickly. You can “overeat” the air during a cold: if your nose is stuffy, you have to breathe, including while eating, through your mouth.There is a great chance that some of the air instead of the bronchi will enter the stomach.
Caution, doors won’t close
Functional disorders of the digestive tract are another cause of belching. It can be imagined in the form of a conventional tube, which is divided into several sections – the oral cavity, esophagus, stomach, duodenum, etc. Each of these zones is like a room that has an entrance and an exit door. In the role of them are sphincters – muscle “rings”, which must contract and unclench, passing the food lump, but at the same time preventing it from moving in the opposite direction.In functional dyspepsia, the strict order of “opening” the doors is violated: one or more sphincters begin to contract at the wrong time. Therefore, the contents of the stomach or duodenum can be thrown into the esophagus or mouth.
Such a burp may taste like. If it is bitter, it means that bile from the duodenum enters the oral cavity. If acidic – gastric juice.
Sign of trouble
In many cases, belching is a symptom of not functional, but organic diseases of the gastrointestinal tract, in which physiological changes occur in a particular organ.For example, if it has a sour taste, this may indicate an increased secretion of hydrochloric acid, gastroduodenitis, or gastric ulcer.
And eructation of “rotten eggs” may even indicate tumor diseases or cicatricial changes in the stomach. Because of them, the output sphincter is blocked, food cannot leave the stomach and begins to ferment, releasing gas with a corresponding odor.
It is impossible to ignore such belching, as well as sour, bitter or tasteless.People very often get used to such symptoms: at first they are alarming, but then a person finds an excuse: “Yes, who does not have belching (heartburn, flatulence, etc.)!” This is fundamentally wrong, because because of this valuable time is lost, and seemingly harmless manifestations turn into a serious illness. Therefore, it is necessary to see a gastroenterologist.
How to be treated?
There are no specialized remedies for belching. However, patients are often prescribed drugs from the group of prokinetics: they regulate the motility of the gastrointestinal tract, stimulate the correct, timely contraction of the sphincters, and accelerate the evacuation of food from the stomach.Thanks to this, the severity disappears, the episodes of belching decrease.
If an organic disease is the cause of belching, it is compulsorily treated. And of course, most people who often burp should be careful when choosing a menu. It is worth excluding products that cause increased gas formation and fermentation: all types of cabbage, all legumes, bell peppers, black bread, grapes.
Acute esophagitis is an inflammation of the wall of the esophagus, manifested by pain, especially pronounced when passing food.In the overwhelming majority of cases, it occurs in combination with diseases of the stomach and usually affects the lower part of the esophagus.
Helicobacter pylori infection or other flora of the esophagus is most often considered the cause of the disease.
The onset of the disease is facilitated by malnutrition, burns, chemicals, polyhypovitaminosis, and extensive infection.
With esophagitis, body temperature may rise, general malaise is noted, and unpleasant sensations appear along the esophagus during food advance.The child may be disturbed by a burning sensation, sometimes a sharp pain in the esophagus. Children are often capricious and refuse to eat for fear of pain after the first sips of food; they may complain of pain in the neck, belching, often regurgitation, salivation, and swallowing is impaired.
The diagnosis of esophagitis is based on history, characteristic complaints and clinical signs. Often the main method for making a diagnosis is endoscopic examination, but in the acute period it is not done so as not to injure the lining of the esophagus.X-ray contrast study helps to detect signs of impaired motor function of the esophagus and areas of the erosive-ulcerative process.
Chronic esophagitis is a chronic inflammation of the esophageal wall. The disease can develop with insufficiently treated acute esophagitis or as a primary chronic process. Chronic esophagitis is accompanied by pain in the chest and in the epigastric region, often combined with gastritis or duodenitis, which gives a variegated clinical picture.Children cannot always clearly explain their feelings. Older children complain of a soreness in the breastbone immediately after swallowing food; pains may also appear that do not depend on food intake, especially while running, jumping or forced breathing. Sometimes pain occurs when lying on the back, they can be in the form of seizures and radiate to the neck, back or heart area. In most cases, children also have belching with air or with an admixture of gastric contents after eating and exercising.Older children complain of heartburn, especially in the evening and at night; nausea, vomiting, regurgitation of food, hiccups, salivation, shortness of breath are also possible. Hiccups usually start after belching and continue for a long time.
During chronic esophagitis, there are periodic exacerbations and remissions. If treatment is started late and the esophagitis progresses steadily, cicatricial changes in the esophagus may form.
The diagnosis of chronic esophagitis is also based on history, clinical symptoms, endoscopic and radiographic findings.
Patients are advised to eat more often in small quantities, the last time they need to eat no later than three hours before bedtime. If pain is expressed, 2-3 tablespoons of a 0.5% solution of novocaine can be given before meals. Rosehip oil, sea buckthorn oil, sunflower oil contribute to the rapid healing of ulcers and erosions of the mucous membrane and the subsiding of the inflammatory process (they are taken 10-15 ml 3-4 times a day after meals).
For esophagitis, all carbonated drinks are prohibited.When eating, one should not rush; slow chewing of food contributes to the separation of saliva, which has an alkaline reaction. To neutralize the acidic contents of the esophagus, antacids are used (magnesium oxide, magnesium trisilicate, aluminum hydroxide, sodium bicarbonate), they are given in combination with astringents that help to calm inflammation and restore the mucous membrane (vikalin, vikair, gastrofarm, vinylin, etc.).
In the presence of vomiting, cerucal is prescribed. In the period of exacerbation of chronic esophagitis and in acute esophagitis, drugs that suppress Helicobacter pylori infection are used – antibiotics, as well as metronidazole.
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