Monday, July 22, 2024

What Causes Excessive Burping And Stomach Pain

H Pylori Infection And Giardiasis

How To Get Rid of Abdominal Gas and Bloating? Dr.Berg

Burping may be a symptom of a Helicobacter pylori infection or giardiasis. An H. pylori infection often results in stomach ulcers, also called peptic ulcers. Excessive burping is a symptom, though not the only symptom. Usually, a gnawing pain due to the ulcer is what characterizes such an infection. Giardiasis is an infection of the small intestine, caused by a water-borne parasite called giardia lamblia, and symptoms include gas, bloating, and burping.

Remedy: Both infections require treatment with antibiotics and should not be neglected.

How Is Intestinal Gas Diagnosed

Your healthcare provider may ask you to keep a food diary for a week or more to see if certain foods or drinks make you gassy. Because excessive gas can be a sign of a health problem, you may need one or more of these tests:

  • Blood tests: These tests detect certain conditions like celiac disease that cause gas.
  • Breath test: A hydrogen breath test identifies lactose intolerance or abnormal bacterial growth in the intestine.
  • Colon screening: A flexible sigmoidoscopy lets your provider view the lower part of your colon and rectum . With a colonoscopy, the provider views all of the large intestine. These tests help identify digestive disorders like Crohns disease as well as colon cancer.
  • Food elimination: Your healthcare provider may suggest removing certain foods to see if gas symptoms improve. For example, if youre less gassy after cutting out dairy, you might be lactose intolerant unable to break down lactose, a sugar in milk.
  • Gastrointestinal tract exam: If you belch a lot, your provider may perform a gastrointestinal exam called an upper GI test or barium swallow. You swallow a solution that coats the esophagus, stomach and part of the small intestine with barium for easier viewing on X-rays.

Flatulence: Gas Buildup In The Intestines

Gas in the small intestine or colon is typically caused by the digestion or fermentation of undigested food by bacteria found in the bowel. Gas can also form when your digestive system doesn’t completely break down certain components in foods, such as gluten, found in most grains, or the sugar in dairy products and fruit.

Other sources of intestinal gas may include:

  • Food residue in your colon
  • A change in the bacteria in the small intestine
  • Poor absorption of carbohydrates, which can upset the balance of helpful bacteria in your digestive system
  • Constipation, since the longer food waste remains in your colon, the more time it has to ferment
  • A digestive disorder, such as lactose or fructose intolerance or celiac disease

To prevent excess gas, it may help to:

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Swallowing Too Much Air While Eating

If you burp often, the cause can be something quite as simple as gulping too much air while you talk or eat. Even yawning excessively can cause burping. Simply put, all of these activities cause us to ingest some air that passes through our digestive system. Since air doesnt belong there, the digestive system expels it through a burp. Chewing gum, hard candy, and using a straw to drink can also cause you to burp.1

Remedy: To begin with, if you tend to eat your food too quickly, try and chew slowly. This will prevent you from swallowing too much air along with your food. The same goes for drinking as well. In addition to this, it might help to avoid chewing gums, drinking straws, and hard candy as well.2

Treatment For Gas Gas Pains And Bloating

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If your gas and gas pains are caused by an underlying condition, treatment for that condition may provide relief. Usually, gas can be treated through lifestyle modifications, dietary changes, and over-the-counter medications.

Dietary Considerations

Not everyone has the same reaction to all foods. Keeping a food diary can help you determine which foods cause increases in gas and bloating. Eliminating or reducing certain foods may be necessary to reduce your symptoms.

High-Fiber Foods

Foods that can cause gas due to high fiber include whole wheat, bran, prunes, peaches, apples, pears, asparagus, artichokes, cauliflower, cabbage, brussels sprouts, broccoli, onions, and beans. You may try avoiding high-fiber foods for a week or two and gradually start to eat them again. You should visit with a doctor or dietitian to make sure youâre getting enough fiber.


Some people do not easily digest lactose, the sugar found in dairy products. Reducing or eliminating dairy products could help you reduce symptoms of gas and bloating. There are often lactose-free options for some products like milk.

Artificial Sweeteners

You may try eliminating sugar substitutes or trying a different type.

Fatty/Fried Food

Fat in your digestive tract can slow-down digestion, allowing food to ferment longer and produce gas. Reducing fat in your diet may help lessen symptoms.

Carbonated Beverages

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Diagnosing H Pylori Infection

If your GP thinks that your symptoms may be due to an infection with H pylori bacteria, you may need to have a test for it, such as:

  • a stool antigen test a pea-sized stool sample will be tested for H pylori bacteria
  • a breath test
  • a blood test a blood sample will be tested for antibodies to H pylori bacteria

Antibiotics and PPIs can affect the results of a urea breath test or a stool antigen test. Therefore, these tests may need to be delayed until two weeks after you last used a PPI, and four weeks after you last used an antibiotic.

What Causes Excessive Belching

Belching, also known as burping, is your body’s way of expelling excess air from your upper digestive tract. According to a 2020 review, a healthy person burps up to 30 times a day. However, some conditions may cause you to burp more often.

Most belching is caused by swallowing excess air. Eating or drinking too fast, talking while eating, drinking carbonated drinks, chewing gum, smoking, and having an anxiety attack can lead to excessive burping.

Other causes of excessive belching include:

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You Start Vomiting Pretty Suddenly

If your burps come on quickly out of nowhere, and are accompanied with nausea and lots of vomiting, this could signal a potentially life-threatening condition, says De Latour.

“If you can’t keep anything down and your stomach is distended and painful it can mean you have a blockage or bowel obstruction,” she explains. In that case, you need to go to the emergency room immediately, she adds.

It could also be a sign of the stomach flu, an infection, or even cancer, says De Latour.

How Can I Prevent Intestinal Gas

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Most foods containing carbohydrates can cause gas. A food diary can help you determine which foods make you gassy. But dont cut out too many things. Many vegetables, fruits, dairy products, wheat products and beans cause gas, but theyre also very good for you.

To reduce your bodys gas production, you can:

  • Chew slowly, and dont talk while eating.
  • Cut back on carbonated beverages, chewing gum and hard candies.
  • Drink through a straw.

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When To See Your Doctor

Excessive belching, passing gas and bloating often resolve on their own or with simple changes. If these are the only symptoms you have, they rarely represent any serious underlying condition.

Consult your doctor if your symptoms don’t improve with simple changes, particularly if you also notice:

  • Persistent or severe abdominal pain
  • Bloody stools
  • Changes in the color or frequency of stools
  • Unintended weight loss

What To Do If I Experience Burping And Chest Pain

If you have a minor case of abdominal or chest pain with burping and it goes away, it probably isnt anything to be worried about. However, if the pain continues or worsens, you need to get emergent medical help. If you are evaluated medically and the problem isnt cardiac in nature, you can ask your doctor about some home care tips for relief, such as:

  • Avoid spicy and greasy foods.
  • Elevate the head of your bed at night.
  • Try to drink beverages after your meal instead of during your meal.
  • You may have food intolerance. Try remembering what you ate before the episode and eliminate any possible offenders from your diet for a few weeks. Add them back in one at a time and see which food causes the discomfort.
  • Try an over-the-counter gas relief and/or acid reducer with meals.

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Changes To Bowel Habits

Pancreatic cancer can cause diarrhoea and constipation . If you are over 60, have lost weight and have diarrhoea or constipation, your GP should refer you for a CT scan or ultrasound scan within two weeks.

Pancreatic cancer can also cause pale, oily poo which is called steatorrhoea. Poo may be large, smell horrible, float and can be difficult to flush down the toilet. This is caused by fat in the poo. It happens if pancreatic cancer has affected your digestion, so that fat in your food isnt digested properly.

How Is Bloating Diagnosed

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Your doctor can generally diagnose the cause of your bloating through a physical exam in the office. They will ask you questions about your symptoms. They will want to know if your bloating is occasional or if it occurs all the time.

Temporary bloating is usually not serious. If it happens all the time, your doctor may order other tests. These could include an imaging test to look inside your abdomen. This could be an X-ray or CT scan.

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Gallstones And Hiatal Hernia

Often people who have symptomatic gallstones experience belching along with gas, nausea, a decrease in appetite, and abdominal pain.15 Additionally, a few people with a hiatal hernia might experience excessive burping.

Remedy: Symptomatic gallstones are often treated with the help of surgery, so be sure to talk to a professional regarding that. A hiatal hernia, meanwhile, requires you to avoid heavy meals and take medications that regulate stomach acid and esophageal muscle strength.16

Excessive Gas And Belching

Why Do I Have Gas?Everyone has gas and eliminates it by burping or passing it through the rectum. However, many people think they have too much gas when they really have normal amounts. Most people produce about 1 to 3 pints a day and pass gas about 14 times a day.

Gas is made primarily of odorless vaporscarbon dioxide, oxygen, nitrogen, hydrogen, and sometimes methane. The unpleasant odor of flatulence comes from bacteria in the large intestine that release small amounts of gases that contain sulfur.

Although having gas is common, it can be uncomfortable and embarrassing. Understanding causes, ways to reduce symptoms, and treatment will help most people find relief.

What causes gas?Gas in the digestive tract comes from two sources:

  • swallowed air
  • normal breakdown of certain undigested foods by harmless bacteria naturally present in the large intestine

Swallowed airAir swallowing is a common cause of gas in the stomach. Everyone swallows small amounts of air when eating and drinking. However, eating or drinking rapidly, chewing gum, smoking, or wearing loose dentures can cause some people to take in more air.

Burping, or belching, is the way most swallowed airwhich contains nitrogen, oxygen, and carbon dioxideleaves the stomach. The remaining gas moves into the small intestine, where it is partially absorbed. A small amount travels into the large intestine for release through the rectum.

Points to remember

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How Do You Avoid Gas When Eating Vegetables

The first step to avoiding gas when eating vegetables is to find out which vegetables are responsible for causing gas, bloating, and other stomach issues. Start by eating one vegetable that you think may be the cause, and then gradually add back other vegetables until you discover the veggies that most likely cause your symptoms.

Some people take products that are made to relieve digestive upset, including belching, gas, bloating, diarrhea, and other symptoms. Digestive enzyme products may help with digesting the carbohydrates that contribute to gas.

Eat vegetables that are low gas vegetables. Some examples of these vegetables that cause little gas symptoms include carrots, zucchini, red and orange bell peppers, romaine or iceberg lettuce, Swiss chard, okra, and steamed potatoes.

Eat your vegetables more slowly, which can help reduce the amount of air swallowed while eating your food.

Reduce or eliminate your consumption of carbonated drinks. They are notorious for contributing to a gassy stomach, belching, and other symptoms. The artificial sweeteners used in diet carbonated drinks can contribute to other types of digestive system symptoms.

Another option is to try a juice cleanse. There are several potential benefits to this approach.

You’re Eating Way Too Fast

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It’s normal to ingest some air when you’re eating. But if you’re eating too quicklyor eating and gabbing simultaneouslyyou could be swallowing more air than usual. And that can make you burp a lot, explained Michelle Honda, PhD, a holistic doctor in private practice in Ontario and author of the book Reverse Gut Diseases Naturally. Eating more slowly can reduce those noisy interruptions, Dr. Honda said.

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How Is Intestinal Gas Managed Or Treated

  • Alpha-galactosidase , an enzyme to break down hard-to-digest foods.
  • Bismuth subsalicylate for adults with upset stomach and diarrhea.
  • Lactase enzymes for lactose intolerance .
  • Probiotics to get rid of bad gut bacteria.
  • Simethicone to reduce intestinal gas buildup that causes bloating.

Prescription medications may help if you have a motility problem like IBS. Antibiotics can treat bacterial overgrowth in the intestines that cause excess gas and bloating.

Symptoms Of Acid Reflux

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Most people have experienced the symptoms of heartburn at one time or another. Perhaps you ate too much just before bed and awoke to a burning sensation in your chest. You may have even had some regurgitation of stomach acid into your throat and mouth. While unpleasant, these symptoms are easily treated with antacids or home remedies for most. Its only an occasional occurrence and is given little thought after the discomfort passes. However, for sufferers of acid reflux disease, these symptoms and others can become a regular occurrence.

When heartburn becomes more persistent, occurring two or more times a week, or if it is resistant to medications, its time to see a specialist. Additionally, there are several other symptoms that may suggest acid reflux disease, also known as gastroesophageal reflux disease . While these symptoms may not be as disruptive as heartburn, they also point to this chronic digestive disorder and should be addressed.

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Causes Of Excessive Burping

There are many causes of excessive burping. Usually, it can arise due to certain types of foods and drinks when consumed. Besides behavioral conditions like supragastric belching, aerophagia belching and problems related to the digestive tract like gastroesophageal reflux disease can also lead to this condition.

As per the National Institute of Diabetes and Digestive and Kidney Diseases foods such as hard candies and chewing gums lead to excessive burping as swallowing more air is common with these foods. According to it even fizzy drinks cause burping as they lead to the formation of carbon dioxide in the bubbles form.

Having loose-fitting dentures and smoking can even lead to additional burping as the quantity of air a person swallows is easily increased.

Other causes include talking while eating, drinking, and eating too quickly. Medical conditions such as heartburn, abdominal pain, gastritis, acid reflux, aerophagia, and Helicobacter pylori bacterial infection.

The best way to avoid this condition is to drink and eat slowly.

You Could Have Rumination Syndrome

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If you burp and end up regurgitating a bit of undigested food into your mouth, you could have something called rumination syndrome.

According to UpToDate, people with this condition spit up undigested or partially digested food into their mouths after most meals, then chew or spit it out. It’s thought to be an unconscious habit involving contraction of muscles around the abdomen.

Rumination syndrome can affect people of all ages and has been associated with certain conditions such as anxiety, depression, and obsessive-compulsive disorder. Talk to a healthcare professional about your symptoms psychologists can teach patients techniques for before and after meals that can help keep rumination syndrome at bay.

While burping is both natural and common, excessive burpingespecially if accompanied by other symptomscould signal an underlying health issue. If you have any concerns about your burps, talk to your healthcare provider about it.

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Treatment Of Excessive Belching And Cancer

Normal burping does not require any treatment. However, if belching becomes excessive, it’s important to talk to your doctor.

The treatment for excessive belching will depend on the cause. Often, diet and lifestyle changes are enough to alleviate the problem.

Lifestyle changes that can help reduce excessive burping include:

  • Going for a walk after eating
  • Avoiding fizzy drinks and chewing gum
  • Eating and drinking more slowly
  • Taking an over-the-counter medication designed to reduce intestinal gas

If you find out that your excessive belching is related to cancer, there are several options for treatment. What treatment will be right for you will depend on where your cancer is, whether it has spread, and how healthy you are overall.

Cancer treatment options include:

What Are The Complications Of Intestinal Gas

Extra gas can cause pain, discomfort and embarrassment, but its usually not a serious health problem. Gas buildup can sometimes feel more worrisome, though. Gas on the left side of the colon can cause chest pain that you might mistake for a heart attack. Gas buildup on the right side can mimic pain from gallstones or appendicitis. A health professional should check out these symptoms for any concerning underlying cause.

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