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Old 10-16-2006, 06:06 AM   #1
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Constant Burping

I have been on pills for reflux for aboutt a year now, omeprazole etc, i do not get heartburn but im constantly burping all the time. I havent had any tests done to prove i have reflux, however i am scheduled for an endoscope in a few weeks time. I am taking 2 pills a day and they are just doing nothing. My tongue also now seems to always have this yellowish coating on it. Does anyone else suffer these symptoms and have any suggestions?

Thanks

 
Old 10-16-2006, 08:04 AM   #2
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Re: Constant Burping

Burping (if you can call it that!) is my main thing! Along with slow, deliberate, quiet hiccups. They all go together. I also have long had a "coated" non-red tongue. The more I burp, the uglier the tongue (and the pain!).

I've had many tests; most recently, I was diagnosed with gastroparesis - the only solid diagnosis I've had in these 9 mos!

I'm still convinced my troubles really started with all the ibuprofen I took for a nerve/butt joint problem.

But, despite all the months I'm still burping, which I fear means I really do have a weak sphincter (a small hiatal hernia was discovered early on - don't know whether it's affecting me or not). However, it's possible that the irritated stomach and even throat can cause the burping - which is reflux for me and generates the burning feelings.

For reflux disease, I was told food doesn't really change anything (and from my experience, it doesn't) unless you notice for yourself a specific better/worse situation.

However, for gastroparesis I was told to "avoid" fatty and high-fiber (roughage) foods. Earlier, for gastritis (I do have inflammation) I was told to avoid fatty/greasy and spicy, as well as tough roughage like salads, and caffeine (which includes chocolate).

I'm not totally convinced even now that this helps or hurts me, but I've tried to be pretty "good" this entire time.

You might want to avoid these things too, because at least you could very well have inflammation which would be hurt by such foods. Oh, and absolutely avoid non-steroidal anti-inflammatory drugs (NSAIDs) - ibuprofen and aspirin, etc.

You didn't say how long you've taken 2x/day; has it been the whole year? I've only been on 2x since end of July, and Nexium generally since Feb. I'm hoping the 2x + the Reglan (for gastroparesis) is finally helping all this.

 
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Old 10-16-2006, 08:38 AM   #3
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Re: Constant Burping

hi thanks for the reply, ive been taking 2 a day (20mg) one when i get up and one at night time for about 2 months now. Im considering trying taking both of them at the same time first thing. Might try that 2moro. Like i say the only prob i seem to have is the constant burping i never get any burning while being on the tabs. I have never been on nexium(the purple pill or whatever it is) altho maybe after my endoscope i may be put on it i duno. I just hate this so much. My tongue has a constant coating (yellowish, mainly at the back but down the middle aswell)and i duno if thats from the reflux, sinus prob maybe, bacteria i just duno. Maybe a trip to ask the dr is in order.

 
Old 10-16-2006, 03:44 PM   #4
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Re: Constant Burping

Hey there,

I had a 24 hr. ph "bravo" test done a few weeks ago for LPR symptoms. I've always known that I was an "upright refluxer" as opposed to night time or 24 hr. a day refluxer. To my suprise during the test there were many reflux episodes (times when ph went below 4-usually in the 1-2 range which is the same as the ph of ones stomach). These episodes almost all coincided with post-belching! I had to keep a diary and counted about 100 belches each waking day. Most were after eating but not all. There was absolutely no reflux during the night on either day of the two day test.

Anyway, this tells me that at least in my own and some others case, belching is directly responsible for the damage being done to the esophagus and throat. The gastroenterologist who performed the test has been in the field amost thirty years. He felt that the belching was solely resposible for the problem as well.

Whereas he believes the belching is caused by "aerophagia" or air swallowing, I believe, as mentioned above in another post, that it is from stomach irritation. I just don't believe I swallow a lot of air. I tried his suggestions and it has made little difference. (breathing through the nose versus mouth, not chewing gum-to lessen swallows, eating slowly, not drinking carbonated beverages).

I believe my theory, that the stomach is irritated is backed up by the fact that when using nexium, I only belch one third as much.

Interesting new angle on reflux and LPR....

Tricia R.

 
Old 10-16-2006, 10:52 PM   #5
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Re: Constant Burping

When you say burping do you mean air constantly gurgling up your throat or real Belching? I have personally never been able to burp and only have air gurgling up my throat. Not that ones worse than the other...but it sure is annoying. Best wishes!

 
Old 10-17-2006, 08:29 AM   #6
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Re: Constant Burping

Quote:
Originally Posted by TriciaR
Hey there,
Whereas he believes the belching is caused by "aerophagia" or air swallowing, I believe, as mentioned above in another post, that it is from stomach irritation. I just don't believe I swallow a lot of air. I tried his suggestions and it has made little difference. (breathing through the nose versus mouth, not chewing gum-to lessen swallows, eating slowly, not drinking carbonated beverages).

I believe my theory, that the stomach is irritated is backed up by the fact that when using nexium, I only belch one third as much.

Interesting new angle on reflux and LPR....

Tricia R.

I don't buy the "aerophagia" angle either. My doc said that could be part of my problem, and I did as you say. He thought because I'm stressing out so much I could be "hyperventilating" such that I swallow air more than usual.

Too bad I wasn't witty enough at the time to state that I certainly had reason to be hyperventilating 6 mos before the real burping/irritation/reflux started, because I was in severe pain in my butt! It was so bad, and I only gradually got over it in that time period. I was very upset about my butt and the horrid debilitating pain, but I never burped more than my usual, ever, that whole time.

So much for aerophagia.

I also have read that an irritated throat (which I definitely have) can cause burping - the stomach as well as the throat are all connected to the Vagus Nerve, which apparently reacts to much irritation. I find it particularly strange that half my "burps" really do seem to be "throat burps" - as if only something in my throat is spasming, not below.

 
Old 10-17-2006, 11:43 AM   #7
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Re: Constant Burping

hi yeh i mean actually belching out loud, some burps arent out loud tho and most do feel as if they are just coming from the throat, i duno if the endoscope will help tell me what the problem is i can only hope, been reading about hiatal hernia, might be that. Like i say only real problems i suffer are the belching. Had the sensation of something stuck in the throat but that has slowly began to fade away. Reflux is soooo irratating!!

 
Old 10-18-2006, 07:45 AM   #8
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Re: Constant Burping

O'Line Rebel, I agree with you so much about the aerophagia thing and I was so disappointed when my doctor came up with such a lame reason. He actually mentioned that I should go to some "belching specialist" who gives exercises and information in stopping the belching. HaHa that was the first time I'd ever heard of such. I said to him, "Can't you just tell me which exercises and manuevers these are" and he says something like "that's not my specialty". No wonder healthcare costs are out of control!

I think what you say about the vagus nerve is very interesting and thought provoking. I feel that makes sense and that stomach irritation could bother the vagus nerve and stimulate belching.

Gabe Mirkin has an article on his webpage about belching and stomach pain. (both of which I have) The article says that this is often caused by helicobactor pylori or anther infectious agent and that any doctor should be able to do a blood test for it.

Just some more food for thought...

Tricia R.

 
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