What to do when belching air causesdiscomfort

Belching – throwing into the mouth of the contents of the esophagus or
stomach. Usually it is preceded by a feeling of bursting and heaviness in
epigrains, which is caused by increased pressure in the stomach.
ATыброс излишнего содержимого желудка в пищевод или глотку и ротовую
the cavity relieves this condition.

It can regurgitate with food, sour stomach contents or
by air. Features of the latter option and its reasons consider
in this article.

Burp air healthy

AT норме в желудке натощак содержится воздух в виде газового
пузыря, объем которого напрямую зависит от размеров stomach.
The average portion of air in the stomach of an adult is 0.5-1l.
ATоздух попадает в желудок при:

  • ingestion during meals (especially in a hurry)
  • deep mouth breathing
  • frequent swallowing
  • smoking
  • drinking carbonated drinks
  • chewing gum

In an absolutely healthy person, strong burping with air can
arise if he eats himself up to amazement and just like that
will clog the stomach with food that the sphincter of the input section of the stomach is not
will be able to fully close, and the gas under pressure will be pushed out
обратно в esophagus and pharynx. The same can happen if after
a full lunch, the person will begin to bend, jump, or run,
squeezing the stomach or shifting it. With тугих ремнях и поясах
especially in obese people, it is also possible to increase
intragastric pressure, against which appears belching
odorless air.

Obese people are more prone to belching, not related to disease.
It also often suffers those who abuse strong coffee or tea,
garlic, onions, and bold.

In patients without problems with the gastrointestinal tract, but forced about the other
diseases use inhalers, the stomach also gets
excess air.

In pregnant women, the increasing uterus gradually shifts the internal
organs and props up the diaphragm, which can also provoke this
unpleasant symptom.

Permanent belching air in the pathologies of the stomach

The main condition leading to regurgitation of air is
failure of the cardiac stomach (insufficiency
cardia), which is not fully closed. This deviation
diagnosed by x-ray examination of the stomach or
endoscopy (FGDS).

Failure of the cardia is divided by degrees.

  • With первой степени мышца входного отдела желудка сжимается не
    completely, leaving up to a third of the lumen with deep breathing that
    provokes belching.
  • ATторая дает зияние просвета кардиального отдела на половину
    диаметра и также частой отрыжкой by air.
  • With третьей обязательно не только полное несмыкание кардии при
    deep breath, but also the phenomenon of reflux esophagitis due to constant
    reflux of gastric contents into the esophagus.

The failure of the cardiac sphincter is due to frequent
belching, the causes of which are as follows:

  • Crowded stomach in people prone to overeating, as well as
    лиц с замедленной моторикой и violationsи пищеварения (атрофический
    gastritis, hypomotor dyskinesia of the digestive tract), including in individuals with
    obesity and pregnant women on the background of hormonal changes.
  • Weak lower esophageal sphincter, hiatal hernia
    aperture.
  • Increased intragastric pressure on the background of inflammation
    (peptic ulcer) or tumors, as well as pylorospasm or
    pyloric stenosis.
  • Surgery on the cardiac stomach with
    removal or damage to the sphincter.
  • Травмы и ожоги пищевода и stomach.

Gastroesophageal Reflux Disease

The most common cause of belching is
gastroesophageal reflux disease. Wherein круговая
muscle-press, locking the input of the stomach is not fully closed,
causing refusal of what is in the stomach or air in
esophagus and pharynx. Belching triggered by bending forward
long horizontal position.

  • in addition to belching with air and sour (heartburn), GERD is observed
    боли за sternum или в левой половине грудной клетки
  • nausea, vomiting episodes
  • rapid saturation and bloating
  • also non-gastric manifestations are characteristic: cough, shortness of breath,
    cardiac arrhythmias in the form of tachycardia or arrhythmias (syndrome
    Udena), atrophic or hypertrophic pharyngitis, manifested
    сухостью слизистой глотки, ощущениями царапанья в throat и
    difficulty in swallowing.

Gradually, the mucous membrane of the esophagus is eroded or even covered.
ulcers. With длительном нелеченном эзофагите может развиться пищевод
Barrett or metaplasia of the intestinal lining of the esophagus on the type that
increases the risk of cancer of this organ.

ATторая желудочная причина отрыгивания воздуха – это
gastritis

Gastritis can be infectious, toxic, alimentary,
autoimmune, radiation. AT клинике острого или хронического
nausea and belching may be present in inflammation of the gastric mucosa
by air. Wherein она сочетается как с острыми или тупыми ноющими
pains, heaviness in the upper abdomen, and with vomiting.

  • With поражениях тела желудка атрофическими процессами

a burping burp may join the air burp.
Characterized by decreased appetite, rapid saturability. Less often
manifests a clinic similar to dumping syndrome (weakness after
food, nausea and belching, sudden urge to stool, liquid
chair). Also burp in combination with weakness, decrease
health, pale skin, brittle nails,
dry skin and hair may indicate iron deficiency or B12-
deficiency anemia on the background of violation of the absorption of iron or vitamin
B12 due to atrophic processes in the gastric mucosa on the background
chronic gastritis.

  • With antral forms of gastritis

most often occurring against the background of Helicobacter infusion
pylori, belching air can alternate with heartburn and
fasting or early pains of a sucking character in
epigastric

Stomach ulcer

A gastric ulcer gives gross lesions of the gastric mucosa with the presence of
diffuse hyperemia, edema and injuries down to muscular
layer, also creates conditions for belching, both air and
sour. As with antral gastritis, with peptic ulcer disease will
be observed:

  • sharp or dull early (30 minutes after eating)
  • fasting or even night pains in the projection of the stomach
  • nausea and vomiting eaten by food or bile, bringing
    relief
  • addiction to constipation
  • loss of appetite

Changes in the pyloric (output) of the stomach

Reversible pyloric stenosis (spasm of the locking muscle of the day off
stomach section) and its irreversible narrowing (pyloric stenosis) lead to
this increase in intragastric pressure and its stagnation
content that develops belching after eating (air, rotten
or sour).

  • If children have pyloric stenosis – congenital muscle thickening
  • That in adults is the result of cicatricial changes after frequent
    ulcers of the output section of the stomach and narrowing of the pyloric lumen
    department.
  • Chemical burns of the stomach can also cause this condition.
    acids or alkalis and tumors of the output section of the stomach.

As this condition progresses and decompensates
pyloric stenosis for belching air, sour or food joins
vomiting (in the later stages of the fountain immediately after eating), weight loss,
signs of water and electrolyte disorders (dry skin and mucous membranes,
dyspnea and heart rhythm disturbances).

Stomach cancer

In the early stages, a gastric cancer clinic has little symptom and
reminds clinic of chronic atrophic gastritis. Draws on
a sharp decrease in appetite, aversion to meat food,
rapid saturability, weight loss, anemization of patients. Wherein
patients complain of a feeling of heaviness or discomfort
epigastrium, frequent burping with air or food. because of
cancer metastasis may increase supraclavicular
lymph nodes.

Pathology of the esophagus

Diseases of the esophagus no less than gastric problems,
cause belching air.

Akhalazya cardia

It causes air belching in a third of all esophageal diseases.
This is a chronic pathology, expressed in insufficient
relaxation of the lower esophageal sphincter. This leads to a narrowing.
lower esophagus and expansion of its sections above the narrowed
segment. The result of such disorders is disorder.
contractile activity of the esophagus, uneven peristalsis,
which makes swallowing difficult and causes a return throw into the esophagus
gastric contents.

  • therefore, achalasia of the cardia is very characteristic sensation of a lump in
    throat
  • difficulty swallowing
    few seconds from swallowing)
  • there may also be hoarseness, food getting into
    nasopharynx
  • in the oral cavity in a horizontal position, bending forward
    air or gastric contents can be thrown
  • in half of the patients, swallowing is accompanied by pain in
    sternum
  • with severe achalasia, eating disorders are observed,
    weight loss, belching air and rotten or heartburn.
  • further developed pronounced inflammation of the esophagus
    (esophagitis) and its cicatricial changes leading to permanent
    nutritional problems.

Zenker Diverticulum

This is a bag-like extension of the place where the pharynx passes into the esophagus. With
incomplete muscle relaxation and constant pressure inside
hollow organ. Conditions are created for protrusion of the esophagus wall.
between the muscle fibers.

  • At the beginning of the development of the disease, the symptoms are indistinguishable from the banal
    pharyngitis: tickling and scratching in the throat, feeling awkward when
    swallowing, coughing, sometimes excessive salivation.
  • As the process progresses and the diverticulum increases,
    conditions for the constant refusal of what is in the stomach,
    esophagus and pharynx.
  • Belching (air, sour, or food) appears, can be
    episodes of vomiting.
  • With забросе пищи в дыхательные пути может развиваться
    aspiration pneumonia.
  • With длительном существовании дивертикула его стенки могут
    inflamed (diverticulitis), covered with erosions or ulcers.

With неблагоприятном исходе может развиваться прободение стенки
diverticulum with the throwing of its contents into the respiratory tract or
mediastinum with the development of its inflammation (mediasthenitis).

Esophagus scleroderma

This is a particular manifestation of systemic connective disease.
tissue, in which there is its excessive development and damage
arteriole. Also characteristic atrophic processes in the mucous
esophagus and ulceration. The basis of the disease is hereditary
predisposition and chronic alimentary damage
(cooling, injury, foci of infection).

Dishormonal disorders also have a certain value.
(The disease often develops on the background of menopause in women).
Disorders of swallowing, belching and heartburn develop simultaneously with
peripheral blood flow disturbances (chilling and blueing of the arms,
ears, nose when in contact with cold air or water) in combination
with pains in the small joints of the hands and feet, their swelling.

Pathology of the diaphragm

A hernia of the esophageal opening of the diaphragm can cause stubborn
and frequent belching, including air.

  • The risks of this pathology grow with age, as they weaken.
    muscle fibers and ligamentous apparatus of the diaphragm, growth
    intra-abdominal pressure on the background of overeating, obesity or excessive
    physical exertion.
  • This pathology is also characteristic of patients with obstructive
    lung diseases (chronic bronchitis, bronchial
    asthma).
  • However, there are also congenital hernias, as a result
    fetal malformation of the esophagus (shortening it).

With разных типах грыж через ненормально широкое эзофагеальное
a hole in the diaphragm into the chest cavity can penetrate different
sections of the stomach and abdominal esophagus and both temporarily and
reside in the chest cavity. This leads to pain for
sternum, которые могут отдавать в спину в межлопаточной области,
Also характерны нарушения ритма по типу экстрасистолии (у трети
patients). Burping with air is very typical; food is thrown into the oral cavity.
(especially when lying down). Heartburn or bitterness may occur.
mouth Regurgitation or vomiting occurs without prior nausea,
provoked by hurried food, changing body position.

Other diseases of the gastrointestinal tract

Duodenal-gastric reflux

or throwing the contents of the duodenum into the cavity
stomach becomes a consequence of inflammation of the duodenum (duodenitis),
pyloric insufficiency and increased pressure in the 12-pernal
the gut. The gastric mucosa is irritated with bile salts.
acids, pancreatic enzymes. If this condition
there is a long and fairly pronounced, there are clinical
manifestations in the form of pain in the abdomen without a clear limitation, yellow
plaque on the tongue, belching (including air) and heartburn.

The failure of the Bauhinia Damper, demarcating the thin and
large intestine

This natural valve may not fully perform
its locking function with its congenital anomalies or in
the result of a long inflammatory process in the intestines. AT
In this case, pain in the abdomen, rumbling, bloating. Of patients
bitter taste in the mouth, nausea, belching, heartburn. May decline
body weight and manifest fatigue.

Intestinal dysbiosis

Intestinal dysbiosis или синдром повышенного микробного
seeding of the small intestine is often associated with previous pathology, and
also with antibiotic treatment, reduced immunity. Wherein в
conditionally pathogenic and pathogenic blooms in the small intestine
microorganisms that lead to enteritis with loose stools,
spilled pain or heaviness in the stomach, flatulence, i.e. violations
digestion and absorption. The condition may also be accompanied
belching or heartburn, nausea and appetite disorders.

Chronic pancreatitis

Another pathology that leads to belching with air is pancreatitis.
Wherein снижается выработка панкератических ферментов,
normal digestion of food becomes difficult and increases
gas formation, resulting in burping of air
or food eaten. Also типичны боли в верхней части живота,
after eating, radiating to the back, flatulence, nausea
and episodes of vomiting with exacerbations of pancreatitis. Very typical episodes
unstable stool (alternating constipation and diarrhea). With
joining secondary diabetes due to reduced insulin production
(especially against the background of sclerotic or necrotic processes in
iron) may appear thirst, dry mouth and itchy skin.

Diseases of the biliary tract

It is a gallstone disease, chronic cholecystitis, hypomotor
dyskinesia, postcholecystectomy syndrome – on the background of the violation
passage of bile and reduce the ingress of bile acids into the lumen
duodenal ulcer may give blunt constants or
provoked by fatty, fried food or physical exertion pain
in the projection of the right costal arch. Also эта группа заболеваний может
cause nausea, bitterness in the mouth, burp air or bitter.
Withсутствуют вздутие живота, запоры.

Withчины отрыжки воздухом натощак

An interesting reason for the discharge of air from the stomach and esophagus into the mouth.
is a variety of neurotic states in which the program
gastrointestinal disorders observed cardiospasm
(involuntary contraction of the muscles of the lower esophagus or
input section of the stomach). This is the so-called “empty burp”
air, not associated with food intake (against the background of swallowing air
or aerophagia with deep nervous breathing or deep
sighs).

Patients are worried about swallowing problems with difficulty.
passage of food in the lower esophagus. At the same time, unlike
esophagus tumors better go through solid food and get stuck
fluid. There may be pain or a feeling of a lump behind the sternum.
There are also pains or bloating in the stomach, vomiting, nausea,
appetite disturbances. Sometimes there is a transformation of these signs.
In the expanded clinic of irritable bowel syndrome.

How to behave when burping

Since such a state is a manifestation of a large number
diseases and pathological conditions, then if present
seek a diagnosis by a general practitioner or
gastroenterologist. After establishing the true cause of the problem,
treatment should first be directed to the original
disease. Belching sometimes takes quite
long time.

At the same household level for the temporary relief of unpleasant
phenomena should be recommended:

  • eat small meals without large intervals between meals
    (4-5 meals per day are optimal)
  • stop smoking, soda, excess gum, food
    in a hurry.
  • immediately after eating you should not go to bed, and also engage
    physical work or sports.
  • it makes sense to reduce the weight of those who have it.

Therefore, timely appeal for qualified
medical assistance for belching air gives a chance to maximize
quickly and reliably get rid of it.

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