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Belching Diagnosis Treatment

Belching related problems

Occasional burping after eating or drinking soda is normal. If belching is a chronic problem, or if there are signs of upper abdominal pain, an examination of the oesophagus, stomach and upper small intestine may be required.

• Heartburn (reflux) gastritis or stomach ulcers should be considered in those persons who have chronic belching.

• Meganblase syndrome. This syndrome is a result of chronic belching which leads to the formation
of large gas bubbles in the stomach. It occurs particularly after a heavy meal. The fullness in the
stomach and subsequent shortness of breath can be very painful and feel similar to a heart attack.
• Intestinal motility disorder. Visible distention of the abdomen may be the result of an intestinal motility disorder, such as splenic-flexure syndrome. This is a chronic disorder in which gas is trapped in bends in the colon. Symptoms include bloating and abdominal discomfort.

• Malabsorption, Colon Cancer, Crohn’s Disease, Adhesions. Occasionally, bloating may be a symptom of disorder such as malabsorption, colon cancer, Crohn’s disease or adhesions (bands of scar tissue). Adhesions usually result from abdominal surgery but can also be the result of trauma.

• Ulcer disease. Bloating is also often a prominent symptom of Helicobacter pylori, the bacteria associated with ulcer.

Diagnosis

A good dietary history and accurate description of symptoms is necessary for proper diagnosis.
Maintaining a record for a couple of weeks of the food consumed, helps in identifying the foods
responsible for producing gas.

Lactase deficiency can be diagnosed with a breath or blood test. However, this test is not
easily available. Consumption of lactose-free diet for about two weeks is an effective way
to find out whether lactose is creating excess gas. If there is less gas on a lactose-free diet
then there is a possibility of lactase deficiency.

Treatment

Non-Drug Treatment

•Watch your diet.
Each body is different. Determine which foods create the most gas and alter the diet accordingly.

•Fibre.
If fibre is the culprit, eat smaller portions of fibre-rich food at one sitting.

•High fat foods.
Cutting back on fatty foods allows the stomach to emptv faster,
and allows gas to move into the small intestine, limiting bloating and discomfort.

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