The gas pushing up in the stomach may be caused by eating too much or it may be caused by acid reflux. We should check the function of the stomach. In many cases, it is due to acid reflux. We can feel a bitter taste in the mouth and abdominal pain. At this time, we should relieve it by eating some alkaline foods and avoid eating foods that cause bloating. In severe cases, it is best to go to the hospital for treatment. There is gas pushing up in the stomach, which is a symptom of belching. The treatment methods for belching caused by different reasons are also different. For belching caused by aerophagia, you should avoid eating too much or too fast, avoid laughing and talking while eating, avoid eating foods that easily produce gas, engage in appropriate physical exercise, and consider oral administration of domperidone, mosapride, etc. when necessary. For belching caused by gastroesophageal reflux disease, peptic ulcer, and chronic gastritis, proton pump inhibitors, gastric mucosal protectants, antacids, and prokinetic drugs can be used. Such as esomeprazole, magnesium aluminum carbonate, etc. If Helicobacter pylori infection is present, a triple or quadruple standard treatment regimen should also be used. For belching caused by hiatal hernia, if conservative treatment is ineffective, laparoscopic hernia repair should be considered. Causes Caused by gastrointestinal disturbances. It is more common after ingestion of gas-producing foods or from aerophagia (involuntary swallowing of air). Belching can relieve most symptoms of nausea, heartburn, indigestion, and bloating. The core problem is insufficient gastric motility (gastroscopy excludes organic diseases of the stomach, such as ulcers, gastritis, etc.): 1. Gastroesophageal reflux disease (GERD) Bile reflux gastritis, eating too much, the stomach cannot be emptied on time, food accumulates in the stomach for too long, causing belching. Some GERD patients do not have common typical symptoms such as heartburn and reflux, but may have atypical symptoms such as belching, chest pain, upper abdominal pain, and upper abdominal burning sensation. 2. Mental stress Depression can also affect the sympathetic nerves, making them overly tense, inhibiting the gastric motility and emptying function, causing stored food to remain in the stomach for too long, leading to the production of fermented gas. 3. Bad diet and lifestyle habits Eating too much radish, potato, sweet potato, chestnut and other foods, or staying in bed for a long time, working at a desk for a long time, and lack of physical activity can also affect gastric emptying. 4. Gastric outlet obstruction Belching is a common complication of duodenal ulcer, also accompanied by upper abdominal distension and discomfort, anorexia, nausea and vomiting. 5. Hiatal hernia Belching often occurs after eating and is often accompanied by heartburn, acid regurgitation, and abdominal bloating. Patients often complain of dull pain under the sternum or in the precordial area, which may also radiate to the shoulder. Other symptoms include difficulty swallowing, nausea, weight loss, difficulty breathing, shortness of breath, coughing, and bad breath. 6. Peptic ulcer It is a common disease that often causes belching. The basic symptoms are heartburn and burning stomach pain. Duodenal ulcers cause pain on an empty stomach and in the middle of the night, which can be relieved after eating or taking antacids or drugs to reduce secretions. Gastric ulcer causes pain half an hour after a meal and is relieved before the next meal. Accompanying symptoms and signs include difficulty swallowing, nausea, vomiting, black stools, abdominal distension, feeling of fullness, and upper abdominal tenderness. |
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