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Medical Forum / General / General / April 2005

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Burping excessively

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Ryan - 09 Apr 2005 18:02 GMT
Whenever my partner feels sick to the stomach she starts burping
consistently for hours. Nothing seems to stop it. It interrupts her sleep
and it makes her feel sicker. Tonight it was from overeating. She has been
burping for over 2 hours before bed with no sign of it ending. Any ideas on
what causes it? I've personally never known anyone to do that before.
Mitch - 10 Apr 2005 16:27 GMT
Yes ... she is probably suffering from a Hiatal Hernia that is causing
acid reflux.  It is incredibly painful and awful to deal with.  It can
take many years to cure this condition which requires smaller meals,
less acid, more exercise and more water ... things like citrus juice
and coffee need to be sacrificed completely.

What she should not do is get hooked on drugs like Prevacid and
Prilosec and other heartburn medication.  All that does is kill the
acid in the stomach to stop the gas, but that doesn't stop the problem,
it only masks it.

If she wishes to sleep, I advise putting 4 or 5 inch wooden blocks
under the top of your bed, so that she's sleeping at an angle.
Sleeping this way will at least keep everything down.

I'm not a doctor ... but I endured that painful, embarassing hell for
two years before I made the lifestyle change.  It means she has some
unhealthy eating and exercise habits and maybe drinks too much coffee
or other acidic food.

Hope this helps.
Howard McCollister - 10 Apr 2005 21:23 GMT
> Yes ... she is probably suffering from a Hiatal Hernia that is causing
> acid reflux.  It is incredibly painful and awful to deal with.  It can
[quoted text clipped - 6 lines]
> acid in the stomach to stop the gas, but that doesn't stop the problem,
> it only masks it.

Excessive belching and bloating in patients with GERD is caused by air
swallowing, which the patient does, more or less unconciously, in order to
clear the lower esophagus of the refluxate.

The cause of GERD is a malfunction of the lower esophageal sphincter, either
a low resting pressure, or transient inappropriate LES relaxation.
Esophageal reflux occurs when the pressure in the stomach exceeds the
contraction pressure of the LES at any given moment. The term "hiatus
hernia" refers to an anatomic abnormality where the upper part of the
stomach has actually slipped up into the chest...it doesn't describe any
kind of disease condition. Hiatus hernia can contribute to GERD, but doesn't
have to. Not all patients with hiatus hernia have GERD, and not all patients
with GERD have a hiatus hernia.

HMc
Jason - 10 Apr 2005 21:23 GMT
> Whenever my partner feels sick to the stomach she starts burping
> consistently for hours. Nothing seems to stop it. It interrupts her sleep
> and it makes her feel sicker. Tonight it was from overeating. She has been
> burping for over 2 hours before bed with no sign of it ending. Any ideas on
> what causes it? I've personally never known anyone to do that before.

There are various digestive disorders. I advise you to ask her to visit
her doctor and discuss this problem with him or her. There are several
medications that might make the problem go away. In addition, both of you
should visit a health food store and buy a bottle of "Plant Enzymes" and
"Bromelain". These two products aid in food digestion. I should note that
some medical problems might also cause this problem--the doctor should be
aware of this problem.

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Howard McCollister - 11 Apr 2005 00:11 GMT
In article <42580ad2$0$14796$5a62ac22@per-qv1-newsreader-01.iinet.net.au>,

>> Whenever my partner feels sick to the stomach she starts burping
>> consistently for hours. Nothing seems to stop it. It interrupts her sleep
[quoted text clipped - 3 lines]
>> on
>> what causes it? I've personally never known anyone to do that before.

One of the things that contributes the most to transient inappropriate LES
relaxation is a full stomach. In addition, the full stomach increases the
pressure gradient across the already-inappropriately-relaxed LES making
reflux all the more likely. When patients do reflux gastric contents back
into their esophagus, the typical reaction is to swallow air to clear the
esophagus. It's easy to postulate your partner overeating, swallowing air to
clear the esophagus, belching the swallowed air, but the increased air in
the stomach makes it fuller, which in turn promotes more reflux, which
causes more air swallowing, and on and on it goes ad nauseum (literally).

Nothing to do about it, really. The only way the cycle can be broken is by
decreasing intragastric pressure, which will happen eventually as the
stomach empties itself. The key to keeping it from happening is to avoid
overeating, and avoid substances that decrease the LES tone, such as
alcohol, tobacco, caffiene, certain spices. Weight loss is also an important
component in GERD patients who are obese. That intraabdominal fat also will
contribute to increased intraabdominal pressure, which increases the
gradient across the LES.

HMc
 
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