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What causes burping and nausea: Why It Happens & How To Make It Stop


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
  • Smoke
  • 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.


What They Treat and How to Use Them

Medicine can get into your body in a few different ways. You can swallow a pill, drink a liquid, or get a shot. A suppository is another way to deliver a drug. It’s a small, round or cone-shaped object that you put in your body, often into your bottom. Once it’s inside, it melts or dissolves and releases its medication.

Suppositories may not be the most pleasant product you’ll ever use. But they can make it easier to take medicine that you can’t swallow or that your stomach or intestines wouldn’t absorb well.

Types of Suppositories

Suppositories have a base made from substances like gelatin or cocoa butter that surrounds the drug. As the warmth of your body melts the outside, the drug slowly releases.

Different types of suppositories go into the rectum, vagina, or the duct that empties your bladder, called the urethra. Sometimes they treat the area where you put them in. Or the medicine absorbs into your blood and travels to other parts of your body.

Rectal suppositories go in your bottom. They are about an inch long and have a rounded or bullet-shaped tip. You might take them to treat:

Vaginal suppositories are oval-shaped. You can use them for:

Urethral suppositories are rare. There’s only one kind, MUSE, which men with erection problems can use to take the drug alprostadil. The suppository is about the size of a grain of rice.

Why Use Them

You might need a suppository if:

  • The drug you’re taking would break down too quickly in your digestive tract if you took it as a pill or liquid.
  • You can’t swallow medicine.
  • You’re vomiting and can’t keep a pill or liquid down.
  • The medicine tastes too bad to take by mouth.

How to Insert Them

To put in a rectal suppository:

  • Go to the bathroom first to try to empty your colon.
  • Wash your hands with soap and warm water.
  • Unwrap the suppository.
  • Rub a water-based lubricant over the tip or dip it in water. It will help you slide it in smoothly.
  • Get in a comfortable position. You can stand with one leg up on a chair or lie on your side with one leg straight and the other bent in toward your stomach.
  • Gently spread your buttocks open.
  • Carefully push the suppository, tapered end first, about 1 inch into your bottom.
  • Close your legs and sit or lie still for about 15 minutes to let it dissolve.
  • Wash your hands again with warm water and soap.

To put a suppository into your vagina:

  • Wash your hands with soap and warm water.
  • Unwrap the suppository and put it into the applicator.
  • Lie on your back with your knees bent toward your chest, or stand with your knees bent and your feet a few inches apart.
  • Gently put the applicator into your vagina as far is it will go without feeling uncomfortable.
  • Press on the plunger at the end of the applicator to push the suppository in, then remove the applicator.
  • Lie down for a few minutes to let the medicine absorb.
  • Wash your hands again with soap and warm water.

Vaginal suppositories can be messy, so you may want to wear a pad for a little while after you put one in.

To put in a urethral suppository:

  • Go to the bathroom to empty your bladder.
  • Remove the cover from the applicator.
  • Stretch your penis to its full length to open the urethra, and put the applicator into the hole at the tip.
  • Gently push the button at the top of the applicator until it stops. Hold it there for 5 seconds.
  • Sway the applicator from side to side to make sure the suppository has gone in.
  • Pull out the applicator. Make sure there’s no more medicine in it.
  • While your penis is still pulled out, massage it firmly between your hands for at least 10 seconds to help the medicine absorb.

Problems You Might Have

Suppositories are usually safe. Yet there can be some problems when you take medicine this way:

  • Some of the medicine might leak back out.
  • Sometimes your body doesn’t absorb the drug as well as if you took it by mouth.
  • The medicine can irritate the spot where you put it in.

Ask your doctor before you use a suppository if you:

  • Have an irregular heartbeat
  • Have had recent surgery on your rectum
  • Are a man who’s had prostate surgery recently
  • Are a woman who’s had surgery or radiation treatment to your vaginal area

Functional dyspepsia – Symptoms and causes


Functional dyspepsia (dis-PEP-see-uh) is a term for recurring signs and symptoms of indigestion that have no obvious cause. Functional dyspepsia is also called nonulcer stomach pain or nonulcer dyspepsia.

Functional dyspepsia is common and can be long lasting — although signs and symptoms are mostly intermittent. These signs and symptoms resemble those of an ulcer, such as pain or discomfort in your upper abdomen, often accompanied by bloating, belching and nausea.


Signs and symptoms of functional dyspepsia may include:

  • Pain or burning in the stomach, bloating, excessive belching, or nausea after meals
  • An early feeling of fullness (satiety) when eating
  • Pain in the stomach that may sometimes occur unrelated to meals or may be relieved with meals

When to see a doctor

Make an appointment with your doctor if you experience persistent signs and symptoms that worry you.

Seek immediate medical attention if you experience:

  • Bloody vomit
  • Dark, tarry stools
  • Shortness of breath
  • Pain that radiates to your jaw, neck or arm
  • Unexplained weight loss


It’s not clear what causes functional dyspepsia. Doctors consider it a functional disorder, which means that routine testing may not show any abnormalities. Hence, it is diagnosed based on symptoms.

Risk factors

Factors that can increase the risk of functional dyspepsia include:

  • Female sex
  • Use of certain over-the-counter pain relievers, such as aspirin and ibuprofen (Advil, Motrin IB, others), which can cause stomach problems
  • Smoking
  • Anxiety or depression
  • History of childhood physical or sexual abuse
  • Helicobacter pylori infection

Functional dyspepsia care at Mayo Clinic

Jan. 29, 2021

Show references

  1. Ford AC, et al. Functional dyspepsia. The Lancet. 2020; doi:10.1016/S0140-6736(20)30469-4.
  2. Feldman M, et al., eds. Dyspepsia. In: Sleisenger and Fordtran’s Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 11th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Nov. 16, 2020.
  3. Longstreth GF, et al. Functional dyspepsia in adults. https://www.uptodate.com/contents/search. Accessed Nov. 16, 2020.
  4. Indigestion (dyspepsia). National Institute for Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/indigestion-dyspepsia/all-content. Accessed Nov. 16, 2020.
  5. Goldman L, et al., eds. Functional gastrointestinal disorders: Irritable bowel syndrome, dyspepsia, esophageal chest pain, and heartburn. In: Goldman-Cecil Medicine. 26th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Nov. 16, 2020.
  6. Mounsey A, et al. Functional dyspepsia: Diagnosis and management. American Family Physician. 2020; doi:10.1097/MOG.0b013e328358ad9b.
  7. Li J, et al. A combination of peppermint oil and caraway oil for the treatment of functional dyspepsia: A systematic review and meta-analysis. Evidence-Based Complementary and Alternative Medicine. 2019; doi:10.1155/2019/7654947.
  8. Masuy I, et al. Review article: Treatment options for functional dyspepsia. Alimentary Pharmacology & Therapeutics. 2019; doi:10.1111/apt.15191.
  9. Brown AY. Allscripts EPSi. Mayo Clinic. Nov. 6, 2020.
  10. Kashyap PC (expert opinion). Mayo Clinic. Jan. 4, 2021.

Belching – Symptoms, Causes, Treatments

Belching is the expulsion of air from the digestive tract, most often as a normal response to swallowed air in the stomach. Everyday habits and behaviors that encourage the swallowing of air are major causes of belching.

Everyday causes of belching

You may develop belching from swallowed air in various situations including:

  • Breathing through your mouth
  • Chewing gum
  • Drinking carbonated beverages
  • Drinking through a straw
  • Drinking too fast
  • Eating too fast
  • Experiencing emotional stress or nervousness
  • Wearing poorly fitting dentures

Gastrointestinal causes of belching

Almost any condition affecting the digestive tract can cause belching. These include conditions in which the normal movement or flow in the digestive tract is obstructed, interrupted or delayed. Examples include gastroparesis (delayed stomach emptying), intestinal obstruction, hiatal hernia, and gastrointestinal reflux disease (also known as GERD).

Belching may occur after eating foods that relax the esophageal sphincter, such as chocolate, fats and mints. In other disorders that lead to belching, the enzymes or processes that are needed to digest food completely are either deficient or absent. Examples include lactose intolerance, food allergy, and gallbladder disease.

Belching can be caused by many conditions affecting the digestive tract including:

  • Food intolerance or allergy
  • Gallbladder disease
  • Gastritis (inflammation of the stomach lining)
  • Gastroparesis (delayed stomach emptying)
  • Gastrointestinal reflux disease (also known as GERD)
  • Hiatal hernia
  • Intestinal obstruction
  • Pancreatic disease
  • Peptic ulcer disease
  • Pregnancy
  • Pyloric obstruction (obstruction between the stomach and small intestine)
  • Tumors of the gastrointestinal tract

Serious or life-threatening causes of belching

Belching is a normal body process that is rarely serious in nature. However, in rare cases, belching may be a symptom of a serious or life-threatening condition that should be immediately evaluated in an emergency setting. These include:

Questions for diagnosing the cause of belching

To diagnose your condition, your doctor or licensed health care practitioner will ask you several questions related to your belching including:

  • How long have you experienced belching?
  • Does your belching worsen when you consume certain foods or drinks?
  • Are you experiencing any other symptoms along with your belching?
  • Is your belching becoming worse or more frequent?

What are the potential complications of belching?

Belching is generally a harmless symptom that does not produce long-term complications. However, some of the gastrointestinal conditions associated with belching may have serious complications as a result of the underlying disease rather than the symptom of belching itself. For example, intestinal obstruction due to cancer is a condition that can have long-term and potentially serious or life-threatening complications.

Burping a lot? 5 signs your body may be telling you something

Whether it feels like there’s sand in your eye or you’re bothered by excessive burping, it may be worthwhile to listen to what your body is trying to tell you.

Dr. Roshini Raj, assistant professor of medicine at NYU Langone Medical Center, shared a few symptoms that you might want to pay attention to:

Most people get these tiny mouth sores from time to time, and they can make eating and drinking uncomfortable. It’s usually caused by minor injury to your mouth, such as if you bite the inside of your lip. Or it could be a food sensitivity to citrus fruits or a viral infection. If a mouth sore does not heal after three weeks, however, it could be a sign of a potentially more serious problem, Raj said, such as oral cancer. If you don’t have any pain, it could be more serious.


‘Sand’ in your eye

Sometimes a foreign object scratches or damages the surface of the cornea, the clear, protective covering over your eye. Symptoms can include a feeling that sand or dirt is stuck in the eye, sensitivity to light, blurry vision, red or bloodshot eyes, and increased tears. If that sensation doesn’t go away, it could be a corneal abrasion. If you’re experiencing these symptoms, Raj recommended that you see an eye doctor. It’s usually treated with antibiotic drops. “You never want to play around with your eyes,” she says.

Frequent burping

Burping — a releasing of swallowed air from the stomach through the mouth — really needs no explanation. But what causes excessive belching? It could be a sign of acid reflux or stomach ulcers, Raj said. According to the Mayo Clinic, acid reflux or gastroesophageal reflux disease (GERD) can sometimes cause excessive belching by promoting increased swallowing. It’s important to know because chronic acid exposure in your esophagus can cause pre-cancerous changes.


Swollen or painful leg

Pain in the leg — accompanied by swelling, cramping in the calf muscle, warmth over the affected area or changes in skin color — could be a sign of a blood clot. These are more common after long flights or if you smoke, take oral contraceptives or if you have cancer. A blood clot is serious; if it breaks off and goes to your lungs, it can be fatal, Raj said.

Lump under the arm

A lump under the arm could be a minor problem, such as an ingrown hair or enlarged lymph nodes due to a virus, or it could be a sign of a more serious condition, such as breast cancer. Get it checked out if the lump persists for more than a few weeks, Raj says.

Remember, always consult a physician if you have persistent symptoms or before starting any treatment. “When in doubt, check it out,” Raj said.

This updated story was first published in 2014.

Causes of Excessive Belching

Although belching is a physiological process, various conditions may lead to or cause excessive belching or burping, usually conditions that involve the stomach, duodenum, gallbladder, and esophagus. It may also be caused by lifestyle and dietary factors, such as the type of food eaten and the method of eating.

It is important to note that belching is a normal part of human behavior and is needed to rid the stomach of excess gas that is swallowed when eating or produced during the process of digestion. However, excessive belching can become problematic if it occurs on a persistent basis and is paired with other symptoms, such as abdominal pain.

Physiological causes

Lifestyle and dietary factors may contribute to some cases of excessive belching. This may include swallowing air when eating or drinking or consuming certain food and drink, such as cabbage, cauliflower, broccoli, beans, and carbonated beverages.

It is commonly believed that most cases of excessive belching are associated with swallowing air or certain foods and drinks. However, this is not true as most cases of excessive belching are, in fact, related to diseases of the gastrointestinal tract. These are widely grouped as pathological causes and discussed in more detail in the following sections.

Hiatal hernia

A hiatal hernia is a condition that involves the extension of a portion of the stomach through the esophageal hiatus into the chest cavity. This alters the passage of food into the stomach and disrupts the mechanisms needed to prevent the backflow of stomach acid into the esophagus. In this case, periods of burping tend to come and go according to the stomach’s changing position.

Small intestine bacterial overgrowth

Similar to the bacterial infection of the stomach, the small intestine can also sometimes be affected by bacterial overgrowth that may lead to excessive belching. Small intestine bacterial overgrowth (SIBO) usually affects the duodenum, which can lead to the production of gas and burping.

Infections of the stomach

Bacterial infections of the stomach, such as Helicobacter pylori (H. pylori), can lead to gas production and release from the stomach. As such, it may contribute to burping to some extent, although the volume of gas is thought to be slight. However, the bacterial infection also leads to an increase in the stomach’s acidity, which can also contribute to the accumulation of gas and, hence, burping.

Image Credit: Emily frost / Shutterstock.com

Food intolerance

Indigestion of or intolerances to certain foods can also contribute to excessive belching. This is because the nutrients remain in the gut for consumption by bacteria, which produces gas as a byproduct. Common intolerances associated with frequent burping include lactose intolerance, gluten intolerance, fructose malabsorption, and sorbitol malabsorption.

Insufficiency of the pancreas

The pancreas is an important organ for the production of digestive enzymes needed for the chemical breakdown of foods in the gastrointestinal tract. Due to bile duct stones, pancreatitis, or pancreatic cancer, insufficiency of the pancreas can lead to an inability to digest food adequately, leading to food intolerances and malabsorption. As a result of the bacterial consumption of the nutrients, excessive belching may occur.


Further Reading

5 reasons why you’re burping all the time

Excessive burping could signify digestive problems.

Burping or belching is a normal bodily function, especially after a big meal. But what if your burping has become more than an occasional embarrassment?

Burping occurs when air is expelled from the stomach through the mouth. This usually happens when the stomach is filled with swallowed air. Burping is normal when you swallow air by eating too quickly or drinking a fizzy drink.

A quick overview of our expert forum, where readers ask medical questions, shows that there are indeed people who worry about burping.

When burping becomes excessive, you should pay attention to your body as there may be an underlying problem. Here are five possible causes of excessive burping.

1. A peptic ulcer

When burping is also accompanied by a chronic dull pain in the abdomen, you might have a peptic ulcer. This occurs when the protective mucus layer inside the stomach is compromised and damage is caused to the stomach lining, small intestine or oesophagus by stomach acids.

Burping is a symptom of a peptic ulcer, as a result of acid moving into the oesophagus.

When to seek medical help: When you’re also experiencing abdominal cramps, nausea, vomiting and extreme bloating. Many symptoms caused by a peptic ulcer can mimic other underlying health conditions, therefore it’s important to get a proper diagnosis.

2. Irritable bowel syndrome (IBS)

IBS occurs when there is chronic irritation of the large intestine, causing diarrhoea, constipation, stomach cramps, nausea and excessive bloating. It is often hard to diagnose IBS as it can cause a wide array of symptoms. Excessive burping can signify that you have IBS, caused by excessive build-up of gas in the stomach.

When to seek medical help: You should seek help from your doctor if the burping, along with other symptoms, does not disappear after a month. If you suspect IBS, it’s important to keep track of the frequency of your symptoms and what foods you ate prior to their appearance.

3. Acid reflux or GORD

Gastro-oesophageal reflux disorder, or GORD, is a condition in which the lower oesophageal sphincter (the muscular ring at the lower end of the oesophagus) is too relaxed and allows acidic stomach contents to flow back or “reflux” into the oesophagus.

This condition causes excessive burping as your body is constantly trying to clear your oesophagus, or because you are swallowing more air in an attempt to neutralise the acid. You will likely also experience other unpleasant symptoms such as a burning sensation in the chest and throat, bloating, abdominal pain, difficulty swallowing and nausea.

When to seek medical help: It’s common to experience acid reflux from time to time, especially after eating a heavy meal or eating foods that tend to produce a large amount of acid. But if you frequently experience acid reflux, your doctor will need to check for GORD, which could require specialised treatment to manage the situation. 

4. Coeliac disease

Coeliac disease is a chronic immune disorder where the small intestine is unable to process gluten.

Over time gluten may damage the lining of your small intestine, which can cause acid reflux, leading to excessive burping.

When to seek medical help: When you have any digestive symptoms that do not clear up on their own, especially severe abdominal pain after eating gluten, it’s important to keep a diary to establish a pattern. Your doctor will be able to diagnose coeliac disease with laboratory tests.

5. Another underlying metabolic disease such as diabetes

Burping can signify that your digestive system is sluggish and has trouble processing food, causing large amounts of gas.

Gastroparesis, which is delayed digestion, can be a common side-effect of both types of diabetes.

Other conditions such as hypothyroidism can cause a slowed metabolism, which makes it harder for your body to digest food. This can also lead to excessive burping.

When to seek medical help: If you experience burping and digestive trouble with other symptoms such as extreme fatigue and thirst, you need to visit your doctor for glucose tests. This may indicate pre-diabetes or type 2 diabetes.

Any other conditions such as thyroid disorders can be ruled out through blood tests. 

Image credit: iStock

90,000 The comfort of your stomach – your relaxation and comfort!

Summer! How many poets have sung! And not in vain – it is always desirable and long-awaited. We were all waiting for the first fresh summer fruits and berries – ripe fragrant strawberries plucked directly from the garden, cherries, raspberries, currants, apricots. And now the time has come! Satisfied, we come from the store with a large bucket or basket of delicious berries and begin to take our souls away, aiming to stock up on vitamins for a year in advance until next summer.But here’s the bad luck – the body begins to rebel. And after the next portion of cherries, the feeling of bliss is replaced by a less pleasant one – a feeling of discomfort, heaviness, bloating, overcrowding and pain in the epigastric region, heartburn, nausea, and belching appear. Here it is – dyspepsia.

We often hear this word around us and do not even think about its meaning. But what does it really mean? So, dyspepsia is a violation of the normal functioning of the stomach, difficult and painful digestion.It is a whole complex of symptoms, including pain or discomfort, a feeling of fullness in the epigastric region, early satiety, bloating, nausea, vomiting, heartburn or regurgitation, intolerance to fatty foods.

Distinguish between organic and functional dyspepsia. If, upon careful examination of the patient, any organic lesion in the organs of the digestive system is revealed, then such dyspepsia is called organic. In this case, the patient is given a specific diagnosis and further treatment tactics are determined.But if an organic cause of dyspeptic symptoms cannot be found, then functional dyspepsia is diagnosed.

The causes of organic dyspepsia are clear enough, which cannot be said about functional dyspepsia. What can provoke the development of the latter? Sometimes it is explained by a violation of the motor-evacuation function and innervation of the stomach, while the transfer of contents into the duodenum slows down, as a result of which nausea, vomiting, bloating and a feeling of stomach overflow occur even at the beginning of a meal.Another cause of functional dyspepsia may be more sensitive to stretching of the nerve endings in the walls of the stomach, then pain in the epigastric region occurs even when eating a small amount of food. Functional dyspepsia is not the same for everyone, which is explained by the characteristics of the body of each person. Depending on the predominance of certain symptoms and pathophysiological mechanisms, several variants of functional dyspepsia are distinguished (according to Roman criteria III, 2006.), among which the syndrome of epigastric pain and postprandial distress syndrome are noted.

Epigastric pain syndrome develops with an increased sensitivity of the mucous membrane of the stomach and duodenum to hydrochloric acid, the production of which is usually changed towards a decrease in the pH level and an increase in the acidity of gastric juice, and a violation of the alkalizing function of the mucous membrane of the antrum of the stomach, which causes pain in the epigastric region.

In postprandial distress syndrome, various disorders of the motor function of the stomach and duodenum occur after eating.As a result, the ability of coordinated relaxation of different parts of the stomach after eating is impaired, as a result of which the food immediately goes to the outlet of the stomach, stretching it and causing a feeling of early satiety. Due to a decrease in the contractile function of the stomach, its emptying slows down and a feeling of fullness appears in the epigastric region. In addition, a violation of the muscle activity of the cardiac part of the stomach is usually noted, as a result of which part of the food enters the esophagus, causing heartburn.

So, we know the causes and symptoms of dyspepsia. And knowing the enemy by sight, it is easy to defeat him. And any qualified gastroenterologist can help with this. However, unfortunately, the disease does not choose the time and place where it is better to appear. And now, in the midst of summer – during vacations and a riot of fresh vegetables and fruits, it can make itself felt anywhere: during a hike through the picturesque mountains of Crimea, climbing competitions or an active tour on bicycles, ATVs, as well as diving and surfing.Where can we find a solution to this delicate problem at such an inopportune time?

When there is no time to get sick and you urgently need help, you just need to remember about such an important Belgian drug as BRULIUM LINGUATABS. He will quickly and effectively cope with the manifestations of dyspepsia.

This drug contains doperidone, which is an antagonist of dopamine receptors, and also has antiemetic properties and prokinetic action.

Why is BRULIUM LINGUATABS so good? Its composition domperidone improves the evacuation function of the stomach, as a result of which food smoothly passes into the duodenum, reducing the feeling of heaviness and distention in the epigastric region.It increases the tone of the esophageal sphincters, thereby preventing food from entering the lower esophagus and the appearance of heartburn, and also normalizes the motility of the gallbladder.

And what is important for patients with impaired acidity, the drug has absolutely no effect on the secretion of gastric juice

Due to its pharmacological action BRULIUM LINGUATABS is excellent for the treatment of a number of diseases. Thus, it is effective in the symptomatic treatment of functional dyspepsia, which we mentioned earlier. It should be noted that due to its antiemetic properties, the drug is also suitable for the symptomatic treatment of nausea and vomiting of various etiologies, including medical, postoperative, radiation-induced, uremia, hepatitis and gastrointestinal infections / disorders. As an adjuvant, BRULIUM LINGUATABS can be recommended in the treatment of gastroesophageal reflux disease together with drugs – proton pump inhibitors and antagonists of H 2 -receptors.

Why do we choose BRULIUM LINGUATABS from all preparations?

A feature of this drug is its convenient form of release – a tablet with a pleasant taste that dissolves in the mouth. All you need to do is put the tablet on your tongue, wait a few seconds until it dissolves on its surface, and swallow it without drinking water. This is extremely important in the absence of access to drinking water.

BRULIUM LINGUATABS is remarkable not only for the convenient method of application, but also for the speed of the onset of the effect: the maximum concentration of domperidone in the blood plasma is reached within 30-60 minutes. This means that soon after taking the pill, your well-being will begin to improve.

Thus, BRULIUM LINGUATABS will not only help to quickly and effectively eliminate a number of dyspeptic symptoms, such as heartburn, belching, hiccups, nausea, vomiting, a feeling of heaviness and discomfort in the epigastric region, but also will allow you to continue active rest, keep pleasant memories of your vacation , because when else to enjoy life, if not in summer!

Anna Korchinskaya,
based on materials from Bryufarmexport

Tsikava information for you:

90,000 Reviews Cerucal, prices, instructions for use

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  • Stas Kuryev
    2017-03-02 10:29

    I had a case, familiar to many, bought and ate a stale product in a store. Light poisoning, not long in coming. Although the poisoning was not serious, vomiting and nausea were of a completely different opinion. I went to the pharmacy and with the words: “give me something for nausea,” the pharmacist sold me Cerucal. The medicine helped a lot, the nausea became less after half an hour. Not expensive, but effective drug.

  • Elena Petrovna
    2017-03-01 21:40

    One day in the fall, when it’s time for watermelons, I bought this delicious berry on a roll-up by the road, I really wanted to enjoy it.At night, my temperature rose and I started vomiting uncontrollably. It is very good that I always have Cerucal in my home medicine cabinet, an inexpensive, affordable medicine that is indispensable in these cases. Soon after taking it, my condition improved. I recommend this drug in such cases

  • Inga
    2017-03-01 16:19

    I have known cerucal since childhood.There are several forms of release. When I was pregnant and I started to have severe toxicosis, I was prescribed cerucal pills, but they did not stay in me for a long time, so I switched to injections. My husband injected me with cerucal injections and it became easier for me, the food began to be absorbed little by little. The incessant vomiting is gone. Cerucal was part of the complex treatment for toxicosis, but, I think, played an important role in it.

  • The best antiemetic drug for an emergency! The child had terrible vomiting, we probably bought half of the pharmacy, but the most interesting thing is that the pharmacists did not even offer us such an effective drug… It all got to the point that I had to call an ambulance! They then gave an injection of the cerucal and “enlightened” us! Now this drug is always in the home medicine cabinet. You never know!

90,000 Belching: causes | MRI Expert

Belching is usually not a cause for concern. “Yes, who does not have it!” – some will say. And they will be generally right. Belching is a very common phenomenon, and at first glance, it is completely harmless. Many get used to it and do not even notice. However, in certain situations, such a symptom can warn of serious disturbances in the functioning of the body.

About when belching is the norm, and when there is a reason to go to a specialist, we talked with Yulia Gennadievna Aichkina, a gastroenterologist at the Expert Clinic in Voronezh.

– Yulia Gennadievna, tell us what is belching?

– Belching is a fairly common symptom that is familiar to many people, regardless of gender and age.This is a spontaneous and unintentional release of air from the stomach into the oral cavity, often accompanied by a specific sound and smell.

– What can cause belching? What are the reasons for its appearance?

– Physiological belching (normal) can occur if a person has a conversation while eating, in a hurry, while swallowing a lot of air. Belching can also appear after serious physical activity, the use of certain foods (muffins, fatty, fried, spicy foods, carbonated drinks, fast food), with nasal congestion, pregnancy (due to increased intra-abdominal pressure). But these are, as a rule, isolated cases. It must always be remembered that belching is also observed in diseases.

– What diseases may be a symptom of belching?

– There are quite a few of them. These are pathologies of the pancreas and biliary tract, inflammatory diseases of the digestive tract (gastritis, pancreatitis, biliary dyskinesia, gastric ulcer, hiatal hernia, etc.). In addition to belching, other symptoms may also occur: heaviness in the stomach area, chest pain after belching, etc.d.

Read the materials on the topic:

How and how NOT to treat gastritis
How to protect the stomach from ulcers?
Hernia of the esophageal opening of the diaphragm: what to do if you have been diagnosed with this?

– What causes belching to taste and smell differently?

– A bitter taste usually indicates the entry of bile into the esophagus. A sour taste occurs when gastric juice enters the esophagus. The smell of rotten eggs indicates the production of hydrogen sulfide in the stomach by bacteria present in it during fermentation.

I would like to note that belching with air after eating can be physiological. If it is with tastes, smells and food – this is no longer the norm.

– What studies does a gastroenterologist prescribe to establish the causes of belching?

– The doctor can prescribe a referral for an X-ray of the esophagus with contrast, gastroscopy, pH metry (to measure acidity in various parts of the digestive tract), ultrasound of the abdominal organs, and a hydrogen breath test (in order to diagnose bacterial overgrowth in the intestine).

Read the material on the topic:

Where to get the courage to make up your mind? Gastroscopy – WITHOUT fear!

– Yulia Gennadievna, is it possible to get rid of belching? What treatments are there?

– Belching is only a sign of illness. This means that it is necessary to eliminate the disease that causes it. The top priority is changing lifestyle and eating habits. You need to eat slowly, in small portions, thoroughly chewing food, avoid overeating, exclude from the diet foods that provoke increased gas production, refrain from alcohol and tobacco smoking.

Medical therapy is selected by the doctor individually, depending on the cause of the disease. Can be prescribed drugs to reduce the acidity of gastric juice, digestive enzymes, choleretic drugs, drugs to normalize the motility of the gastrointestinal tract (GIT), antibiotics.

You can make an appointment with a gastroenterologist here
ATTENTION: the service is not available in all cities

Interviewed by Marina Volovik

The editors recommend:

What to do if you suffer from heartburn?
Pancreas: the one and only.How to keep her healthy?
Insidious Pain Mask. Does abdominal pain always indicate gastrointestinal problems?
Not always gastroscopy. Examination for abdominal pain

For information:

Aichkina Yulia Gennadievna

Graduated from Voronezh State Medical University in 2015.

In 2017, she graduated from residency in the specialty “General practice”.

Completed specialization in gastroenterology.

Currently – a gastroenterologist at the Expert Clinic Voronezh. Accepts at the address: st. Pushkinskaya, 11.

“A little about belching” – Yandex.Q

Ivanka Bikeeva

All of us are familiar with such a physiological phenomenon as belching – the natural release of air after swallowing it under certain conditions. But sometimes belching indicates serious illness and may even be the reason for going to an ambulance. It is not the belching itself that is terrible, but the dangerous diseases that it can accompany.

Strong belching and health conditions

Belching – the exit of air from the esophagus through the mouth. This produces a characteristic sound known as burp. In addition, sometimes belching is accompanied by an unpleasant smell and taste.

The main reason for belching is swallowing air. This process is quite natural when you eat or drink too quickly. Excessive use of gum and soda can also cause belching. Because babies often swallow air during feeding, it is natural for babies to regurgitate after eating.The act of spitting up a baby helps relieve stomach discomfort caused by swallowed air.

But swallowing air is not the only reason for belching. There are many different conditions and diseases in which it occurs. For example, pregnant women may experience belching due to hormonal changes that slow down digestion. Belching can signal processes and conditions that interfere with the normal functioning of the digestive tract, such as heartburn, hiatal hernia, or low gastric acidity. In these cases, belching can occur very often after each meal and become a chronic phenomenon for a person.

People rarely associate belching with a health threat and therefore are in no hurry to seek medical help. However, help is needed if the belching is accompanied by severe abdominal or chest pain, persistent nausea and vomiting, and a high fever.

If belching is persistent, severe, or causes concern in the patient, he should see a doctor as soon as possible.

Belching is a symptom of the disease

Belching can signal the presence of certain problems in the body. In this case, along with it, other physiological manifestations of the disease are observed. Moreover, they do not necessarily have to affect the digestive system, but may be associated with other systems of the body.

It is necessary to pay attention to the following symptoms accompanying belching:

  • Bloating or flatulence.
  • Changes in bowel function.
  • Constipation.
  • Diarrhea.
  • Heartburn.
  • Nausea with or without vomiting.

Belching can also be a manifestation of the following conditions:

  • Anxiety.
  • Emotional stress.
  • Nervousness.

Belching alone is not a health hazard. But in combination with other phenomena, it can signal that a situation threatening a person has developed, which requires an immediate appeal to an ambulance.A doctor should be called immediately if belching is accompanied by:

  • Chest pain, chest tightness, chest pressure, heart palpitations.
  • High temperature.
  • Respiratory problems such as shortness of breath, shortness of breath, wheezing, choking.
  • Severe abdominal pain.
  • Vomiting of blood, rectal bleeding or bloody stools.

Thus, belching is a normal process that rarely speaks of serious health problems in nature.However, in rare cases, belching can be a sign of a health emergency that requires immediate medical attention:

  • Abdominal abscess.
  • Heart attack (myocardial infarction).
  • Obstruction (obstruction) of the digestive tract.

Belching reasons

Belching is a natural physiological reaction of the digestive tract to air that has entered it with food or drink.Most people have eating habits that encourage them to swallow air during meals. For example, belching can happen in the following situations:

  • Breathing through the mouth.
  • The use of chewing gum.
  • Drinking carbonated drinks.
  • The urge to drink through a straw.
  • Too fast food intake.
  • Emotional tension or nervousness.
  • Wearing poorly fitting dentures.

Almost any disease of the digestive tract can cause belching. It usually occurs when the normal movement of food through the gastrointestinal tract is obstructed, interrupted, or delayed. Belching can occur after a person has eaten a food that relaxes the esophageal sphincter, such as chocolate or fatty foods. Another physiological disorder that leads to belching is problems with the production of enzymes needed to digest food.For example, these conditions are lactose intolerance, food allergies, or gallbladder disease.

Belching can be caused by the following problems with the digestive tract:

  • Food intolerances or allergies.
  • Disease of the gallbladder.
  • Gastritis.
  • Gastroesophageal reflux disease.
  • Hernia of the esophageal opening of the diaphragm.
  • Intestinal obstruction.
  • Disease of the pancreas.
  • Peptic ulcer disease.
  • Pregnancy.
  • Tumors of the gastrointestinal tract.

Eructation diagnostics

To make a diagnosis, the doctor interviews the patient, in which he asks the following questions:

  • How long have you been suffering from belching?
  • Does your belching get worse when you eat certain foods or drinks?
  • Do you have any pain along with belching?
  • Does the belching get stronger or more frequent over time?

So, belching is usually a safe phenomenon that does not lead to negative consequences.However, some gastrointestinal conditions that lead to belching can develop serious complications as a result of the underlying disease rather than belching itself. For example, bowel obstruction in cancer is a disease that can lead to complications that are potentially life-threatening. In this case, the help of a specialist is needed, who will understand the symptoms and clarify whether the belching is a danger to the patient.

Sources used

  1. Gastroenterology.National leadership / ed. V.T. Ivashkina, T.L. Lapina. – 2015
  2. Gastroenterology. Textbook for students of medical universities. / Trukhan D.I., Viktorova I.A. – 2012

Material provided


90,000 what does it refer to, why do pains and nausea appear, and what can you eat after fatty foods?

Surely many are familiar with the unpleasant sensations after a hearty meal with lots of oil or fatty sauces.Fats are not at all an absolute evil, our body needs them. However, even a small excess of fat in food can lead to heartburn, pain and a feeling of heaviness in the stomach. Why does this happen, which foods should be discarded and how to deal with the symptoms of dyspepsia, diarrhea, flatulence after eating fatty foods?

What is fatty food?

Fats are found in almost all food products: meat, fish, milk, cereals, even some vegetables and fruits are minimal.Foods with the highest fat content include lard and bacon, butter and vegetable oils, nuts, cold meats, cheese, cream, and chocolate. They should be consumed in dosage. For example, 70 grams of lard (and this is just a few small slices) fully cover the daily requirement of an adult for fat. But, in addition to this tiny portion of lard, a person will certainly eat other foods containing fats, and as a result, by the end of the day, the norm will be exceeded two to three times.

Some foods look very healthy and dietary, but don’t be fooled: they are also very high in fat.They are invisible and almost imperceptible to the taste, which creates the illusion of “lightness”. Products with such “surprises” include doctor’s sausage (it consists of one third of fat), light mayonnaise, which contains up to 40% fat, as well as popcorn and cornflakes, crackers, any frozen semi-finished products in breadcrumbs, cookies, cottage cheese and yoghurts , many sauces – in particular mustard and ketchup.

Nutritionists advise to consume one gram of fat per kilogram of body weight per day. On average, about a third of your calories should come from fatty foods.Lack of fat affects the appearance: the skin becomes dry, and the hair and nails become weak and brittle. The endocrine system (especially in women), heart and blood vessels, and cognitive functions suffer. But you should not get carried away with fatty foods: an excess of fat is even more dangerous than a lack of it.

Fatty acids: benefit or harm?

So, we’ve already said that both doctors and nutritionists agree: fats are good, but not all. However, you should understand this issue in a little more detail in order to distinguish between different types of fats.

Fatty acids are saturated and unsaturated. Their molecular structure is different, and they affect the body in different ways.

Saturated fatty acids are found in cheese, meat, butter and some vegetable oils – palm, coconut. With the abuse of this type of fat, there is a risk of developing vascular problems, inflammation, cholesterol levels may rise and metabolism disrupted.

The statement that “good” fats do not get better is a myth.All fats, without exception, are very high in calories, and excess calories from olive oil are deposited on the sides in the same way as excess calories from bacon and sausage.

Unsaturated fatty acids are found in healthy fats found in fish and most vegetable oils, nuts and beans. These fats are necessary for the body: they maintain the integrity of the cell membranes, help the endocrine system, improve the strength and elasticity of blood vessels, and participate in the regulation of metabolism and hematopoiesis.In a word, they are vital, but unsaturated fatty acids are not produced in the human body, they can only be supplied with food.

However, this species can also bring problems: an excess of unsaturated acids increases the risk of kidney and liver diseases.

Why the stomach hurts and hurts after a fatty meal

You probably noticed that sometimes after a fatty meal there are unpleasant sensations: pain, nausea, heartburn, belching. Why is this happening and what does it mean?

The first cause of pain and nausea is actually overeating.The volume of the stomach is small – half a liter when empty. Estimate the volume of food eaten: if the portion is larger than a small bottle of mineral water, you have eaten more than you should. But the reason for the discomfort lies not only in the mechanical stretching of the stomach. To digest food, our body produces enzymes. However, if you eat too much, the enzymes are simply not enough and digestion slows down. In such conditions, the liver is forced to work at its maximum capacity to secrete as much bile as possible.Because of this, we feel a heaviness in the stomach and nausea, stomach pain and other digestive upsets.

However, you don’t have to overeat to feel unwell. Fatty food itself is a difficult test for the digestive system. Fats are digested very slowly, stay in the stomach for too long and irritate the mucous membranes, which leads to heartburn. And if you drink alcohol with food, irritation will only intensify.

Finally, fat has a definite effect on the work of the esophageal sphincters.It disrupts the valve that separates the stomach from the esophagus. This causes stomach contents to be thrown into the esophagus along with acid, causing burns, belching, and an unpleasant taste in the mouth.

All these symptoms are familiar even to people without established gastrointestinal diseases. But they are much more pronounced if a person suffers from diseases of the gastrointestinal tract or diseases of the liver, pancreas and gallbladder. Pain from fatty foods and nausea after eating can be signs of gastritis, biliary tract pathologies, pancreatitis, irritable bowel syndrome, stomach ulcers.Systematic overeating can significantly worsen the course of the disease and cause an exacerbation.

Even if you do not have any health problems, fatty foods can lead to the development of many diseases and pathological conditions. First of all – to the appearance of excess weight, which is a prerequisite for a number of diseases, from problems with the musculoskeletal system, cardiovascular and endocrine systems to enzyme deficiency.

Fatty foods should not form the basis of the diet.Do not exclude fats completely, but control their quantity and quality and try, if possible, to exclude from the diet foods that are both fatty, salty and spicy: this is a very unfavorable combination for the stomach. It is desirable to eat often, but in small portions – the size of one portion should not exceed the size of a fist. This will help the digestive tract cope with the breakdown of proteins, fats and carbohydrates.

What you need to know about intestinal dysbiosis

What is intestinal dysbiosis?

Normally, the intestines are inhabited by various microorganisms that perform very important, vital functions for the body as a whole.These microorganisms are called the normal microflora (normal flora) of the intestine. The most famous representatives of the normal flora are bifidobacteria and lactobacilli, but in addition to them there are anaerobic streptococci, E. coli, enterococci, etc. They all exist in a well-organized, interdependent community, balanced in quantitative and qualitative composition.

Intestinal dysbiosis – a change in the quantitative and qualitative composition of its microflora, which entails a number of painful changes throughout the body, from the most seemingly insignificant at first, to extremely difficult consequences.

Symptoms of dysbiosis

There are no clear symptoms of dysbiosis. Belching, nausea, heartburn, bloating, diarrhea, constipation (or their alternation), an unpleasant taste in the mouth or bad breath, pain in the abdomen, as well as allergic reactions to seemingly harmless foods, a slight fever – all these are manifestations with various diseases of the gastrointestinal tract and, as a result, dysbiosis.

With dysbiosis, digestion suffers the most. Since food in the intestine is first broken down by bacteria, and then absorbed into the bloodstream.Without the help of microorganisms, the body simply cannot assimilate many nutrients, it perceives them as foreign and rejects them. Therefore, nausea, vomiting, loose stools appear.

What is the danger of intestinal dysbiosis?

Intestinal dysbiosis can cause the following diseases and pathological conditions:

  • allergies, bronchial asthma, atopic dermatitis, gastritis, duodenitis, duodenal ulcer, colitis, diarrhea, constipation, malabsorption syndrome,
  • caries, arterial hypertension and hypotension, coagulopathy (blood clotting disorders),
  • damage to connective tissue (diseases of the spine, joints, blood vessels, rheumatoid arthritis), breast, stomach, colon cancer, gallstone and urolithiasis,
  • dysmenorrhea (menstrual irregularities), decreased effect of hormonal contraception.

Reasons that may result in intestinal dysbiosis

  1. Intestinal infections
  2. Treatment: antibiotics, hormones, immunosuppressants, non-steroidal anti-inflammatory drugs (diclofenac, voltaren, reopirin, movalis, indomethacin, etc.), choleretic, laxatives, narcotic, local anesthetic agents
  3. Fasting
  4. Operational interventions
  5. Stress
  6. Colon hydrotherapy
  7. Wrong food
  8. Frequent ARVI
  9. Alcohol, drug addiction, smoking
  10. Parasites

Due to the fact that intestinal dysbiosis can cause very serious diseases, the importance of such a study becomes clear.

In the Republican Clinical Hospital named after N.A. Semashko (Pavlova str. 12, laboratory building, bacteriological laboratory), studies on dysbiosis are being carried out.

Reception of analyzes: Monday-Friday from 8 00 to 13 00 .

Research result: 4-5 days.

Rules for sampling feces for intestinal dysbiosis:

  1. Do not take activated charcoal, other sorbents, biological products for three days before the test.
    Take the analysis material before the start of antibacterial treatment, or 2-3 weeks after the discontinuation of these drugs.
  2. The sampling of material is made on the day of the analysis. Deliver to the laboratory within 2 hours.
  3. Prepare the pot in advance – wash thoroughly with laundry soap, treat with boiling water, cool.
  4. The material for analysis is taken with a sterile stick: fill a sterile container to 1/4 of its volume.

Tel.for inquiries: 43-64-97 (bacteriological laboratory)

90,000 Fasting nausea – causes, diagnosis and treatment

Nausea on an empty stomach is a painful sensation in the epigastric region, oral cavity and pharynx, which occurs on an empty stomach with subthreshold excitation of the vomiting center. Nausea can be observed both with pathologies of the gastrointestinal tract, and as a result of toxicosis of pregnant women, endogenous intoxication syndrome, neurological disorders.To detect the causes of nausea, ultrasound, EGDS, pH-metry, laboratory tests of blood and feces are prescribed, women are recommended a gynecological examination. In order to relieve discomfort, herbal teas, prokinetics, sedatives, antacids are used.

Causes of fasting nausea

Nausea on an empty stomach usually indicates the presence of organic or functional pathology on the part of the digestive system, may indicate endotoxicosis, neurological disorders.The most common physiological prerequisites for nausea include taking vitamin complexes on an empty stomach. More often, discomfort develops after the use of ascorbic acid, B vitamins, quercetin. Symptom is a common side effect of oral iron supplementation.

Toxicosis of pregnant women

The presence of nausea on an empty stomach during pregnancy is associated with early toxicosis, which is determined in 60% of women, starting from 5-6 weeks. The appearance of unpleasant sensations in the morning has several reasons: a change in the concentration of sex hormones in the blood, irritation of the nerve endings of the body of the uterus due to the attachment of the ovum, a violation of the immunological status of a woman.Discomfort is accompanied by salivation, aversion to food, weakness, and dizziness. Nausea usually precedes vomiting, the frequency of which correlates with the severity of toxicosis.

Diseases of the stomach

Unpleasant symptoms are often caused by hyperacid conditions, when an excess of free hydrochloric acid irritates the gastric mucosa, causing pathological impulses from the nerve receptors of the organ. Nausea is associated not only with organic diseases of the stomach, but also with a functional variant of dyspepsia.The symptom is combined with abdominal pain of various localization and intensity, and unstable stool. Often, nausea on an empty stomach develops with the following pathologies:

  • Erosive gastritis . Discomfort and the urge to vomit are caused by irritation of the intramural plexuses of the stomach. Nausea with erosions of the gastric mucosa is accompanied by mild epigastric pain, stool disorders, and abdominal distention. Also, patients are worried about heartburn, belching with air or sour.A dangerous complication of the disease is bleeding, which provokes vomiting with streaks of blood.
  • Chronic gastritis . Fasting nausea is more often observed with helicobacteriosis – an inflammatory process of bacterial origin. Patients feel dull pain in the epigastric region, heartburn, sour eructation, loss of appetite. Stool with alternating constipation and diarrhea is disturbed. Over time, the disease turns into a hypoacid type, manifested by severe digestive disorders.
  • Peptic ulcer . Complaints of nausea upon awakening and an empty stomach are more pathognomonic for duodenal ulcers, but they also occur with an organic defect of the stomach wall. Painful sensations are combined with sharp pains in the epigastric zone, periodic vomiting. For peptic ulcer disease, seasonal exacerbations are typical in spring and autumn, deterioration after errors in diet, alcohol consumption.
  • Biliary reflux gastritis. This type of inflammation is characterized by irritation of the nerve endings of the stomach due to the throwing of bile in case of disturbances in normal peristaltic activity. Dyspeptic disorders occur on an empty stomach, patients complain of nausea, belching, burning behind the breastbone. Pain syndrome is more often worried about after eating, the heaviness in the abdomen is constantly felt.
  • Irritable stomach syndrome . The disease is associated with a periodic increase in the production of hydrochloric acid, which is the result of stress, food errors and irregular nutrition.The symptoms of functional indigestion are more common in younger adults. Dyspeptic disorders are accompanied by emotional lability, changes in the work of the autonomic nervous system.

Parasitic invasions

Nausea on an empty stomach is often one of the first symptoms of helminthiasis, protozoal infections, especially in children. Irritation of the vomiting center occurs due to damage to the mucous membrane of the gastrointestinal tract, as well as under the influence of toxic products of the metabolism of helminths that accumulate in the body.A significant role is played by hypersensitization to parasite antigens. Nausea is most often experienced by patients with infectious diseases such as:

  • Giardiasis . With this protozoal infection, reflex nausea is observed, which is associated with damage to the intestines, the biliary system. Symptoms include heaviness and pain in the epigastrium, right hypochondrium, belching, instability of the stool with a tendency to diarrhea. Giardiasis is characterized by a syndrome of intoxication of varying intensity: subfebrile condition, increased fatigue, headaches.
  • Toxoplasmosis . Nausea is one of the manifestations of the disease and is caused by damage to the digestive tract – the symptom often occurs within the mesenteric membrane along with abdominal pain, constipation, flatulence. With toxoplasmosis, there is a polymorphism of the clinical picture with the involvement of many systems and organs. Symptoms of general intoxication are increasing, the liver and spleen are enlarged, maculopapular skin rashes appear.
  • Ascariasis .Dyspeptic disorders are typical of the intestinal form of the disease and include pain along the intestines, fever on an empty stomach, and stool disorders with a predominance of constipation. With massive invasion of helminths, partial intestinal obstruction, loss of body weight, and lack of appetite are possible. Roundworms sometimes penetrate the bile ducts and pancreatic ducts, which leads to inflammation in the gallbladder, pancreas.

Erosion of the esophagus

Nausea on an empty stomach is caused by the leakage of aggressive stomach contents into the lower esophagus in a horizontal position.Hydrochloric acid is an additional irritant to the affected mucosa. The symptom is usually combined with sour belching, burning sensation behind the breastbone. Patients complain of swallowing disorders, sharp chest pains after eating. With massive organic damage to the wall of the esophagus, bleeding is possible, in which streaks of scarlet blood are present in the vomit.


Fasting nausea with migraine is of central origin and is associated with the spread of excitement from the pathological focus to the vomiting center of the medulla oblongata.The symptom occurs at the stage of harbingers, combined with weakness, drowsiness, yawning. During the peak period, patients experience sharp unbearable pain in one half of the head, more often in the frontal, temporal zone. The pain syndrome intensifies under the influence of bright light, loud sounds; at the height of pain, nausea and vomiting often develop. The duration of an attack ranges from 4 hours to several days.

Endogenous intoxication

In endotoxicosis syndrome, the development of nausea is associated with direct irritation by toxic substances of the trigger zone in the region of the fourth ventricle of the brain.Unpleasant sensations are formed against the background of a general serious condition caused by damage to other nerve structures and functional disorders on the part of internal organs. The symptom is observed in various chronic liver diseases (hepatitis, fatty degeneration), which lead to a decrease in its detoxification function.

Nausea on an empty stomach is often noted by patients with chronic renal failure and uremia, in which the body is poisoned with products of protein metabolism, which are delayed due to impaired excretory function.The manifestation is combined with constant thirst, dry mouth, decreased appetite, tremors of the fingers. The skin looks very pale with a grayish tinge, itchy skin is worried. Fasting nausea is a consequence of cancer intoxication when metabolic products of malignant cells enter the general bloodstream.


The onset of nausea on an empty stomach is typical of acute illnesses that require immediate medical attention. Uncomfortable sensations are formed in various ways: by direct action on the trigger zone of the vomiting center in the medulla oblongata, reflex mechanisms during irritation of visceral receptors or nerve endings in the serous membranes.These diseases are characterized by a severe or extremely severe general condition. Nausea occurs with pathologies such as:

  • Hypertensive crisis . Nausea on an empty stomach is caused by severe disorders of cerebral hemodynamics and secondary neurovegetative reactions. Intense headaches develop in the occiput and temples, combined with visual impairments (“flashing of flies”, the appearance of a “veil”), increased sweating, reddening of the skin of the face and neck.In classic cases, the duration of an uncomplicated crisis is up to 5-6 hours.
  • Appendicitis . Inflammation of the appendix is ​​accompanied by severe pain syndrome, which causes reflex nausea and vomiting. With appendicitis, pain often migrates – first they arise in the navel, and after a while they are localized in the right iliac region. The general intoxication syndrome is increasing due to the ingress of toxins and products of inflammation into the bloodstream, tachycardia, and a decrease in blood pressure.
  • Peritonitis . At the initial stages of the disease, the appearance of nausea is due to reflex reactions of the vomiting center to irritation of the peritoneal receptors. In the future, indomitable vomiting begins, associated with intestinal paresis and severe endotoxicosis. Peritonitis is characterized by a gradual abatement of pain in the abdomen as the patient’s general condition worsens. In difficult situations, an increase in multiple organ failure is possible.


The appearance of nausea on an empty stomach is caused by various pathologies of both the digestive tract and other body systems.Therefore, a comprehensive examination prescribed by a gastroenterologist includes a wide range of instrumental methods and laboratory tests. First, the state of the gastrointestinal tract is studied, then other organs are examined. The most valuable in terms of diagnostics are:

  • Sonography . Ultrasound of the abdominal cavity is used at the initial stage of the examination to quickly assess the state of the digestive tract and develop further tactics. Non-invasive ultrasound examination allows you to detect nonspecific signs of the inflammatory process, to determine morphological abnormalities in the gastrointestinal tract.
  • Endoscopy . According to the indications, EGDS is performed for clear visualization of the mucous membrane of the stomach, esophagus, upper duodenum. The method is used to confirm inflammatory diseases, neoplasms, cicatricial changes. To clarify the diagnosis, a biopsy with histological examination is performed.
  • Intragastric pH meter . Hyperacid diseases often lead to nausea on an empty stomach, therefore, in the presence of specific complaints, it is recommended to measure the pH in the stomach for 24 hours.The method allows you to assess the quality, the degree of activation of the acid-producing function of the organ. Additionally, the pH is measured in the esophagus.
  • Stool analysis . All patients are prescribed a standard coprogram to detect intestinal disturbances, and are analyzed for helminth eggs. If an infectious etiology of the disease is suspected, an extended bacteriological examination of feces is performed. To exclude bleeding from the gastrointestinal tract, the Gregersen reaction is recommended.
  • Laboratory research . Biochemical analysis of venous blood is a highly informative method that can be used to confirm violations of the liver, kidneys, and to identify the degree of endogenous intoxication. The blood is also tested for the most common antigens of intestinal infections, the level of gastrin, pepsinogen.

All women of reproductive age with complaints of morning sickness are prescribed a consultation with a gynecologist with a specific hormone test to confirm or deny the presence of pregnancy.When nausea on an empty stomach is combined with intense headaches, a neurological examination is recommended. In difficult cases, the consultation of other specialists may be required to verify the diagnosis.

For complaints of nausea, a comprehensive gastroenterological examination is indicated

Symptomatic therapy

If the unpleasant symptoms are caused by taking medications, it is enough to change the time of taking the medications or take them after a short snack.With severe intolerance to pharmaceuticals, doctors recommend parenteral methods of administration. Non-intense nausea in pregnant women, which does not violate or slightly violates the diet, does not require correction. Frequent fractional meals, adherence to psychological peace, and feasible gymnastics are recommended for a woman.