Eruct

Eruct Eruct, commonly known as belching or burping, is the release of gas from the digestive tract, specifically the esophagus and stomach, through the mouth. It is usually accompanied by a typical sound and, sometimes, an odor. Eructation is a normal bodily function that helps to expel excess air swallowed during eating or drinking.

Physiology

Eructation occurs when the stomach expands due to the accumulation of swallowed air. This air can be ingested while eating or drinking, especially when consuming carbonated beverages. The lower esophageal sphincter (LES) relaxes, allowing the gas to escape upwards through the esophagus and out of the mouth.

Causes

Several factors can contribute to excessive eructation, including:

• Aerophagia: Swallowing air, which can occur when eating or drinking too quickly, chewing gum, or smoking.
• Carbonated beverages: Consuming drinks like soda, beer, or sparkling water.
• Gastroesophageal reflux disease (GERD): A chronic condition where stomach acid frequently flows back into the esophagus.
• Diet: Certain foods, such as beans, lentils, and certain vegetables, can increase gas production.

Symptoms

While occasional eructation is normal, excessive belching can be a symptom of an underlying condition. Symptoms associated with excessive eructation may include:

• Bloating
• Abdominal pain
• Heartburn
• Nausea

Diagnosis

Diagnosis of excessive eructation typically involves a medical history review and physical examination. In some cases, additional tests such as an endoscopy, barium swallow, or esophageal pH monitoring may be necessary to identify underlying conditions like GERD or other gastrointestinal disorders.

Treatment

Treatment for eructation depends on the underlying cause. General recommendations to reduce belching include:

• Eating and drinking slowly to reduce swallowed air.
• Avoiding carbonated beverages.
• Avoiding foods that are known to cause gas.
• Managing stress and anxiety, which can contribute to aerophagia.

For conditions like GERD, medications such as antacids, H2 receptor antagonists, or proton pump inhibitors may be prescribed.

Related Pages

• Aerophagia
• Gastroesophageal reflux disease
• Bloating
• Abdominal pain
• Heartburn
• Nausea