What to do if there is a strong burp. Belching with air: causes and treatment

Belching is an extremely unpleasant phenomenon in which gastric gas is released into the oral cavity, sometimes along with undigested food. Constant companions of belching are a vile smell and taste in the mouth, bloating, heartburn, gas formation. But if isolated cases make a person just embarrassed and blush, then constant belching can signal serious health problems. So what are the causes of burping?

If burping has become your frequent companion, the reasons will depend primarily on the variety. There are 5 main types of belching, which are easy to recognize by sensations:

  • "empty", or belching with air;
  • sour;
  • rotten (in the mouth with such an eructation it gives off rotten eggs);
  • bitter;
  • putrid (belching with acetone).

Causes of "empty" belching

Belching without smell and pieces of food is familiar to everyone, this variety is most common. If you are regularly tormented by belching air, the reasons can be of two types.

Physiological

In the stomach of any person there is a certain amount of gas, which is responsible for the full motility of the stomach. However, depending on a number of factors, the size of the gas bubble can increase, and then excess gases are released into the oral cavity. The reason may be:

  1. Aerophagia is the swallowing of large amounts of air while eating. This happens when you eat too fast, talk a lot during lunch or dinner, and often overeat.
  2. Wrong diet. Often belching along with heartburn is provoked by sugary drinks and foods that contain gases. Pea porridge, stewed beans, onion soup, cabbage dishes, fresh white bread - all these products will provide you with not only unpleasant bloating, but also belching air.
  3. Exercise right after a heavy meal.
  4. Constant belching and nausea also occur regularly during pregnancy, especially in the second half. The uterus grows in size, presses on the internal organs, which causes gastric gases to be released into the oral cavity, women also suffer from frequent heartburn and gas formation.

Pathological


In some cases, belching with air is an additional symptom of diseases. Usually this:

  1. Neurotic aerophagia. In such cases, the patient swallows excess air constantly, belching and active gas formation may not stop all day. Belching with air and bloating increases with stress and overexertion.
  2. Sick stomach. Gastritis and ulcers often cause belching of air, and narrowing of the esophagus can also cause active gas emissions into the oral cavity. Another factor is a decrease in the motor function of the stomach and weak muscle tone. With such a diagnosis, not only burping with air appears, but also gas formation, bloating, and problems with bowel function.
  3. In rare cases, the cause of the release of gas from the stomach can be heart failure, spasms and a heart attack: there is a sharp pain between the shoulder blades, severe bloating, nausea, constant heartburn and belching.

Causes of sour belching

Belching with a sour taste is a signal that acidity is increased in the stomach or hydrochloric acid is fermenting. If a person suffers from a sour taste in the mouth after eating, suffers from heartburn, nausea, feels heaviness and pain "in the pit of the stomach" - then it's time to contact a specialist gastroenterologist.

Most often, belching with a sour taste indicates gastritis, an ulcer, or gastroesophageal reflux, when the direction of movement of the contents of hollow internal organs is disturbed. Reflux in some cases can lead to the development of Barrett's syndrome, when the mucosa of the esophagus, due to constant irritation with acid, changes its structure and becomes similar to the intestinal mucosa. With this diagnosis, there is a constant sour eructation, pain in the upper part of the stomach - sharp or dull, severe heartburn, and sometimes nausea.

Causes of "rotten" belching

Frequent belching of spoiled eggs is a sign that rotting processes are taking place in the stomach. Smell hydrogen sulfide when belching rotten signals a disturbed motor activity of the digestive tract. The stomach does not perform its functions well, the food lies in an undigested lump, and the proteins in it begin to rot. Hence the characteristic “aroma” associated with rotten eggs.

Rotten belching is caused by a variety of problems, the most common of which are atrophic and chronic gastritis, pancreatitis, inflammation and infection in the intestines, and liver disease. With cholecystitis, bile production decreases, fats are poorly digested and the full functioning of the stomach is disrupted. As a result, a characteristic belching of bad eggs appears.

An allergic reaction to certain foods is another reason why rotten belching can occur. If after eating dairy products, bread, belching of bad eggs and heartburn begin, it may be lactose or gluten intolerance.

If rotten belching with spoiled eggs is accompanied by bloody diarrhea, high fever, chronic fatigue, nausea and gas formation in a person, this may indicate Crohn's disease - a serious inflammation of the entire gastrointestinal tract.

Bitter and putrid belching - the main causes

Bitter belching is the release of gas from the stomach with the addition of bile. Sometimes such situations happen to healthy people, but constant belching of bitterness can become a symptom of serious diseases.

The main causes of bitter belching are duodenal problems: gastroduodenal reflux, chronic duodenitis, surgeries, abdominal trauma, in which the natural outflow of bile is disturbed. Frequent belching of bile can also occur during pregnancy, when the pressure of the uterus on the duodenum increases.

With putrid belching, a specific taste with acetone and heartburn appear in the mouth. The main reason for such an eructation is diabetes and its characteristic complications: hyperglycemia, decreased tone and paralysis of the muscles of the stomach, nerve damage in the gastrointestinal tract.

Disorders of carbohydrate metabolism in diabetes lead to acute atony of the stomach and intestines. The mucous membrane is irritated by specific acids, which also leads to belching with acetone.

Belching in babies

Frequent belching is also found in babies, this is considered a healthy reaction of the body. In infants, the gastrointestinal tract is not fully functional, and after eating, severe gas formation and bloating begin, which will not go away until the child burps air.

Usually, regular regurgitation should be monitored for up to one year; in healthy children, this problem then disappears.

However, sometimes belching is a sign of a certain pathology. In such cases, treatment should be aimed at combating its cause, that is, with the underlying disease.

Why does air accumulate in the stomach?

The stomach is one of the main organs of digestion, in which food undergoes primary processing. At the top, the stomach connects to the esophagus, through which food enters from the mouth. At the junction there is a lower esophageal sphincter - a muscle that, when contracted, closes the lumen of the gastroesophageal junction.

It is this sphincter that prevents the contents of the stomach from entering the esophagus. In order for air to leave the stomach, the lower esophageal sphincter must relax - this is how belching develops.

Belching occurs when swallowed air accumulates in the stomach. Swallowing air is called aerophagia.

There are many reasons why this happens:

  • when eating or drinking too fast;
  • when drinking carbonated drinks;
  • with anxiety.

Babies and young children can swallow a lot of air without burping. Most babies spit up after a feed, which is how they get air out of their stomach.

Sometimes belching appears without overflowing the stomach with air. With its help, people try to relieve abdominal discomfort. But belching can only help in cases where the discomfort is associated with swallowing air.


Aerophagia can develop with:
  • simultaneous talking and eating;
  • chewing gum;
  • the use of hard candies;
  • drinking through a straw;
  • smoking;
  • wearing inappropriate dentures;
  • bouts of anxiety;
  • hyperventilation.

The accumulation of air in the stomach can also be caused by the use of carbonated and alcoholic drinks, as well as foods rich in starch, sugar and fiber:

  • lentils;
  • beans;
  • broccoli;
  • peas;
  • Luke;
  • cabbage;
  • bananas;
  • raisins;
  • whole grain bread.

Diseases that provoke belching

Some diseases can also lead to the development of belching. But since belching is a natural response to abdominal discomfort, other symptoms must be present to establish a proper diagnosis.

Diseases that cause belching:

  • (GERD) is a pathology that is caused by the ingress of stomach acid into the esophagus.
  • Paresis of the stomach is a condition in which the muscles of the stomach are weakened. With paresis of the stomach, the evacuation of food from it slows down, which can cause nausea, vomiting, and increased gas formation.
  • - inflammation of the gastric mucosa.
  • , or duodenal ulcer.
  • Lactose intolerance is the inability of the human body to absorb the lactose found in dairy products.
  • Violation of the absorption of fructose or sorbitol.
  • Helicobacter pylori is a bacteria that causes many stomach problems, including ulcers and gastritis.
Rarer causes of burping:
  • Celiac disease is an intolerance to gluten, which is found in many flour products, including bread and crackers.
  • Dumping syndrome is a pathology in which the stomach is emptied before its contents have undergone sufficient processing.
  • Pancreatic insufficiency - occurs when there is insufficient production of pancreatic enzymes necessary for digestion.

Also, the use of certain medicines can contribute to an increase in the amount of air in the stomach, including:

  • Acarbose is a commonly prescribed drug for the treatment of type 2 diabetes.
  • Lactulose and sorbitol are laxatives.
  • Pain medications such as Naproxen, Ibuprofen and Aspirin. In addition, excessive use of these funds can cause the development of gastritis, causing belching.

Types and diagnosis of belching

You can often find a division of belching into 4 types, based on the taste and smell of the air coming out of the stomach:

  • Sour - observed with increased.
  • Bitter - observed when it enters the stomach.
  • Putrefactive - observed when food is retained in the stomach and its fermentation.
  • Belching with air from the stomach is observed with a simple swallowing of air (aerophagy).

However, this division is subjective.


In professional medicine, belching is divided into the following types:
  • stomach belching . The release of swallowed air from the stomach, which enters the esophagus during transient relaxation of the lower esophageal sphincter. This relaxation is caused by distension of the upper stomach, serving as a kind of decompression mechanism and preventing a large volume of gas from entering the intestine through the pylorus. Gastric belching occurring 25-30 times a day is considered a physiological phenomenon.
  • supragastric belching . Air does not come out of the stomach. The person swallows it into the esophagus just before burping. Supragastric belching is the result of intentional human behavior. It is often observed in patients with anxiety disorders, during stressful events, bulimia nervosa, psychiatric illness, encephalitis.

Combined manometry and esophageal impedancemetry are used to accurately distinguish between these two types of belching.

To determine the causes of frequent burping, the following may also be helpful:

  • methods for detecting Helicobacter pylori in the stomach;
  • endoscopic;
  • esophagus and stomach;
  • Ultrasound of the liver, gallbladder and pancreas.

Belching after eating

Belching after eating in the amount of 3-4 times is normal. It is usually caused by swallowing air along with food. In such cases, nothing needs to be done.

If the air in the stomach causes discomfort in the stomach and more frequent burping, this may be a symptom of diseases of the digestive tract - for example, gastritis, GERD, problems with the biliary tract. In such cases, a person needs an additional examination and the appointment of appropriate treatment.

Constant burping

Constant burping is a problem that requires medical attention.

Depending on the type of eructation, the causes of this phenomenon may be different.:

  • Persistent stomach belching can be caused by malnutrition or diseases of the digestive tract. In this case, a person needs to change the diet or undergo treatment with a gastroenterologist.
  • supragastric belching most often caused intentionally, therefore, the diagnosis of various anxiety disorders and mental disorders is needed, as well as their treatment, including, as a rule, psychotherapy.

Belching accompanied by pain

The combination of pain in the abdomen or chest and frequent belching can have various causes, so it is important to undergo additional laboratory and instrumental examinations to establish the correct diagnosis.

The most common causes of belching and pain include:

  • GERD . If the acidic contents of the stomach enter the esophagus, frequent belching and chest pain may develop. Other symptoms of this disease are a bitter or sour taste in the mouth, a feeling of pressure in the abdomen after eating.
  • Diaphragmatic hernia . This is a disease in which the stomach or intestines protrude into the chest cavity through a hole in the diaphragm. Other symptoms of this pathology are the early onset of satiety during meals, swallowing disorders, and vomiting.
  • pancreatitis . Inflammation and irritation of the pancreas. In the acute stage of this disease, the patient may experience abdominal pain that radiates to the back, nausea, vomiting, and belching. Other symptoms may include foul-smelling stools, weight loss.
  • Heart attack . The symptoms of acute coronary syndrome can be different for each patient. Sometimes with this disease, belching and pain in the abdomen can be observed. Other symptoms include nausea and vomiting, heartburn, weakness, cold sweats, and shortness of breath.
  • Diseases and biliary tract . With pathology of the biliary system, a person may experience frequent belching with a bitter taste and pain in the epigastrium or right hypochondrium.

If a person has experienced mild and short-term abdominal pain, combined with belching, associated with eating disorders, most likely he has nothing to worry about. However, if the pain syndrome is prolonged or becomes more intense, you need to seek medical help. Doctors will determine the causes of belching and pain, as well as give appropriate recommendations.

Treatment of belching with air

Most often, burping is a normal process of releasing air accumulated in the stomach. You should not get rid of gastric belching, you need to take measures to prevent large amounts of air from entering the stomach and treat the disease that causes it.


For example:
  • GERD is treated with drugs that suppress the production of acid in the stomach.
  • With gastritis, stomach ulcers and Helicobacter pylori infection, anti-Helicobacter therapy is performed.
  • With pancreatitis and exocrine pancreatic insufficiency, drugs are prescribed that suppress the production of acid in the stomach, and enzymatic agents that help digestion.
  • With diaphragmatic hernia, some patients are shown surgical treatment.
  • In diseases of the biliary system, treatment is carried out corresponding to the type of disease. Choleretic or antispasmodic drugs are often used, sometimes surgery is needed.

With supragastric belching, it is necessary to first explain to patients the mechanism for the development of this problem, since many of them are sure that air accumulates in their stomach and intestines. Most patients find it difficult to admit that their constant burping is due to behavioral problems.

If the problem is found to be psychiatric, the person should be referred to a psychiatrist for treatment, which may include speech therapy, cognitive behavioral therapy, and hypnosis.

Prevention measures

The presence of air in the stomach and belching are natural phenomena that cannot be completely prevented.


However, you can try to reduce the amount of air you swallow and how often you burp by doing the following:
  • Slow eating and drinking. Chewing thoroughly can help you swallow less air.
  • Refusal to drink carbonated drinks and beer, as they release carbon dioxide.
  • You should limit the use of any foods that make you burp more often.
  • Some patients benefit from taking probiotics, products that contain bacteria that are beneficial to the digestive system.
  • Refusal of chewing gum and hard candies. When chewing gum or sucking on hard candy, a person swallows a large amount of air.
  • To give up smoking. When a person inhales smoke, he also swallows air.
  • You need to check your dentures. Poorly selected ones can cause a significant amount of air to enter the stomach when eating and drinking liquids.
  • Heartburn treatment.
  • Avoiding stressful situations that can cause hyperventilation.

Having some air in the stomach is normal. Belching is the process by which this air is expelled through the esophagus and mouth. If it is observed in the amount of 25-30 times a day, this is not a sign of any digestive disorders.

However, in some people, belching can be permanent, which can be a sign of certain diseases or poor nutrition. To identify the exact cause of the increased amount of air in the stomach, you should consult a doctor who recommends examination methods, establishes an accurate diagnosis and prescribes treatment.

Useful video about the causes of belching and ways to reduce its frequency


is the sudden (often resonant) release of air through the mouth that has accumulated in the esophagus or stomach, sometimes along with a small amount of gastric contents. Belching occurs due to contraction of the muscles of the stomach with an open cardiac sphincter.

Everyone, both healthy and sick, faces this unpleasant phenomenon. Belching haunts us from birth, as almost without exception, babies swallow excess air in the process of sucking. But with full development and growth, this problem goes away.

With the proper functioning of the gastrointestinal tract, there is practically no belching, and if it happens, it is extremely rare and mostly empty (air). We regularly swallow a small amount of air, which allows the body to regulate gastric pressure, but then, it comes out in such meager portions that we do not notice it.

Hence the conclusion: belching can have a physiological and pathological origin.

Causes of belching

Consider the causes of physiological belching.

Periodically, belching appears in people with a normally functioning gastrointestinal tract. As a rule, this is an eructation with air, or with the smell of what was eaten or drunk the day before. It occurs when a person:

    leads a stormy conversation while eating;

    in a hurry and, practically without chewing, swallows food;

    eats in a state of emotional stress;

    overeats;

    suffers from aerophagia (excessive swallowing of air during meals and outside meals).

Remember Professor Preobrazhensky's remark from the movie "Heart of a Dog" about reading newspapers at dinner? Any gastroenterologist will fully agree with him.

However, people face this problem not only because of how they eat, but also because of what they eat.

It's no secret that certain foods and drinks increase gas production. The gas accumulated in the stomach will certainly come out through the esophagus.

These include:

    carbonated drinks;

    oxygen cocktails popular today;

  • ice cream;

    legumes and cabbage can also be the cause of belching, but the main consequence of their excessive use is.

But do not be too frivolous about persistent belching of air, as it can be a harbinger of stomach cancer.

The causes of pathological belching are diseases of the digestive system:

    gallbladder disease,

    gastroduodenitis,

Persistent belching of air with a feeling of fullness in the stomach, which later acquires a rotten smell, may be a symptom.


Causes of burping after eating may be due to both physiological, which have already been mentioned above, and pathological processes that disrupt the functioning of the gastrointestinal tract. These are diseases such as:

    chronic or acute pancreatitis,

  • biliary dyskinesia,

    gastritis with high acidity,

    esophagitis (inflammation of the lining of the esophagus).

Note that the often repeated belching after eating in an adult can be a symptom of health problems, and not only the gastrointestinal tract, so do not neglect professional advice.

Frequent (constant) burping

The human body can react in a similar way to:

    for regular errors in the diet;

    on the wrong organization of food intake;

    aerophagy, including neurotic nature;

    for various pathological processes.

Constant burping may indicate:

    on diseases of the digestive tract;

    for cardiovascular diseases.

In addition, excessive and frequent belching can be observed:

    with problems with the lower food sphincter caused by a hernia of the food opening of the diaphragm;

    with gastroesophageal reflux;

    with pathology of the pancreas and biliary tract.

Types of belching

Types of belching:

Depending on what causes the burp, it can be:

    acidic, indicating increased acidity of gastric juice;

    bitter - when bile is thrown into the stomach;

    putrefactive or give away with acetone - with stagnation and fermentation of undigested food in the stomach and with;

    air - with aerophagia, dietary disorders and the early stages of various diseases of the gastrointestinal tract.

Let us consider in more detail the causes of various types of pathological belching.

Sour belching after eating

Sour belching after eating can be a symptom of:

    Inflammatory disease of the gastric mucosa - gastritis;

    gastroesophageal reflux;

    peptic ulcer;

    More formidable diseases, up to stomach cancer.

Sour regurgitation always accompanies pathological processes in the gastrointestinal tract, and it is impossible to get rid of this problem without starting the treatment of causative diseases.

If a person:

    regularly belches sour, later belching may give rotten;

    loses appetite;


Frequent belching poisons a person’s life, because he cannot communicate normally with people, because they avoid him because of this. The only way out of this situation is to find out the reasons why it occurs.

Enzymes

Enzymes are the most common cause of frequent belching. They are produced in small quantities, which leads to this situation. If this is the reason, then in addition to belching, a person usually also suffers from stomach and flatulence. To get rid of these symptoms, you need to take drugs that contain the necessary enzymes. They must be a doctor after the examination. Often, belching worries people whose body produces too many enzymes. As a rule, it appears the use of sweet foods, and the cause is Candida albicans. It lives in 90% of people, but it does not manifest itself in everyone. For this, an impetus, which can be the use of antibiotics.

diet

Frequent burping occurs when a person's diet contains a lot of carbonated drinks. Here they should be abandoned in favor of spring water, green tea, freshly squeezed juices, then the problem will cease to exist. Belching can occur if foods such as beans, peas, cabbage, fresh bread are present in a person's diet. Undoubtedly, they are useful, but it is recommended to reduce the amount of gas-forming products, you can replace them with something else. Also, when a person eats while eating, he swallows a lot of air with food, as a result of which burping appears.

Diseases

In some cases, frequent belching indicates diseases of the stomach and duodenum. If it is acidic, then most likely a person has gastritis with peptic ulcer and high acidity. Belching with bitter contents occurs with diseases of the biliary tract. Putrid belching speaks of congestion in the stomach, when the secretion of gastric juice and its motor activity are reduced. All this leads to food retention and its decay with the formation of ammonia and. The phenomenon also occurs at . To establish an accurate diagnosis, you should visit a gastroenterologist, he will conduct an examination, on the basis of which adequate treatment will be carried out. It is not recommended to act independently in this case, since the disease is much easier to cure at the initial stage than at an advanced stage.

To understand the reasons for which frequent belching occurs, it is necessary to study the structure of the digestive tract and the processes that occur in it during swallowing and digestion of food.

Air, swallowed involuntarily with food, passes through the esophagus to the stomach and is held there by the cardiac valve.

In addition, a small amount of gas is formed during digestion. When the pressure of the gas becomes excessive, some of it penetrates back into the esophagus, belching occurs. The main part of the gas moves towards the intestines.

The amount of gas that came with food and resulted from digestion is usually small, and in the normal functioning of the body, belching rarely occurs.

Circumstances causing pathology

Some foods, even when consumed in moderation, can cause excessive gas formation during the digestion of food.

Beans, cabbage, lactic acid products, carbonated liquids, and beverages resulting from fermentation, entering the stomach, are able to form a large amount of gas in a short period of time, which will create a pressure that overcomes the force of the valve's compression and exits up the esophagus with a loud sound.

The main reasons that there is a frequent belching of air:

  • improper eating behavior;
  • the presence of pathologies of the digestive system;
  • physiological changes during pregnancy, menopause and obesity.

Incorrect eating behavior (eating poorly chewed large pieces of food, hasty swallowing or talking while eating) is accompanied by the ingestion of a certain amount of gas and leads to loud belching.

Drinking liquids with a straw or chewing gum are common causes of belching, called aerophagia.

Infrequent belching of odorless air is normal and not a symptom of any problem.

The following causes of belching with air are pathologies of the gastrointestinal tract. For example, an adult may experience gastrocardiac syndrome.

The disease is manifested by the fact that after eating, chest pain, palpitations, arrhythmia and other signs of angina pectoris are felt.

Then there is a loud eructation, and the manifestation of these symptoms weakens and stops.

The development of gastrocardiac syndrome affects people who are prone to fullness. Often it develops against the background of other pathologies of the stomach, liver, pancreas and intestines.

Gastrocardial syndrome is detected by excluding the pathology of the heart, blood vessels and additionally examining the patient for the presence of diseases of the gastrointestinal tract.

In early pregnancy, many women begin to burp due to hormonal and physiological changes that affect the muscle tone of the digestive tract.

Gradually enlarging uterus puts pressure on neighboring organs. Belching that is not accompanied by other symptoms is normal.

However, in the event that it is accompanied by heartburn, abdominal pain and constipation, then you should consult a doctor.

In the general case, the presence of pathological changes is evidenced by belching, accompanied by the smell of decay.


It signals that a food bolus is delayed in the stomach, associated with gastritis, low acid content, cancer, pyloric stenosis.

Bitter belching accompanies pathologies associated with the gallbladder, for example, cholecystitis, cholelithiasis.

Fried and fatty foods provoke her. Sour eructations come from too much sweets, coffee, fermented foods, or the consumption of gassy liquids and excessively spicy foods.

Frequent belching as a sign of a pathological process

Symptoms that accompany frequent belching signal the presence of gastrointestinal pathologies. Constipation, nausea, diarrhea, bad breath when belching, stomach pain, high levels of acid in the gastric juice - all these signs point to the need to visit a gastroenterologist.

Identification of pathologies of the stomach and other digestive organs in the early stages of the development of the disease allows you to more quickly and successfully carry out appropriate treatment.

Diet meals and an increase in food culture are also significant factors influencing the reduction of belching and the improvement of digestive processes.

The main pathologies that cause belching:

  • gastroesophageal reflux disease;
  • ulcer formations;
  • gastritis;
  • reversible pyloric stenosis;
  • cancer tumor;
  • achalasia of the cardia;
  • Zenger's diverticulosis;
  • scleroderma;
  • hernia formed in the food opening of the diaphragm;
  • duodeno-gastric reflux;
  • insufficiency of the Baguniy damper;
  • dysbacteriosis;
  • pancreatitis;
  • chronic cholecystitis;
  • the formation of stones in the gallbladder;
  • irritable bowel syndrome.

Often the reason why regurgitation can occur is the pathology of the duodenum and stomach. In this case, the patient is tormented by heartburn, pain in the stomach, sometimes a gag reflex appears.

These symptoms appear after irritation of the esophageal mucosa with gastric juice, causing constant discomfort and inflammation in the gastrointestinal tract.

The next most common causes of frequent belching are diseases of the liver and biliary system.

Symptoms of liver pathologies: heaviness on the right side of the abdomen, jaundice, nausea, flatulence, diarrhea, followed by constipation, and bitterness in the mouth.

To establish the cause of belching and nausea, the patient is assigned a special examination: a chemical analysis of gastric juice, FGDS, if a tumor is suspected, a tissue biopsy is performed. If necessary, the patient is given an X-ray, CT or MRI.

If, after the examination, gastrointestinal diseases were not detected, then the patient should analyze his diet and adjust his eating behavior.

In order for unpleasant symptoms to stop bothering, you must adhere to a special diet for a sufficiently long time.

Diagnostic procedures

Timely diagnosis helps not only to recover from belching in a short time, but also to detect the development of serious pathologies in the gastrointestinal tract and cardiovascular system.

In addition to belching air, a sick person should pay attention to other symptoms of possible diseases: increased gas formation, constipation, diarrhea, pain in the right or left hypochondrium.

Pain in the epigastric region during belching may occur due to exacerbation of peptic ulcer of the duodenum or stomach, on the right side of the abdomen due to cholecystitis.

To clarify the diagnosis and the cause of belching, the patient must undergo special examinations and submit biomaterial for laboratory analysis.

Instrumental and laboratory examinations of patients:

  • general urinalysis - a mandatory medical examination;
  • general blood test - according to the results of the study, you can determine the amount of hemoglobin, leukocytes and the erythrocyte sedimentation rate,
  • blood for sugar - an analysis is prescribed if you suspect the presence of diabetes mellitus;
  • the amount of electrolytes in the plasma - the study reveals a violation of their ratio;
  • fibrogastroduodenoscopy - an instrumental examination that determines the presence of ulcer pathology, Crohn's disease and neoplasms;
  • x-ray - examination of the patient is carried out in a standing position and lying down to detect the flow of contrast into the esophagus from the stomach, diverticulum or hernia;
  • measurement of acidity of gastric juice;
  • ultrasound examination of the digestive organs;
  • esophagofibroscopy - reveals insufficiency of the cardia and reflux of the contents of the stomach into the esophagus, due to which reflux, peptic ulcer and peptic stricture develop;
  • esophagotonokymography - the study reveals the presence of a decrease in the tone of the cardiac sphincter and the degree of its development.

The laboratory determines the presence of antibodies in the blood to Helicobacter pylori, which in most cases provokes the development of diseases of the digestive system - gastritis, ulcers, and so on.

Belching that occurs infrequently and lasts a short time, as a rule, does not need treatment. But if the pathological phenomenon does not stop and is accompanied by pain in the abdomen, and the air emitted has an unpleasant odor, then you should consult a doctor.

Treatment of the disease

Belching is not an independent pathology and does not need special treatment. With episodic release of air, it is enough to reconsider your diet.

To prevent burping, you should not allow snacks on the go, lively conversations during meals and fast foods. A culture of nutrition is the key to good digestion.

Unpleasant belching that lasts for a long time should alert you, as it can signal the development of a serious illness.

After conducting the necessary examination, the gastroenterologist will be able to determine the exact cause of the pathology and prescribe the correct treatment. Successful treatment of the underlying disease will help the patient get rid of the manifestations of belching.

Dietary nutrition should be followed in many diseases of the gastrointestinal tract. To stop burping, carbonated drinks, legumes and all fermented products should be excluded from the diet.

To normalize the process of digestion and reduce the manifestation of belching, patients are prescribed enzymatic agents (Omez, Festal) and drugs that reduce the acidity of gastric juice (Omez, Famotidine).

In order for the treatment to be successful, a sick person must eat 5-6 times a day in small portions. Do not drink food with water or other drinks.

In addition, it is necessary to ensure regular natural bowel movements, because the retention of feces leads to increased gas formation and frequent belching.

Very often, inflammatory processes and pathologies on the mucous surface of the digestive organs - gastritis, peptic ulcer, and so on - are indicated by the unpleasant smell of belching.

For treatment, patients are prescribed a course of therapy with antibiotics, drugs that reduce acidity and envelop the mucous membrane.

Frequent belching in infants and newborns is classified as a separate group, since for them these manifestations are in most cases the norm. Belching with air in babies does not have an unpleasant odor.

Frequent spitting up of small amounts of food after feeding is due to swallowing air bubbles.

To reduce it, in the process of feeding you need to hold the baby in an upright position.

Frequent belching that occurs after eating is a rather unpleasant pathology.

If it is accompanied by vomiting, release of air with a putrid odor and pain in the epigastric region, then you should contact a gastroenterologist for help to prevent the development of serious pathologies of the stomach, intestines and other digestive organs.

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