Abdominal pain may be caused by a wide range of problems. "Attacks" of pain in the right upper abdomen lasting for several hours may be due to gallstones...

Wind

Regular practice of diaphragmatic breathing will reduce air swallowing and hence less belching
Hand on chest and abdomen. When breathing in only the tummy should rise or expand

Belching

    • This is a common symptom.
      • In one survey 17% of people stated that they had excess belching.
    • This is not due to excess production of gas in the stomach but is due to swallowed air.
      • There is a small amount of air swallowed with every mouthful of food or fluid or with every swallow that unrelated to eating.
      • There are more swallows per day if there is discomfort in the mouth (such as ill-fitting dentures or chewing gum).
      • Excess air swallowing can be a “nervous” or stress response - analogous to the “gulp” when startled.
      • Excess air swallowing may relate to the conscious, or perhaps subconscious belief, that belching will relieve abdominal discomfort or bloating.
      • Excercises that promote diaphragmatic breathing can reduce air swallowing. 

 

    • Acid reflux is associated with belching.
      • Acid reflux causes increased saliva production. The old-fashioned term is "waterbrash".
      • The saliva needs to be swallowed - therefore more swallows per day.
      • Treatment of reflux can often reduce the amount of belching by stopping this cycle of events.

 

    • Other factors.
      • Rapid eating, gulping food.
      • Smoking.
      • Fizzy drinks and beer cause belching by release of carbon dioxide in the stomach. The gas comes out of the drink with time.

 

    • Belching may be associated with other symptoms of indigestion.

 

  • Treatment can be difficult.
    • Acid lowering treatment should be tried first.
    • Stress needs to be addresses if possible. Less hurried meals.
    • Some dietary changes. Less fibre and avoiding carbonated drinks.
    • Some success can be achieved with anti-anxiety medication.
designed and developed by QT Web