Boeren: oorzaken en behandeling
Jun 03, 2018
During eating, a person inevitably swallows some air.Naturally, the body tries to get rid of excess gas in the stomach cavity and does it with the help of burping.This phenomenon is absolutely normal.But if the eructation acquires special characteristics( smell, smack) and delivers to the person a lot of inconvenience - it's time to find out the reasons for its origin.Contents: What is a burp Belching out with belly Eating "rotten eggs" Belching sour Belching bitter Treatment
What is burp?
Under normal conditions, the stomach always contains air.Part of the air is swallowed by a person while eating.In addition, as a result of the digestion of food, gaseous substances are released.
Belching is a mechanism that regulates intragastric pressure.It arises if there is too much gas in the stomach.By eructation, the intragastric pressure decreases.
How does the eructation turn out?With increased intragastric pressure, the muscles of the stomach contract.This relaxes the lower esophageal sphincter( a flap between the esophagus and stomach).So the air from the stomach unobstructedly rises by the esophagus and exits through the mouth.
Burring with air
A physiological eructation occurs usually after a meal.It does not have any smell and taste, can be accompanied by a loud sound. Such factors contribute to the eructation of burping:
- Fast food intake, food on the go;
- Talking while eating;
- Intensive physical activity immediately after eating;
- Drinking carbonated drinks;
- The use of such products as legumes, cabbage, fresh bread, which stimulate gas formation.
If a person is disturbed from time to time by belching with air, then you need to reconsider your eating habits.
By the way, pregnant women often complain of burping with air.This is due to the fact that the increasing uterus increases intra-abdominal pressure, because of which the position of the stomach changes slightly.Such changes entail a violation of digestion, excessive formation of gases and as a result of belching.
Often burping the air in combination with other complaints can signal the presence of diseases. An eructation of air occurs when:
- Esophageal stenosis;
- Esophageal diverticulum;
- Achalasia of the lower esophageal sphincter;
- Diaphragmatic hernia;
- Chronic pancreatitis;
- Gastrocardiac syndrome.
Gastrocardial syndrome ( also called Rehmeld's syndrome) occurs after eating.A person feels chest pains, heart palpitations, arrhythmia, lack of air, cold sweat, fright.All this resembles an attack of angina pectoris.Then there is a prolonged eructation of air or vomiting, after which the person feels relief, and all the symptoms gradually disappear.
Eating "rotten eggs"
People who encounter this phenomenon feel uncomfortable enough.The appearance of burp with "rotten eggs" is the result of food stagnation in the stomach.A similar phenomenon occurs when the pyloric stenosis, atony of the stomach.
With these diseases, evacuation of the food lump from the stomach is slowed down.Because the food stagnates and begins to decompose.This is all accompanied by the formation of hydrogen sulphide, which smells of something putrid and resembles the smell of rotten eggs.Especially a lot of hydrogen sulfide is formed during the breakdown of protein foods.
Often a burpy rotten accompanies a chronic atrophic gastritis.In favor of this ailment is also evidenced by the severity in epigastrium, pain in the upper abdomen, nausea, constipation or diarrhea.
The appearance of a sour taste in the mouth indicates the throwing of the contents of the stomach into the mouth.Sour taste is a manifestation of gastritis and peptic ulcer, occurring with increased secretion of hydrochloric acid. These symptoms are also evidenced by the following symptoms:
- Heaviness in the pit of the stomach after eating;
- Pain in the upper abdomen.
But the decrease in the secretion of hydrochloric acid, especially in combination with the delay in the evacuation of the food lump, is accompanied by a belch with a rancid taste of rancid oil.This is due to the fact that during the digestion of food, lactic and butyric acids are formed.
Belly sour is a true companion of gastroesophageal reflux disease( GERD).The ailment develops due to a decrease in the tone of the lower esophageal sphincter, which causes the stomach contents to be thrown into the esophagus.Also in favor of GERD are heartburn and chest pain.It is characteristic that heartburn and eructation occur often after eating, especially when the body tilts forward.
Bitter taste when belching indicates a thrown up of the contents of the duodenum: bile, intermediate substrates for the breakdown of proteins.Usually a similar symptom is observed with duodenogastric reflux or chronic cholecystitis.
Duodenogastric reflux is the throwing of a food lump from the duodenum into the stomach due to the reduced tone of the pylorus.This ailment is also accompanied by abdominal pain, flatulence, heartburn, vomiting with bile, bitter taste in the mouth.
In addition, the eructation is bitter characteristic of postcholecystectomy syndrome, which occurs after removal of the gallbladder.In addition to burping, such patients are also concerned about the severity and pain in the right hypochondrium, flatulence, fatty food intolerance, nausea, vomiting.
Treating eructations without clarifying the cause of its occurrence does not make sense.Frequent burping, and especially with characteristic smacks and smells - is an occasion for examination.
That is, they treat not eructation, but a disease that leads to its occurrence.For example, if the cause of the eructation is hyperacid gastritis, the doctor prescribes to the patient drugs that reduce the secretion of hydrochloric acid.
Regardless of the cause of the burp, you should follow certain recommendations:
- Thoroughly chew food, eat slowly;
- There are small portions, but more often;
- Do not drink carbonated drinks;
- Do not eat foods whose decay is accompanied by increased gas formation( beans, flour products).
Grigorova Valeria, medical reviewer