Belching - it is an involuntary or arbitrary discharge of gases from the esophagus or stomach through the mouth as a result of contraction of the diaphragm. If with all this the contents of the stomach into the esophagus, then talking about regurgitation.
Usually, gas from the stomach in small portions leaves imperceptibly through the mouth or through the intestines. With excessive air ingestion or increased gas formation in the stomach, intragastric pressure increases, the muscles of the stomach contract, the sphincter (valve) between the stomach and the esophagus simultaneously relax and the sphincter between the stomach and the duodenum are relaxed, which causes belching.
Belching is empty (air), food, bitter, sour, rotten, also loud and quiet. Acid eructation occurs with increased acidity, bitter - with the reflux of bile into the stomach. Putrid burp - with stagnation and putrefactive fermentation in the stomach (pyloric stenosis). Not often burping rotten is one of the early symptoms of exacerbation of chronic atrophic (hyposecretory) gastritis.A bit later, heaviness and aching pains under the spoon, feeling of overflow after eating, nausea, regurgitation join.
Belching with food, in which small portions of liquid gastric contents enter the oral cavity with gas, can be acidic, bitter, or putrid. Acid belching is observed traditionally in case of peptic ulcer disease and is due to the increased acidity of the gastric contents due to hypersecretion of gastric juice or fermentation in the absence of hydrochloric acid in the gastric juice. A bitter eructation is noted as a result of bile throwing into the stomach, putrefactive - with a long stagnation in the stomach and putrefactive decomposition of its contents.
In healthy people, belching is not common. Frequent belching is not often a sign of diseases of the stomach, liver, gallbladder, intestines. Belching can be a leading sign in diseases and conditions involving violations of the mechanism of closure of the cardiac sphincter, located between the stomach and the esophagus. Such a condition may occur, for example, in diaphragmatic hernia or after gastrointestinal surgery.tract.
Belching can be a sign of gastric neurosis (aerophagy), in which case it is traditionally loud. Belching can also occur reflexively with diseases of the abdominal organs, for example, of the liver, gallbladder, and also with cardiovascular diseases (ischemic heart disease, myocardial infarction, etc.). But most often belching occurs with diseases of the stomach and duodenum.
Constant belching requires, first of all, examination of the patient to identify the causes of its occurrence. To treat a burp in itself does not make sense. Against the background of the treatment of the underlying disease, the patient must follow a diet: do not consume carbonated drinks and food products that linger for a long time in the stomach (beans, peas, etc.). Food is recommended to be taken often and in small portions.
With increased secretion of gastric juice (if it has become the cause of belching), alkalizing medicinal products are taken (alkaline mineral water, bread soda, magnesia, etc.).
In order to eliminate belching, they treat the underlying disease. In all cases, exclude carbonated drinks and products that promote gas formation or linger in the stomach for a long time are excluded from the diet.Food is recommended to take often in small portions. When hypersecretion of gastric juice prescribe antacid products.