Diagnostics

What can cause abdominal pain and belching?

Abdominal discomfort may be caused by eating habits and certain habits. At the initial stage, they do not provoke the development of organic pathology and bring only some discomfort.

But when the adaptive capabilities of the organism are exhausted, the tissues undergo changes and the inflammatory process begins in them. Abdominal pain and unpleasant belching can be the result of overeating or late dinner, but if the factors causing them act systematically, then this can lead to diseases of the gastrointestinal tract.

When burping rate, and when pathology

Belching is called involuntary exit from the upper sections of the gastrointestinal tract of gases or food. Allocate physiological causes of belching and pathological. It is considered normal if it is caused by swallowing air while eating (which often occurs in an infant) or by drinking soda.

Normally, the air is released gradually through the mouth, but if the pressure in the stomach increases, the muscles push the air through the esophagus, belching appears. If the air is odorless and the heaviness in the stomach passes for half an hour, then this is not a sign of illness.

Involuntary swallowing of air occurs if nasal breathing is absent, for example, due to allergic rhinitis or adenoids, as well as if a person swallows air while talking.

Belching can occur if a person eats quickly, chewing food poorly, drinking liquid through a straw, and also if the food is washed down with water (gastric juice is diluted, which slows down digestion). The air of their stomach or esophagus can also be eaten by using carbonated drinks, products that increase gas formation.

Abdominal pain and belching can occur due to malnutrition (overeating, eating excessive amounts of fruits, vegetables, legumes). Dinner before bedtime can trigger a morning abdominal pain and belching.

Constant unpleasant belching can be triggered by pathological processes:

  • violation of gastric or intestinal motility,
  • change in the concentration of hydrochloric acid in the gastric juice,
  • narrowing of the esophagus or deterioration of the sphincter,
  • inflammation of the biliary tract or pancreas,
  • neurotic disorders.

If food stagnates in the stomach and begins to decompose, wander, the gases have an unpleasant smell. Such belching is regarded as a sign of a disease of the gastrointestinal tract. Air comes out more often after eating and is accompanied by other symptoms of indigestion. Typically, a feeling of heaviness, bloating, constipation or diarrhea.

Diseases provoking the release of air from the stomach

In some diseases, air burping is the only symptom, such as, for example, in gastric neurosis (aerophagy). But more often it occurs on the background of the pathologies of the gastrointestinal tract, and also appears reflexively in the presence of liver and gallbladder disease.

Belching bitter appears as a result of bile duct into the stomach from the duodenum. The putrid smell of gas is felt if rotting and fermentation begins in the stomach. This happens if food stagnates due to poor motility of the gastrointestinal tract.

Acidic regurgitation causes an increased concentration of hydrochloric acid or fermentation, which happens when there is a lack of acidic content in the gastric juice. The exit of gas with an acidic odor often occurs during inflammation of the gastric mucosa due to increased concentration of hydrochloric acid, as well as due to peptic ulcer.

In addition to belching, patients complain that it hurts heavily stomach, as well as heartburn that occurs after eating, frequent constipation.

When a peptic ulcer burp often appears on an empty stomach, especially if there was a late dinner. Treatment of the disease involves taking drugs that block the production of acid and reduce the acidity of gastric juice (antacids).

The exit of air from the gastrointestinal tract with a rotten odor is characteristic when food is delayed in the stomach, because it is unable to digest it due to lack of secretion or due to impaired peristalsis. Similar occurs in chronic gastritis with low acidity.

Often the belching is the first sign of an exacerbation of a chronic disease. Symptoms of pathology also include the severity and aching pain in the xiphoid process, nausea, regurgitation, a feeling of excessive fullness of the stomach after eating, diarrhea. Palpation in patients can moderately hurt "under the spoon".

The man regurgitates rotten during stenosis of the pylorus. With the disease, food stagnates in the stomach, since the obstruction of the pyloric region has developed. During normal functioning, the sphincter should ensure the passage of the food lump into the duodenum and prevent its reflux.

If the activity of the pylorus is impaired, then the digestive function also deteriorates, as pancreatic juice penetrates from the intestine, the acidic environment changes to alkaline. Pyloric stenosis is caused by peptic ulcer disease.

A manifestation located in the pyloric region of the stomach is scarring, which causes deformation of the affected area and narrowing of the canal, as a result of which the evacuation of food is impeded or stopped. In addition to burping rotten, with the pathology is vomiting, there is a heaviness in the stomach for a couple of hours after eating, heartburn.

With diaphragmatic hernia, there is often pain in the stomach and belching with air. This is due to the fact that through a hole in the stomach air enters. The disease is also characterized by bloating, heartburn, chest pain due to compression of the organs that are in the hernial sac.

Esophagitis is diagnosed if the mucous tissue of the esophagus is affected, so food hardly penetrates the stomach. For the disease is characterized by the release of air with eaten, constant sour taste in the mouth, nausea, pain along the esophagus.

Rotting in the stomach begins only if there is no hydrochloric acid (achlorhydria) in the gastric juice, or there is a lack of both hydrochloric acid and the enzyme pepsin (ahilia).

If gastric reflux duodeno-gastric reflux has developed, during which the intestinal contents are thrown into the stomach, the eructation has a bitter taste, which is caused by the presence of bile. If there is no reflux, then belching occurs reflexively and it is odorless.

Most often belching and pain occur in inflammatory pathology of the biliary tract, which is not associated with the presence of calculus. In pathology, a dull aching pain in the abdomen or a feeling of heaviness in the right side under the ribs, the right scapula, in the stomach, and nausea, flatulence, and body temperature increase.

Symptoms are mainly observed after eating certain foods (fried, spicy, smoked, fatty). When probing the abdomen, there is pain in the hypochondrium on the right. If, against the background of non-calculous cholecystitis, calculous (stone) developed, then an odorless eructation is replaced by an eructation with a bitter aftertaste.

Since pancreatic enzymes in pancreatitis do not enter the duodenum, this affects the delay of food in the stomach, where fermentation processes and release of hydrogen sulfide begin. Therefore, there is pain in the lower abdomen, belching with the smell of rotten eggs.

Belching sour and stomach pain can be one of the signs of neoplasm in the gastrointestinal tract. Symptoms of the disease depend on the location of the tumor and its size. As a rule, there is pain in the sternum, heartburn, bloating, nausea, vomiting with blood or feces, disrupted swallowing, lack of appetite.

Stomach ulcer

Signs of gastric ulcer or duodenal ulcer:

  • heartburn,
  • strong sour burping in the morning, on an empty stomach,
  • nausea, vomiting and constipation possible,
  • aggravated burning pain in the epigastric region.

Only an experienced therapist or gastroenterologist will be able to prescribe the right treatment. To drown out pain, it is necessary to reduce the acidity of gastric juice, using anti-acid drugs.

Gastritis is a disease of the gastrointestinal tract, namely inflammation of the gastric mucosa. Signs:

  • aching or dull pain,
  • sour belching
  • nausea,
  • flatulence,
  • body fatigue,
  • poor appetite.

Pyloric stenosis

Pyloric stenosis is a disease associated with obstruction of food through the digestive tract. The place where the stomach and intestines connect, narrows as a result of complications after peptic ulcer.

    belching with an unpleasant smell of "rotten eggs",

drastic weight loss

  • during the progression of the disease - vomiting, not alleviating the patient's condition.
  • Esopharitis - damage to the mucous tissues of the esophagus. Symptoms of the disease:

    • persistent sour taste in the mouth,
    • constant gagging,
    • belching,
    • localization of pain in the central region of the abdominal cavity.

    Chronic pancreatitis

    Chronic pancreatitis - inflammation in the pancreas. The disease is most often diagnosed in overweight people who abuse heavy foods. If you follow the diet and take antacids, the pathology does not develop, otherwise - the person observes intense belching, rumbling and periodic cramps in the abdominal cavity.

    Inflammation of the gallbladder

    Cholecystitis is a disease of the urinary system. Signs of pathology:

    • dull pains in the right side of the abdomen,
    • belching,
    • constant bitter taste.

    Treatment is complex, consists of several actions - the suppression of infection with antibiotics, increasing the outflow of bile with a special diet.

    Cancer of the stomach

    Oncological diseases are the most severe pathologies that are difficult for therapeutic treatment. Most of the symptoms that occur during the development of a tumor of the gastric mucosa are similar to signs of other diseases, so it is rather difficult to diagnose. Most often, a person with stomach cancer learns about this late in the latter stages of the disease.

    Malnutrition

    The appearance of painful spasms can be associated not only with the development of a disease, but also as a result of an unhealthy diet or an incorrect diet.

    With the constant use in food of a large number of spicy, salty or fatty foods, it leads to the fact that there is always a "heaviness" in the stomach, a person does not sleep well. Also, those who want to lose weight, often do not consult a nutritionist, and independently make up for themselves a diet and diet.

    Other reasons

    Cramping, pronounced pain in the lower abdomen (intestinal colic) as a result of irritation of the nerve receptors. Additional symptoms - fever, nausea, gagging, bloating. You need to contact a therapist or a gastroenterologist. On examination, the doctor palpates the abdomen, determines the painful areas, the presence of seals. After asking a series of questions and receiving test results, the doctor determines the nature and cause of colic and prescribes a course of treatment.

    Food poisoning. Symptoms:

    • rapid fatigue of the body
    • temperature increase up to 40 degrees
    • chills,
    • loss of consciousness,
    • cramping, acute abdominal pain,
    • flatulence,
    • loose stools or constipation
    • copious saliva, nausea, gagging.

    Treatment is prescribed by a therapist or doctor - infectious disease specialist. At the first signs of food poisoning, the patient is washed stomach, and enterosorbents are prescribed to remove toxic substances and poisons from the body.

    If you can not determine the shape and location of pain, you should seek help from a therapist.

    In which case it is necessary to immediately consult a doctor?

    Most often, painful cramps requiring immediate medical attention, associated with damage or damage to internal organs. If acute abdominal pain, vomiting, loose stools, high fever and chills appear, you should call an ambulance. First of all, a surgeon examines a person in a medical institution in order to confirm or exclude ruptures of internal organs or inflammation of the appendix.

    How to remove the pain yourself?

    If the spasms are periodic, not strong, then there is no need for an urgent visit by a doctor. To stop the pain at home or at work, you can use painkillers or anti-inflammatory drugs, for example:

    • Almagel, can reduce the amount of hydrochloric acid in the stomach, prevent the appearance of erosion and ulcers.
    • Mezim, promotes accelerated digestion, when overeating or eating fatty foods prevents heaviness in the stomach.
    • Omeprozole - a means of reducing acid synthesis in the stomach, which is prescribed in 95% of cases with gastritis or an ulcer.

    Popular products that are sold without a prescription:

    Women, during pregnancy or lactation, are prohibited from taking any medications without a doctor's permission.

    Prevention

    In order to avoid painful abdominal cramps, the following medical advice should be followed:

    • Diet should be balanced. Sufficient time should be allotted for food intake in order to eat slowly, chewing food well.
    • To prevent belching, you do not need to chew gum, so as not to swallow excess air.
    • Remove any carbonated drinks from your menu. Kvass, lemonade, beer, champagne - all this contributes to enhanced gas formation.
    • Bread, beans, beans, peas, cabbage can provoke fermentation, thereby leading to increased gas formation.
    • After the meal does not need to take a horizontal position.

    Conclusion on the topic

    It hurts the stomach and belching - the result of an unbalanced diet or chronic disease. In order to prevent the development of complications, at the first symptoms of a gastrointestinal illness, you need to visit a specialist in a timely manner, undergo a full medical examination, determine the cause of the disease and follow the recommended preventive measures.

    Be sure to watch the following video on the topic.

    Provoking symptoms of the disease

    Unfortunately, pain and constant belching can cause inconvenience to a person not only because of relatively safe reasons. The most common causes for the appearance of these symptoms are serious diseases, which can not be ignored.

    An ulcer is one of the most common gastrointestinal diseases, in which the patient complains that stomach pain, belching and other unpleasant symptoms occur.

    The development of ulcers is mainly associated with infection h. pylori is a conditionally pathogenic microorganism, which in some conditions begins to damage the mucous membrane of the organ. Additionally, it is believed that frequent stresses, the presence of gastritis, changes in the composition of gastric juice, and congenital predisposition contribute to the development of the disease. More about stomach ulcers →

    Gastritis - damage to the mucous membranes of the organ. With it, the patient may be disturbed by dull pain of a long type, and belching will act as a reaction to a change in acidity. Additionally, there may be complaints of nausea with bouts of severe vomiting, deterioration of the general condition. More about gastritis →

    Pyloric stenosis

    When complaining of belching and pain in the stomach, the doctor may also think about the pyloric stenosis - a narrowing of the area where the esophagus passes into the stomach.In the early stages of the development of pathology, it is characterized by the release of rotten, unpleasant by smell air from the oral cavity. The more the opening narrows, the stronger the symptoms. Over time, the patient suffers from vomiting, which does not bring him relief.

    Esophagitis or inflammation of the mucous membrane of the esophagus is another common disease that provokes similar symptoms. The air outlet in this case is not characterized as sour, and the pain may be concentrated in the center of the abdomen. Read more about esophagitis →

    Pancreatitis

    Pancreatitis or inflammation in the pancreas is a disease that affects people who are prone to abuse fried, salty, and food with a lot of spices.

    It is often possible to smooth out his symptoms, if you follow a diet, but violation of the regime and rules of nutrition immediately provokes another exacerbation. More about pancreatitis →

    Cholecystitis

    Cholecystitis or inflammation of the gallbladder is a disease that is characterized by similar symptoms. Additionally, the patient complains that there is a sour taste in the mouth. More about cholecystitis →

    Cancer or a malignant tumor is a serious disease that requires immediate medical attention. Its danger is that for a long time the symptoms are absent or masked by other diseases. The stomach with this pathology hurts, there is frequent belching, but in sum it all looks like other diseases of the gastrointestinal tract, therefore, very careful diagnosis is necessary. Read more about stomach cancer →

    Diagnostics

    If there are discomfort in the gastrointestinal tract - this is the reason to undergo a diagnostic examination to identify the causes. To make a diagnosis, the doctor usually collects anamnesis, examines the patient. After a series of general tests are performed, which will show the condition of the body.

    After general analyzes, ultrasound, gastroscopy, FGDS, X-ray examination with contrast are prescribed as necessary.

    General principles of treatment

    When belching with air and stomach pain, treatment should be comprehensive. Patients recommended:

    • the appointment of antacids, such as Almagel, Gastal, as well as the use of proton pump blockers, which include Omeprazole,
    • compliance with the diet, which is selected individually depending on the characteristics of the patient and the course of the disease,
    • lifestyle changes (diet, rejection of bad habits, regular physical activity, etc.).

    Comprehensive treatment is recommended as the most effective. When cancer is detected, the oncologist selects the therapy.

    Causes of pain

    Rarely unpleasant sensations do not always signal indigestion. In a healthy person, pain in the stomach in combination with belching can occur for a number of reasons:

    1. Binge eating. Normally, the adult stomach volume is about 500 ml. Eating excessive amounts of food is fraught with slowing digestion of chyme, which leads to belching and flatulence.
    2. Exercise immediately after a meal. Impellent activity immediately after eating causes excessive pressure on the muscles of the diaphragm. Also, in some cases, regurgitation occurs, which is accompanied by heartburn and belching.
    3. Reception of medicines. When using certain drugs, one of the side effects is a decrease in the functional abilities of the gastrointestinal tract. Therapy with antibiotics, steroids, cytostatics and anti-inflammatory drugs is often accompanied by discomfort in the stomach and dyspeptic manifestations: abnormal stool, spastic pain in the umbilical region with belching.
    4. The use of alcohol and provoking flatulence products. Lemonades, beans, peas, yeast black bread, green apples, etc. in people with a sensitive digestive system, they provoke increased flatulence and cause a belch for rotten, abdominal pain and flatulence.
    5. Disorders of the nervous system and mental illness. Regular stresses and strong emotional shocks lead to a pronounced increase in motility, which leads to the development of dyspeptic syndrome.

    Scheme of reflux esophagitis

    Attention! Regurgitation is the reverse movement of chyme along the lumen of the gastrointestinal tract. It occurs due to excessive contractions of the stomach walls. Regurgitation usually causes severe heartburn and can lead to destruction of the esophageal mucosa.

    Factors that increase the likelihood of a violation

    Any deviation in the work of the gastrointestinal tract develops under the action of specific causes of disease. However, it is necessary to single out a number of factors that increase the likelihood of a particular disorder:

      Improper nutrition. Excessive consumption of lipids and carbohydrates, lack of vitamins and lack of diet can lead to disruption of the normal process of digestion.

    A plate of healthy food

    In people with any dysfunctions of the digestive system, epigastric pain, nausea and belching are a sign of the development of the disease. Such a clinical picture is characteristic of various pathologies, therefore, for accurate diagnosis, it is also necessary to take into account the accompanying symptoms and the results of instrumental and laboratory studies.

    The structure of the human digestive system

    Dysfunctions

    The following dysfunctions are most commonly identified in patients:

    • gastritis,
    • pancreatitis,
    • dysbacteriosis,
    • the formation of ulcers in the stomach,
    • tumor processes in the digestive organs.

    Attention! The doctor determines the treatment based on the clinical picture of the disease and takes into account the history of each patient to determine the type and dosage of the pharmacological agent.

    Gastritis is one of the most frequently diagnosed pathologies of the gastrointestinal tract. This disease is equally susceptible to people of any gender in different age groups. At the same time, most patients with gastritis are patients who lead a sedentary lifestyle and eat an excessive amount of fast food, fatty or spicy foods, as well as products that provoke fermentation.

    Gastritis and gastric ulcer

    Usually for the first time pathology is diagnosed in adolescents aged 13-17 years. In the future, in the absence of rational therapy and failure to comply with the diet, exacerbations occur approximately 2-3 times or more per year. Relapse of the disease is manifested by the following symptoms:

    • heaviness and soreness in the epigastrium, which are sharply aggravated after eating, as well as during stress or physical exertion,
    • frequent unformed chair, rarely - constipation,
    • dyspeptic syndrome: increased gas, vomiting and nausea, tenesmus, loss of appetite,
    • belching with a strong odor,
    • general deterioration of health: decreased performance, fatigue, drowsiness, irritability.

    Attention! In patients with gastritis, the clinical picture may vary. In some cases, dysfunction occurs in a latent form. This type of disorder has the most detrimental effect on the patient’s state of health, since it is most often diagnosed only at the stage of the development of a peptic ulcer.

    The main symptoms of chronic gastritis

    Forms of gastritis

    To date, in medical practice, there are about ten types of the course of this disorder, while in most patients the following forms are detected:

    • catarrhal
    • ulcerated
    • hemorrhagic,
    • atrophic,
    • autoimmune.

    Catarral gastritis is a progressive inflammation of the gastric mucosa, which in more than 90% of cases results from the development in the patient's body of a bacterial infection caused by Helicobacter Pollu. This form of pathology is determined by the majority of people with gastritis.

    State of the gastric mucosa in various forms of gastritis

    The diagnosis of this disease includes the following research methods:

    • gastroduodenoscopy,
    • ultrasound examination of the abdominal cavity and small pelvis,
    • sampling of gastric mucous tissue for histological examination,
    • electronic gastrography,
    • pH-metry of the stomach.

    Attention! The treatment of gastritis is determined by the type of disease and the individual characteristics of human health. If pathogenic microflora is detected in the stomach tissues, the patient is prescribed antimicrobial therapy.

    Watch the video: Heartburn, Acid Reflux, GERD-Mayo Clinic (November 2019).

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