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Gastroenterology  (Expert Forum)
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233190?1193370436
burping
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
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MedHelp Member's Question

burping

by kahill, Sep 21, 2005 12:00AM
I HAVE HAD CONSTANT BURPING  (DEEP LOUD BURPING, EVEN AFTER DRINKING JUST WATER) AND NOW I HAVE BEEN REALLY SICK TO MY STOMACH FOR THE PAST FEW DAYS. THE BURPING AHS BEEN CONSTANT FOR ABOUT A WEEK NOW BUT IT HAS COME AND GONE IN THE PAST. BUT NOW I'M REALLY CONCERNED BECAUSE ALONG WITH THE BURPING I AM REALLY NAUSEAUS. I HAD A PAP THAT CAME BACK OKAY IN APRIL. BUT NOW FEAR THAT IT COULD BE OVARIAN CANCER AFTER LOOKING UP SYMPTOMS ONLINE! CAN YOU PLEASE HELP ME???
Doctor's Answer

by Kevin Pho, MD, Sep 22, 2005 12:00AM
Burping can be caused by a variety of disorders.  This can include GERD, irritable bowel, delayed gastric emptying or atypically an ulcer or inflammation of the upper digestive tract.



You can consider workup for upper GI diseases with an upper endoscopy or upper GI series.  



More specialized testing, including a liver/gallbladder ultrasound or a gastric emptying scan, can be considered if the initial tests are non-revealing.  



If the tests continue to be negative, treatment for irritable bowel syndrome can be considered.



If ovarian cancer is a concern, a transvaginal ultrasound can be obtained to evaluate the ovaries.



These options can be discussed with your personal physician.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

http://www.straightfromthedoc.com
Member Comments (41)

by wassupwassabi, Sep 21, 2005 12:00AM
To: kahill
I have the same problem for 6 months, I have uncontrollable belching all the time, and eating/drinking anything makes it exponentially worse me belch every few seconds.  The doc told me it was GERD but I didn't have any heartburn, so they kept giving me stronger PPI dosages which didn't do anything, until I then tried to lower my dosage and then started getting heartburn :(



Anyway, a gastroenterologist found that when I breathe in, a lot of air goes down my esophagus and into my stomach; he has no idea why I have this "air sucking" problem but he says it's the only way to have that much belching.  Get your doctor to listen to your esophagus and stomach with a stethoscope when you breathe in and out to see if it's this weird form of aerophagia that is the problem.

by kahill, Sep 21, 2005 12:00AM
Has your doc doen all the labs and test to determine that??? Cuz that seems a bit strange to me. I've never had this problem before...why would it start all of a sudden???? I've even cheered at the college level and never had a problem swallowing air. I mean maybe thats true but accompanied now with feeling sick to my stomach seems a bit strange. I don't have anby heartburn. Those are the only two symptoms I have except everything I eat seems to go right thru me immediately! We'll see. I just hope I'm not over reacting.



Best regards,

Kelly

by yoshi, Sep 24, 2005 12:00AM
from yahoo-

Medical conditions that may cause burping



Burping or belching is most often caused by swallowed air, usually while eating or drinking. Less commonly, burping may be caused by a medical condition.



Gallstones or another problem with the gallbladder may cause burping that is worse after eating and occurs with pain in the upper right abdomen that spreads to the back or shoulder.

Gastroesophageal reflux (GERD) may cause burping and heartburn that gets worse when you bend over or lie down.

An ulcer may cause persistent burping, indigestion, and pain that comes and goes in the upper abdomen.

A tumor may cause burping that occurs with nausea, decreased appetite, and persistent abdominal discomfort and fullness after eating.

Other conditions that may cause burping include:



Slowed movement of food through the intestines (motility disorders).

Blocked passage of food through the stomach or intestines (bowel obstruction or gastric outlet obstruction).

A large collection of undigested material, such as food, hair, or swallowed objects in the stomach (gastric bezoar).

by Bonkers2, Sep 25, 2005 12:00AM
Have same symptoms as many others.  Burping nonstop and wake up in the middle of night with chest pain and burping.



Diagnosed with GERD, Hiatal Hernia and Mild Gastritis.  Prevacid helps acid but does nothing for burping.  Have had gas pains bad enough that feel like a heart attack.  MD and Gastro MD both pretty useless on this issue.  



Have cut out ALL caffeine and try to limit meal size.  Carbonated beverages like champagne are like having a death wish . . . will not touch them again.  Very frustrating that after endoscopy, colonscopy and various medical consultations no more insights from physicians.



Wondering?  Has anyone tried liquid aloe drinks?  I am about to try.  



Also, does fasting provide relief?  



Finally, are enzyme pill helpful or hurtful.  Dietician gave me some and tried 3 one day and felt very ill - but might try again if they help.



Bonk

by tinag, Sep 26, 2005 12:00AM
this burping is interesting sounds like an epidemic !

i am 40 and burping since may.   i am wondering and have not found any relation yet if my gastric bypass has anything to do with this.   I am post op since july 2000.  i had a gastroscopy in june that showed nothing.  he says i don't have the anatomy to have a hiatal hernia but when i read the symptoms it sounds like it to me.   i have a 3cm ovarian cyst, went to see gyn today who laughed at the idea that burping is related to anything gyn.  i burp so much that my throat is sore at times.  i do have ibs as well.   i will keep reading and hoping that someone has a solutioin for us all that are burping.  i have been on protonix, prevacid, aciphex, and a couple of others.  i have more burning, no acid, just the burping that sometimes makes it hard to even catch my breath.

by NotGivingUpNever, Sep 28, 2005 12:00AM
To: wassupwassabi
I have a very similar problem to yours, only that mine started more than 10 years ago. My problem is excessive belching and pain in the upper ubdomen and lower chest, specially between the lower ribs. Both symptoms are constant (24hrs/day) although I do have periods with more or less intensity. The days of high intensity I can hardly continue with regular life. I've been to many doctors in different countries, and have undertaken many tests. Actually almost all of them. Upper GI, endoscopy, X-Rays, lactose, breath, blood, etc...All of them with negative results. Only lactose appeared to be positive but I tried a diet with no milk at all and didn't help. I also tried to keep a pencil between my teeth for several days in case I was swallowing air unconsciently.

Some doctors thought it was aerophagia, others GERD, dispepsya, IBS, psicological or stress, wrong diet, etc. I was prescribed Omepradex PPI but it didnt help. I never experienced heartburn

before, however when I tried to stop taking that drug I had unstandable levels of acidity and heartburn