Belching after tea. Belching with air after eating, a lump in the throat, belching is constant and frequent, with heartburn and hiccups: causes and treatment. Belching rotten eggs: symptoms of what disease? How to get rid of air belching with medicines and folk remedies and methods

Belching is the passage of a small amount of air or food from the stomach into the oral cavity, which is accompanied by a characteristic sound. This manifestation is a physiological reaction due to excessive accumulation of gas in the stomach, but in some cases it may indicate a number of disorders in the body. This article talks about why air belching occurs and in what cases this symptom requires appropriate treatment.

Etiology

There is always air in the stomach. It is formed during the fermentation of food and can be released through the oral cavity. This is a physiological process that stimulates the stomach to contract and activates the secretory activity of the glands located in it. Belching can occur in healthy people who do not have any health problems. Its cause is excess air, which accumulates in the stomach, irritates its mucous membrane and provokes an increase in intra-abdominal pressure. In this case, a reflex contraction of the stomach and diaphragm occurs. This process occurs constantly without disturbing general well-being. Often belching is a consequence of aerophagia - excessive swallowing of air. Most often, physiological belching is recorded in the following cases:

If frequent belching occurs and other accompanying complaints are observed (for example, nausea, vomiting or stomach pain, weight loss, heartburn), then you should schedule a visit to the doctor, as this may indicate certain pathologies of the digestive system. Pathological belching is recorded under the following conditions:

  • Disturbances in the functioning of the lower esophageal sphincter and pylorus.
  • Pangastritis, which is a total inflammation of the gastric mucosa. With this disease, a person complains of constant belching of air even on an empty stomach, stomach pain and nausea.
  • Diaphragmatic hernia, in which a certain part of the stomach can protrude into the chest cavity and become pinched. In this case, the patient notes frequent heartburn and belching of air on an empty stomach, pain when swallowing food, especially when bending forward, and rapid heartbeat. In addition, a common complaint of people who have this pathology is a lump in the throat.
  • Anatomical defects of the digestive organs. For example, this could be Zenker's diverticulum. This disease is a pathological expansion at the place where the pharynx meets the esophagus. At first, this disease, in its clinical course, imitates pharyngitis, since patients note a sore throat, difficulty swallowing and coughing. As the diverticulum enlarges, constant belching of air or food appears, and vomiting is possible. With a long course, diverticulitis develops with the appearance of ulcers on the mucous membrane.
  • Violation of peristalsis of the esophagus and stomach.
  • Excessively high or too low acidity of gastric juice.
  • Impaired liver and gall bladder functions. In this case, the belching may take on a bitter taste, especially after fatty foods.
  • Belching after eating indicates the presence of pancreatitis or duodenitis.
  • Intestinal disorders and dysbiosis.
  • Malignant pathologies.
  • Reflux disease, which manifests itself as pain behind the sternum, periodic vomiting, disturbances in the functioning of the heart, and difficulty swallowing. Frequent belching of air and heartburn are also characteristic symptoms of this pathology.

It is worth noting that belching can not only indicate pathologies of the digestive organs, but also indicate various neurotic conditions in which uncontrolled spasm of the muscles of the esophagus and stomach is observed.

Neurological diseases are characterized by so-called “empty” odorless belching, since it is not associated with food intake, but is a consequence of nervous breathing or deep sighs. In addition, in such cases, irritable bowel syndrome often develops. It must be said that in rare cases, belching is a consequence of heart and vascular diseases, as well as helminthic infestation. Thus, this complaint is diagnosed in cases of ischemic disease, pulmonary embolism, myocardial infarction, neurovegetative dystonia, as well as infection with Giardia, roundworms or toxocara, so finding out why very frequent belching occurs can be problematic.

As you can see, the causes of air belching are very diverse, so if it occurs regularly, you should consult a doctor and undergo appropriate examinations.

Features of treatment

If periodic belching is associated with errors in food intake, or if this complaint occurs during pregnancy, special therapy is not needed. In this case, it is recommended to eat slowly, in small portions, chewing everything thoroughly. If necessary, you should exclude drinks with gases, milk and foods that promote gas formation (beans, peas, cabbage, fresh bread, apples).

The following exercise also helps to relieve physiological belching. You need to lie on your back, raise your straightened legs at an angle of 45 ° and try to hold them in this position for 3 - 4 minutes.


If belching is a sign of a certain disease, then only adequate treatment of the underlying pathology will effectively get rid of this unpleasant symptom. So, with the neurological genesis of this problem, it is recommended to get enough sleep, try not to overwork, avoid stressful situations and take sedatives.

If you are constantly worried about belching due to damage to the digestive organs, you should undergo appropriate examinations. As a rule, patients are prescribed:

  • blood analysis;
  • ultrasound examination of the abdominal organs (to identify lesions of the liver, pancreas, gallbladder, etc.);
  • esophagogastroduodenoscopy and colonoscopy (to exclude peptic ulcers or intestinal pathologies);
  • X-ray examination (for timely detection of diaphragmatic hernia or esophageal diverticulum);
  • esophagotonokymography (allows you to determine the presence of low tone of the cardiac sphincter);
  • pH-metry to determine the acidity of gastric juice (with this study you can identify reflux esophagitis against the background of low acidity).

Based on the results of these studies, the doctor makes a diagnosis and prescribes therapy according to the identified disorders.

If belching air is tormenting, the reasons for its occurrence cannot but worry. Belching is the uncontrolled release of excess gas-air mixture from the internal organs of the gastrointestinal tract through the mouth. Often this process is accompanied by unpleasant sounds. This occurs due to the involuntary movement of the stomach muscles when the sphincter is open, separating it from the esophagus.

We constantly encounter this method of utilizing excess gas in the gastrointestinal tract from the moment of birth. Babies, not yet able to control themselves, during feeding swallow too much air, which is also removed through belching. With age, most people get rid of this.

If the gastrointestinal tract functions normally, then no excess gas will form in the digestive system.

That small amount of air that we swallow while eating is quietly released in small doses that a person usually does not even notice. In a healthy person, belching of air occurs quite rarely and in most cases is odorless.

It follows that burping air has a dual character:

  • physiological;
  • pathological.

1 Etiology of the symptom

When belching appears, the reasons for its occurrence are different. Like the causes, the treatment will also vary. As practice shows, most cases of belching occur for physiological reasons in people with a completely healthy gastrointestinal tract. Usually this is an empty belch of air, sometimes accompanied by the smell of food eaten the day before. There may be several reasons for frequent belching:

  1. Heated conversations that accompany eating.
  2. Hasty swallowing of unchewed food.
  3. Persistent emotional tension during meals.
  4. Aerophagia. Frequent belching of air, which occurs if a person constantly swallows too much air.
  5. Binge eating.
  6. Reading while eating, which distracts attention from chewing food.

Very often, belching after eating is directly related to the food itself. Food varies, but some foods have such an unpleasant property as an increased ability to stimulate gas formation. The air in the stomach will tend to come out. Similar products include:

  1. Carbonated drinks.
  2. Oxygen cocktails.
  3. Milk and its derivatives.
  4. Some types of plants such as onions.
  5. Many types of legumes and cabbage, which, however, much more often contribute to the development of flatulence.

Despite the apparent harmlessness of the possible causes, severe belching, and even more so frequent, may well be a manifestation of a fairly serious disease. Constant belching of air is one of the manifestations of stomach cancer.

The basis for the formation of pathological belching is various diseases of the digestive system.

  • pancreatitis;
  • gastritis;
  • gallbladder diseases;
  • gastroduodenitis;
  • hiatal hernia;
  • stomach ulcer.

Belching with gastritis, pancreatitis or other diseases listed above is one of the main symptoms, and if it occurs, you should consult a doctor as soon as possible. If you are experiencing belching with a feeling of fullness in your stomach, you should immediately get checked for cancer.

When there is belching of air after eating, the reasons can also be different. Belching a gas-air mixture after eating, unfortunately, is not always caused by physiological factors. Sometimes this form of belching directly indicates the presence of pathological abnormalities in the digestive system. In addition to the well-known symptom of belching with gastritis, other reasons for this phenomenon may be:

  • chronic or acute pancreatitis;
  • inflammation of the duodenal bulb;
  • functional disorders of the tone and motility of the gallbladder;
  • the pancreas has pathologies;
  • inflammation of the mucous membrane of the esophagus.

It should be noted that in an adult, not all causes of pathologies are located in the digestive system. Frequently recurring belching is a good reason to consult a doctor.

2 The body's reaction to the problem

What are the causes of burping air? The human body reacts in a similar way to the following symptoms:

  • regular dietary violations;
  • improper behavior at the table during meals;
  • neurotic dysfunctions associated with constant swallowing of air;
  • the presence of any pathologies.

Constant belching may indicate problems that affect the following organs:

  • organs of the gastrointestinal tract;
  • organs of the cardiovascular system.

Causes of belching air:

  • dysfunction of the lower digestive sphincter due to developing hernia of the diaphragm;
  • ulcerative lesions of the duodenum or stomach;
  • functional disorders of the stomach of a non-ulcer nature;
  • diseases that contribute to the reverse movement of food from the stomach;
  • due to pathological lesions of the biliary tract or pancreas.

3 Four categories of pathology

It is customary to distinguish four categories of this pathology:

  • sour belching with food;
  • belching air with bitterness;
  • belching air with the smell of acetone;
  • belching without odor.

All these manifestations are caused by various irritants:

  1. The gas-air mixture comes out of the mouth noticeably acidic, while the acidity in the stomach is much higher than normal.
  2. Bitter belching. Uncontrolled release of gases with a bitter taste indicates the penetration of bile into the stomach.
  3. Belching with the smell of acetone. This indicates a significant amount of undigested food in the stomach or diabetes.
  4. If the air coming out of the stomach has no odor, then there is a classic case of aerophagia, when a person for some reason swallowed air. In rare cases, this indicates problems with the gastrointestinal tract.

After eating, the belching clearly smells of acid. This phenomenon indicates the following possible diseases:

  1. First of all, gastritis manifests itself in this way.
  2. A clearly expressed tendency for food to move down the esophagus in the opposite direction.
  3. Various ulcerative lesions of the digestive system.
  4. Possible oncological diseases.

This phenomenon almost always indicates disturbances in the functioning of the gastrointestinal tract. Without identifying the objective causes of such anomalies, treatment will be absolutely useless.

There are a number of manifestations that only a gastroenterologist can explain:

  1. Strong, periodically recurring sour gas from the mouth. Over time, burped food can taste rotten.
  2. No appetite.
  3. Continuous heartburn and excessive salivation.
  4. Nausea at the slightest overeating.
  5. There is always a heaviness in the pit of the stomach after eating, sometimes developing into quite severe pain.
  6. All these signs indicate serious gastroenterological problems.

The diagnosis after a visit to the doctor is unlikely to please you. The presence of a sour taste in burped gas indicates the presence of acid, which is too much for the digestion of food.

If undigested food mistakenly moves in the opposite direction, gastric juice may partially enter the oral cavity through the esophagus. The reverse movement of food through the esophagus may subsequently lead to the degeneration of its tissues.

Belching with bitterness. The feeling of bitterness in the escaping air is in most cases associated with various problems and diseases in the duodenum.

In order to encounter such a manifestation, it is not necessary to have the corresponding disease. In rare cases, this phenomenon does not pose a danger and is not even accompanied by any symptoms, but if it occurs regularly, you should immediately consult a doctor.

Belching with acetone. This symptom often appears in the later stages of diabetes.

4 Treatments

How is belching treated? If such a nuisance does not happen to you often, then there is nothing to worry too much about. In general, the release of excess gas from the digestive organs does not require special treatment; only minimal nutritional adjustments are necessary. It may make sense to resort to a less restrictive diet.

When gases from the digestive organs bother you quite often, it makes sense to consult a doctor and tell him about all the observed manifestations. If there is cause for concern, the doctor will prescribe additional examination.

How to treat belching depends entirely on its type. A pathological variety requires the cause of its occurrence to be established before treatment.

To eliminate the phenomenon of air belching, treatment must be combined with proper prevention. It is also important to remember some features.

  1. It is much easier to treat the release of gases through the mouth of a physiological nature.
  2. There is no need to rush while eating. Food should be chewed more thoroughly.
  3. Before eating, you should bring your emotional state back to normal and only after that start eating.
  4. Don't get overtired.
  5. Eliminate carbonated drinks from your diet as much as possible.
  6. If possible, you should avoid products that cause this phenomenon. Try to identify them and avoid them in the future.
  7. Don’t leave the organization of the nutrition process to chance, try to eat well.
  8. Moderation in food should become your norm.
  9. Avoid coffee or tea that is too hot;
  10. Stop the habit of using a straw when drinking.
  11. Replace chewing gum with other ways to achieve fresh breath.
  12. Categorical cessation of smoking.

After eating, do some exercise to help digest food better. If you follow these simple rules, then burping probably won’t bother you.

Belching is a kind of reflux of undigested food from the stomach and esophagus into the oral cavity. This manifestation is usually preceded by heaviness and distention caused by high pressure in the stomach cavity. When the release occurs, the condition improves significantly. Depending on the cause of the pathology, a person burps air or food. The burps may have a rotten odor or no odor at all. To eliminate frequent belching, it is necessary to determine the cause of its development.

Belching air

If we consider the limits of the norm, then on average, The stomach of an adult contains about 0.5-1 liters of gases. The reasons for air penetration may be the following: ingestion during eating and talking, chewing gum, drinking alcohol and carbonated drinks. In healthy people, frequent belching of air occurs in case of overeating. Since in this situation the sphincter of the inlet does not close completely, the gas under the influence of pressure is pushed into the pharynx and esophagus. Most often, a similar problem is observed in obese people.

Belching is observed with the abuse of fatty foods, onions and garlic, tea and strong coffee. Intense belching is a concern at different stages of pregnancy. This is explained by the fact that the uterus grows, forcibly displaces neighboring organs, and also props up the diaphragm, which provokes these symptoms.

Belching with gastrointestinal pathologies

The main reason for frequent belching is when the valve separating the internal space of the stomach and the esophagus does not close completely. Such a deviation in the digestive system can be detected using FGDS and x-rays.

Degrees of cardiac failure:

  • First degree - incomplete compression of the inlet section is observed, when a third of the lumen remains during deep inspiration.
  • Second degree - the lumen in the cardiac region is almost half the diameter.
  • Third degree - incomplete closure is recorded during inhalation, esophagitic reflux manifests itself, since gastric contents are often thrown into the esophagus.

The main pathological causes of frequent belching are the following:

Gastritis


Pathology can be nutritional, infectious, radiation, autoimmune, toxic. If gastritis occurs in an acute form, belching, heaviness in the abdomen, nausea, vomiting, dull and aching pain, loss of appetite, and rapid satiety are observed. Rotten belching often occurs. Sometimes dumping syndrome occurs: diarrhea, belching, nausea, weakness after eating. There is decreased performance, pale skin, brittle nail plate, weakness, anemia, atrophy of the gastric mucosa.

Ulcerative disease

As for the consequences of an ulcer, it leaves rough lesions and scars on the mucous membrane, damaging the muscle layer. Manifested by sour and airy belching. Clinical picture: half an hour after eating, dull or sharp pain occurs, nausea, vomiting, and a predisposition to difficult defecation occur.

Transformation of the output department

The cause of this manifestation may be pyloric stenosis, accompanied by a narrowing of the pyloric section of the stomach. With this pathology, high intragastric pressure occurs, which leads to stagnation and fermentation of the contents. The result is a loud belch: rotten, sour and air. As symptoms increase, weight loss, water and electrolyte imbalance, nausea, vomiting, abnormal heart rhythm, and shortness of breath occur.

Stomach cancer


The initial stage of a dangerous disease occurs with a minimum number of symptoms that resemble. Signs such as weight loss, rapid satiety, aversion to meat, lack of appetite, and anemia appear. Patients complain of frequent and severe belching of food, pain and heaviness in the epigastric region.

Pathologies of the esophagus can be the causes of belching:

  • Zenker's diverticulum;
  • Achalasia cardia;
  • Scleroderma.

Frequent belching accompanies such pathologies of the digestive system as intestinal dysbiosis, chronic pancreatitis, insufficiency of the Bauginieva valve, duodeno-gastric reflux and diseases of the biliary tract.

Features of therapy

Considering the fact that belching accompanies many diseases, it is important to promptly contact a gastroenterologist and undergo high-quality diagnostics. Treatment should begin after identifying the provoking factors and causes of belching.

Belching is not considered an independent illness.

Since this manifestation is a symptom and not a separate disease, there is no specific treatment for this phenomenon. In order to eliminate one-time manifestations of belching, it is enough to adjust the culture and diet. If belching accompanies gastrointestinal pathologies, it is necessary to eliminate the underlying disease, and the symptoms will subside.


Most ailments related to the functioning of the gastrointestinal tract can be treated with special diet therapy. Its goal is to limit the consumption of foods that have a negative effect on the mucous membrane and cause increased gas formation. Most often, in such cases, the doctor prescribes medications that help normalize the functioning of the digestive tract: Imodium, Mezim, Omez, Festal, Creon, Almagel. The diet involves frequent split meals in small portions.

It is not recommended to drink liquids with food, as they dilute the concentration of gastric juice, which slows down the digestion process. In turn, this provokes the processes of rotting and fermentation, which contribute to the manifestation of belching. Defecation should occur daily. If digested food is retained in the body, flatulence and belching with an unpleasant odor occur.

Pain and belching observed after eating indicate damage and inflammation of the gastric mucosa. Therapy is carried out in accordance with a scheme drawn up by a doctor based on symptoms and the results of instrumental and laboratory tests.


Traditional medicine recipes are also used in the treatment process. Such products are safe to use and effective. However, you should consult your doctor before use to avoid possible side effects.

To get rid of belching, drink 6 drops of clove oil diluted in a glass of goat milk 2 times a day. If desired, milk can be replaced with a decoction of elecampane root. To prepare this decoction, pour 20 grams of crushed root into a liter of boiling water and bring to a boil. Leave to brew for 2 hours, strain, cool.

As for belching that occurs in infants, such a manifestation is a natural process. Regurgitation is observed after each feeding for up to three to five months. To avoid regurgitation, the baby must be raised for 3-5 minutes after feeding. Baby burps have no odor. If you notice a sour smell, you should contact your pediatrician.

Belching is a normal process. However, if such a manifestation occurs regularly, has an unpleasant odor, or is accompanied by additional symptoms, it is recommended to consult a doctor and undergo an examination.

Belching is a sudden involuntary release of gas into the oral cavity from the stomach or esophagus, sometimes with small portions of stomach contents.

The mechanism of belching comes down to the following: with excessive swallowing of air or increased formation of gas in the stomach, intragastric pressure increases, which leads to simultaneous contraction of the stomach muscles, relaxation of the cardiac sphincter and contraction of the pylorus.

Possible causes of belching

A healthy person’s stomach contains a certain volume of gases, the composition and quantity of which depends on age, diet, lifestyle, and so on. The size and shape of the gas bubble are determined by various reasons not related to the disease, for example:

1. Aerophagia – excessive swallowing of air during eating. This can occur due to overeating, fast eating, talking while eating, excessive gas content in food that causes belching, drinking highly carbonated drinks, and smoking.
2. Belching is often observed during active physical activity immediately after eating.
3. Poor nutrition and inclusion in the diet of a large number of foods such as fresh bread, beans, beans, cabbage and others.
4. Excessive food intake.
5. Second half of pregnancy - an enlarged uterus creates increased intra-abdominal pressure and raises the dome of the diaphragm, which can cause belching.

Diseases accompanied by belching

Diseases in which belching is observed:

1. Belching may be the leading symptom of diseases and conditions leading to disruption of the cardia closure mechanism(cardia insufficiency, dyskinesia, scleroderma of the esophagus, hiatal hernia, conditions after surgery on the esophagus and stomach). The leading mechanism for the occurrence of belching in this case will not be a spasm of the stomach muscles, but a decrease in the tone of the cardiac sphincter.

At achalasia cardia Symptoms such as belching of air, nausea, increased salivation, burning along the esophagus, and bad breath due to retention and rotting of food in the esophagus are observed.

Reflux esophagitis manifested by heartburn, a burning sensation behind the sternum, which arises or intensifies when the body is tilted forward (stomach contents are thrown into the esophagus), pain due to the effect of gastric juice and bile on the inflamed mucous membrane of the esophagus, and belching.

At pharyngoesophageal diverticulum(Zenker's diverticulum) at the initial stage, patients note a feeling of scratching in the throat, dryness or severe salivation, awkwardness when swallowing, coughing, belching, the need to wash down food, gargle after eating. The disease usually begins after 50 years of age; among patients aged 55–65 years, men predominate, and in patients over 80 years of age, women predominate.

Scleroderma of the esophagus manifested by difficulty swallowing, persistent heartburn, which intensifies after eating; damage to the stomach and duodenum is manifested by abdominal pain and flatulence.

2. Diseases of the stomach and duodenum. Belching sour characteristic of diseases accompanied by increased acidity of gastric contents or increased production of gastric juice (hyperacid gastritis, gastric ulcer).

Belching rotten occurs during stagnant and putrefactive processes in the stomach cavity, which leads to the formation of hydrogen sulfide and ammonia in the stomach. This symptom is characteristic of a number of stomach diseases ( pyloric stenosis in the stage of decompensation, stomach cancer and gastric and duodenal ulcers), accompanied by achylia and achlorhydria (lack of hydrochloric acid and digestive enzymes in gastric juice).

Often rotten belching appears most early during an exacerbation chronic atrophic (hyposecretory) gastritis. As the disease progresses, heaviness and aching pain in the epigastrium, a feeling of fullness after eating, nausea, and regurgitation appear.

3. Diseases of the liver and gall bladder. With cirrhosis of the liver of any origin, patients complain of jaundice of varying severity, a feeling of heaviness or pain in the right hypochondrium, belching, flatulence, nausea, bitterness in the mouth, general weakness, and decreased performance.

Diseases of the biliary tract are accompanied by belching almost constantly. However, with various pathologies, belching can change its properties and be combined with other symptoms: a bitter belching will occur in the presence of duodeno-gastric reflux, and if there is no reflux of bile into the stomach, then there will be a belching of odorless air. In chronic cholecystitis (calculous and acalculous), flatulence and bitter belching often occur. An error in diet leads to discomfort in the right hypochondrium, epigastric region, dull aching pain or heaviness, nausea, flatulence, and intolerance to fatty foods.

4. Diseases of the cardiovascular system(angina pectoris, myocardial infarction, etc.). Gastralgic (abdominal) form of myocardial infarction manifests itself as pain in the epigastric region, sometimes in the right hypochondrium or in the entire right half of the abdomen. The pain can spread to the interscapular area and is accompanied by belching of air, persistent nausea, vomiting that does not bring relief, and bloating. The abdominal form of myocardial infarction should be differentiated from diaphragmatic hernia, exacerbation of gastric and duodenal ulcers, and pancreatitis.

Gastrocardiac syndrome (Houdin-Roemheld syndrome)- a reflex reaction that occurs in response to irritation of the receptors of the stomach and esophagus. Typically, manifestations of the disease occur after eating. Immediately after eating, pain appears behind the sternum or in the region of the heart, the heartbeat quickens, and interruptions in the functioning of the heart appear: the feeling of cardiac arrest is replaced by a feeling of “fluttering.” Dizziness, weakness, and fear may bother you. Blood pressure often rises, pale skin and cold sweat appear. Belching or vomiting (which patients have to induce themselves) brings significant relief.

5. With neurotic aerophagia patients voluntarily swallow air regardless of food intake. Belching is persistent, does not depend on meals, in rare cases it can be constant, stopping only during sleep, and usually intensifies against the background of emotional stress and stressful situations. In this case, the belching has no odor, most often it is sonorous and empty.

Diagnosis in the presence of belching

It is necessary to pay attention to other symptoms indicating a disease that caused belching: diarrhea and flatulence are observed with irritable bowel syndrome, intolerance to fatty foods and pain in the right hypochondrium - with cholecystitis, pain in the epigastric region associated with food intake - with gastric ulcer and duodenum. The patient will have to undergo some tests to clarify the diagnosis, the volume depends on the leading symptoms and the doctor’s assumptions.

Laboratory and instrumental studies:

Complete blood count - signs of iron deficiency anemia (decrease in hemoglobin and red blood cell levels), moderate leukocytosis are characteristic of inflammatory diseases of the digestive system, an increase in ESR of more than 20 mm/h in scleroderma;
general urine test - carried out as part of a general clinical examination;
blood sugar – normal values ​​(3.3 – 5.5 mmol/l);
blood electrolytes – imbalance of electrolytes;
blood for antibodies to Helicobacter pylori (to exclude gastric ulcer associated with Helicobacter pylori);
fibrogastroduodenoscopy (to exclude gastric and duodenal ulcers, gastritis);
X-ray examination is carried out with the patient in a vertical position, then in a horizontal position, this technique makes it possible to detect the flow of a contrast agent (barium solution) from the stomach into the esophagus, it is also possible to detect a hiatal hernia, Zenker’s diverticulum;
esophagotonokymography allows you to determine the presence and degree of decrease in cardiac sphincter tone;
esophagofibroscopy indirectly confirms the presence of cardial insufficiency, revealing the reflux of gastric contents into the esophagus (gastroesophageal reflux). Due to the systematic entry of active gastric juice into the esophagus, reflux esophagitis, peptic ulcer and then peptic stricture of the esophagus often develop. Lack of peristalsis caused by atrophy of the smooth muscles of the esophagus, as well as fibrosis, is observed in scleroderma;
intraesophageal pH-metry (preferably 24-hour monitoring) - reduction of acidity in the lower parts of the esophagus to 4.0 and lower with reflux esophagitis;
Ultrasound of the abdominal organs in cases of suspected cholecystitis determines its nature (calculous or acalculous).

Belching treatment

If belching is caused by errors in diet or other reasons not related to the disease, it is necessary to follow some preventive measures.

1. Chew your food thoroughly, do not swallow large pieces.
2. Avoid chewing gum.
3. Avoid drinking highly carbonated drinks.
4. Drink directly from a cup or glass, skip the straw.
5. Do not eat foods that cause increased gas formation (legumes, cabbage, etc.).
6. Eat in small portions, but often: up to 6 times a day (especially important for women in the second half of pregnancy).

Treatment of belching with folk remedies

1. Take half a glass of fresh cranberry juice and half a glass of aloe juice. Mix and add 1 tablespoon of honey and add one glass of non-hot boiled water. Take 1 tablespoon 3 times a day for a week. Then alternate: one week – treatment, two weeks – break. Thus, treatment continues for 6 months.
2. To collect yarrow inflorescences, peppermint leaves, dill seeds 15 g, St. John's wort herb - 30 g, trefoil leaves - 2 g. Pour 2 tablespoons of this collection into 2 cups of boiled water, leave for 2 hours, filter. Take two glasses during the day, 1 - 2 tablespoons per dose. The product is effective for increased acidity of gastric juice with constipation and sour belching.
3. Crush the dried calamus root to a powder state. Take half a teaspoon 15 minutes before meals.
4. Decoction of elecampane roots (2 tablespoons per 1 liter of water). Take half a glass 2 times a day before meals for 5-7 days.
5. Warm goat’s milk is good for treating belching. For 2-3 months, take 1-2 glasses 3 times a day.
6. Mix potato and carrot juices in a 1:1 ratio to a total volume of 100 ml, take 0.5 cups of this juice mixture 3 times a day before meals.
7. After eating, snack on fresh carrots or carrot puree.
8. If you don’t have carrots, eat an apple. And if you have both an apple and carrots, puree both ingredients.
9. Before eating, drink some water in slow sips. It’s better not to drink food.

Belching after eating causes a lot of inconvenience to a person. Belching is not a disease, but, what is important to consider, it is often a symptom of serious illnesses. Therefore, if belching occurs, you should consult a doctor. Having established a diagnosis, the specialist will prescribe treatment for the underlying disease. Having gotten rid of the disease, a person will also get rid of belching.

Which doctors should I contact if I have persistent belching?

Therapist, gastroenterologist. You may need to consult specialists: cardiologist, dermatologist, thoracic surgeon.

General practitioner Kletkina Yu.V.