Constant heartburn and eructation: causes, treatment

Many people suffering from stomach diseases, note symptoms such as heartburn and belching. The reasons for treating the underlying ailment are discussed in this article. Nevertheless, many still doubt whether heartburn and eructation are interrelated.

Why do they appear?

An eructation is a symptom of expulsion of gases from the stomach and intestines through the mouth. Heartburn - throwing the contents of the stomach into the esophagus with irritation of the mucous and the appearance of unpleasant burning sensation behind the sternum or in the stomach.

With many gastrointestinal diseases, heartburn and eructation may occur. The causes of their appearance may be related to food, food errors or abnormalities of the stomach, small intestine or gallbladder. Eating and heartburn can not always be diagnosed as independent symptoms. In most cases in the complex they accompany various diseases of the stomach.

Eating after eating - aerophagia

This symptom may be self-imposed or coercive. Air, as a rule, falls into the esophagus and causes belching. This usually does not bring discomfort and does not lead to bloating.

Reasons for swallowing air:

• Fast food or drink;
• Breathing with the mouth;
• nasal congestion;
• Hyperventilation associated with anxiety;
• Regular chewing gum;
• Poorly fitted dentures.

Carbonated drinks, such as soda and beer, can cause gas accumulation in the stomach and esophagus. Some antacids cause the formation of carbon dioxide as a byproduct of neutralizing gastric acid and cause a condition that accompanies heartburn and belching. The reasons for treating these symptoms depend on what products the patient has taken. The change in the food regime normalizes the function of the digestive tract.

Hernia of the esophageal opening of the diaphragm

Hernia of the esophageal opening of the diaphragm is the protrusion of a part of the stomach into the chest cavity due to the weakening or rupture of the diaphragm. The protrusion and compression of the stomach causes a number of gastrointestinal symptoms.

The exact causes of hernia of the esophageal opening of the diaphragm are unknown, but there are a number of provoking factors:

• obesity;
• pregnancy;
• smoking;
• Physical exercises with weights;
• Chronic respiratory disorders, which manifest a persistent cough;
• Surgical procedures affecting the diaphragm;
• Congenital malformations or defects.

Hernia of the esophageal opening of the diaphragm can not function for a long time. Acute symptoms include pain in the epigastrium or behind the breastbone, discomfort after eating, a feeling of overeating after small meals, dyspepsia, a sour taste in the mouth, a constant heartburn and belching. Causes and treatment are well studied, therefore, various therapies have been developed.

When the hernia of the esophageal opening of the diaphragm is palpable, some soreness is detected in the left upper quadrant of the abdomen in the region of the stomach and diaphragm.

Diagnostics

As a rule, only fluoroscopy is enough to identify the hernia. In order to identify and identify translucent organs for the rays, use intrinsic radiologically active substances such as barium.

Diet and remedies

So, consider the appearance of such unpleasant symptoms as heartburn and eructation, causes. Both methods of treatment, and its technique include the appointment of products that do not irritate the mucous. Carbonated drinks, sour and spicy foods, coffee and strong tea can exacerbate the painful condition.

It is recommended to cancel the intake of foods that can exacerbate symptoms such as heartburn and belching. Methods of treatment in neglected cases are surgical interventions.

Helicobacter pylori infection

What else can be caused by a constant heartburn and belching? Causes (and treatment) are well studied in Helicobacter pylori. This infection affects the stomach, causing increased formation of gastric acid and ulceration of the walls of the stomach. This causes the patient to develop symptoms such as heartburn and belching. The causes, treatment of H. pylori infection depend on the degree of affection with this bacterium, which absorbs ammonia and releases carbon dioxide. In chronic infections, large contamination with H. pylori bacteria can contribute to the formation of a significant amount of carbon dioxide in the stomach. Infection often causes the appearance of peptic ulcers.

Diagnosis and treatment

Biopsy of the gastric mucosa is one of the most effective methods of detecting H. pylori infection, which should be performed in a clinic or hospital.

The diet and remedies for Helicobacter pylori infection include many drugs. Many studies have shown that garlic is quite effective in treating H. pylori infection if it is used in combination with "omeprazole."

Antibiotic therapy

It is desirable to treat infections with antibiotics in combination with proton pump inhibitors, such as "omeprazole." Proton pump inhibitors help in the treatment, affecting and soothing the gastric mucosa, while antibiotics kill bacteria and prevent further growth of the microorganism population. This leads to the elimination of such an initial cause as heartburn and eructation. And the consequences in the case of timely treatment will not appear in the form of peptic ulcer.

Therapy usually leads to a complete recovery, but the proton pump inhibitor should be used for a long time. Chances of recurrence of infection are high, so treatment should be under constant control.

The use of antibiotics can exacerbate inflammation of the gastric mucosa, and repeated courses may be required. Prolonged use of antibiotics can also affect the activity of the intestine, and a suitable probiotic is needed for complex treatment.

Gastroparesis

Gastroparesis is a paralysis of the abdominal muscles, which prevents or delays the movement of stomach contents into the small intestine. The causative factor can affect the innervation of the stomach muscles.

Causes of gastroparesis:

• Diabetes (type I or II);
• Anorexia nervosa;
• Damage to the nerve or muscle due to surgery or other trauma;
• Thyroid gland diseases;
• Pancreatitis;
• Scleroderma;
• Condition after a viral infection.

Symptoms of gastroparesis:

• Feeling of fullness of the stomach quickly or after small meals;
• nausea, vomiting;
• Unintended weight loss;
• Heartburn and eructation.

The causes of the appearance and the ways of treatment with gastroparesis will allow to determine the correct diagnosis. The endoscopic method is the most accessible and harmless. It allows to determine the presence of benign formations and cancer tumors.

Diet

Recommended liquid and semi-liquid dishes. Large amounts of fat in the diet are not shown, because they require a significant increase in intestinal motility and the production of increased amounts of enzymes by the liver and pancreas. Alcohol is not recommended for gastroparesis, as it can slow the emptying of the stomach.

Treatment of gastric paresis

Treatment of gastroparesis is complex and combines a diet, drug therapy and a surgical method.

Heartburn and eructation: ways to treat, depend on the cause that led to these symptoms.

• Intolerance to certain foods can arise from disorders of the digestive system or impaired intestinal absorption.
• Lactose intolerance arises from the absence of digestive enzyme lactase.
• Hereditary intolerance to fructose is similar to lactose intolerance in that there is a hereditary lack of enzymes.
• Malabsorption of fructose and sorbitol can lead to a decrease in the absorption of these carbohydrates by the intestine, allowing the intestinal bacteria to consume it. The consumption of lactose, fructose and sorbitol by intestinal bacteria leads to the accumulation of gases.

Symptoms of food intolerance and absorption are nausea, bloating, abdominal cramps, diarrhea, heartburn and belching. The reasons for the treatment depend on whether the enzyme is intolerant. For example, a lack of fructose can cause more severe symptoms if the diet is not followed. Excessive consumption of fructose and / or sorbitol can lead to vomiting, jaundice, fatigue, increased liver and seizures.

Treatment of food intolerance

With her diet is important. With lactose intolerance, the intake of dairy products should be discontinued. Intolerance to fructose also requires a change in diet.

Bacterial growth in the small intestine

In this disease, the number of pathogens in the small intestine increases, which leads to gas accumulation in the intestine, respectively, belching, bloating, diarrhea, and sometimes heartburn. In this case, there is a shortage of nutrients.

Causes:

• Diabetes (type I or II);
• Anorexia nervosa;
• Damage to the nerve or muscle due to surgery or other trauma;
• Thyroid gland diseases;
• Pancreatitis;
• Scleroderma;
• Intestinal obstruction;
• Diverticula.

For the diagnosis take a sample of fluid from the small intestine, which will show the degree of contamination by bacteria.

Treatment. Antibiotics are generally effective in treating this disease. Various nutritional supplements can be prescribed to compensate for deficiencies in nutrition.

Dyskinesia of bile ducts

Bile is necessary for the breakdown of fats when food enters the intestine. Bile-excreting reflux is the reverse flow of bile from the small intestine into the stomach and esophagus.

The causes of stagnation of bile:

• Stones in the gallbladder;
• Cholecystitis (inflammation of the gallbladder);
• Cholecystectomy;
• Cancer of the gallbladder;
• hepatitis;
• Cirrhosis;
• Other liver disease;

Causes of bile reflux gastritis:

• Dysfunction of the gatekeeper - the valve that separates the small intestine from the stomach;
• Peptic ulcers;
• Cholecystectomy.

Symptoms of biliary tract diseases: pain in the right upper quadrant of the abdomen, nausea, vomiting of bile, bloating, weight loss, anorexia, heartburn and belching.

Causes, treatment during pregnancy

The symptoms considered in the article are often found in healthy pregnant women. They are caused by mechanical compression by a growing uterus and constant irritation of the gastric mucosa in toxicosis. Treatment consists of eating small amounts of food and applying drugs "Rennie", "Gastal", "Maalox." Without treatment after delivery, heartburn and eructation pass independently.

Stomach upset

A feeling of overcrowding, pain or burning in the upper abdomen is unpleasant. Symptoms are temporary and do not differ in chronic course. It:

• stomach ache;
• heartburn;
• Eructation;
• nausea;
• Smack in the mouth;
• Unpleasant sensations in the stomach;
• Constipation or diarrhea;
• Decrease or lack of appetite.

An upset stomach has many causes, including medical conditions, medications, a violation of diet and lifestyle.

Tests for gastric diagnostics include blood tests, abdominal ultrasound, endoscopy, colonoscopy, CT and MRI of the abdominal cavity, analysis of stool and gastric juice. Only after that it is possible to establish, what and the symptom of "heartburn after eating" causes. And treatment with folk remedies also gives a good effect.

Treatment with folk remedies

The beginning of treatment in the case of a stomach disorder are:

• Changing the way of life, eating by the hour in small portions;
• Slow chewing food;
• Refusal of alcoholic beverages, tobacco and coffee;
• Elimination of unwanted foods from the diet;
• Compliance with the regime.

Medications for the treatment of indigestion include antacids and acid blockers. Treatment of a stomach disorder is focused on eliminating the underlying cause. The prognosis for a stomach upset is usually good if it is caused by lifestyle factors. Perspectives of indigestion caused by illness or a state of health vary depending on the resolution of this condition.

What diseases or conditions cause indigestion?

Disease or conditions that can cause indigestion include:

• Ulcers (stomach or duodenum);
• GERD (gastroesophageal reflux disease) ;
• Esophagitis;
• Hernia of the esophagus of the diaphragm;
• Stones in the gallbladder;
• The last trimester of pregnancy;
• Pancreatitis;
• gastritis;
• Food poisoning;
• Irritable bowel syndrome;
• Gastroparesis;
• Intolerance to enzymes;
• Heart disease: angina, heart attack;
• Thyroid gland diseases;
• depression;
• stomach cancer.

What medications cause heartburn or belching

• Aspirin and many other pain killers, such as non-steroidal anti-inflammatory drugs (NSAIDs);
• "Prednisolone", "Methylprednisolone", "Medrol";
• Estrogen and oral contraceptives;
• Antibiotics, for example, "Erythromycin" and "Tetracycline"
• Drugs for the treatment of the thyroid gland;
• Drugs that reduce blood pressure;
• Statins;
• Some painkillers.

All these drugs can, if used improperly, cause such symptoms of stomach and bowel dysfunction as heartburn and eructation (causes).

Treatment with folk remedies

Some recommendations will help to get rid of heartburn and eructation.

1.Refer to a healthy weight.

While heartburn can happen to anyone, GERD is most common in adults with overweight or obesity. In these cases, the pressure on the stomach increases. As a result, you are at an increased risk of throwing gastric juice into the esophagus.

2. Know what products can not be consumed.

No matter how much you weigh, there are some foods that can increase the risk of unpleasant symptoms. Try not to use:

• Tomato sauce and other products based on tomatoes;
• Fatty foods (for example, fast food products);
• roast;
• Citrus juices;
• Soda;
• caffeine;
• chocolate;
• garlic;
• bow;
• Mint;
• alcohol.

Limiting or generally avoiding them, you can ease your condition. You can also keep a food diary to identify problematic foods.

3. Eat little, but long.

When thoroughly chewing food creates less pressure on the stomach, which can prevent a countercurrent of stomach acid. In this case, you can reduce heartburn, eating a whole less.

It is also important to avoid sleeping after eating. This also can cause heartburn and eructation. It is not recommended to go to bed immediately after eating. If this is unavoidable, then after you go to bed, try lifting your head higher to avoid a night heartburn.

4. Eat foods that help.

First, it is recommended to eat foods low in fat and high in protein. The reduction in dietary fat can further reduce your symptoms, while getting enough protein and fiber will give you the right amount and prevent overeating.

After each meal, you can chew the chewing gum without peppermint - this will increase the amount of saliva in the mouth and will not allow the acid to be thrown from the esophagus.

5. Stop smoking.

In non-smokers, the function of the lower esophageal sphincter, which is responsible for preventing gastric acid reflux, is in its tonus and functions normally.

Passive smoking can also cause problems if you are struggling with the symptoms of heartburn and eructation.

6. Drink herbal infusions.

The following herbs are used to eliminate unpleasant symptoms:

• chamomile;
• liquorice;
• Marshmallow;
• Slippery elm.

Apply and tincture, and in the form of tea.

7. Avoid tight clothes.

Wearing clothing that is too tight to tighten the stomach can increase heartburn. This is especially important in the case of stiff belts.

8. Try relaxation techniques.

Yoga is good for treatment and relaxation. Her exercises will normalize the soul and body. Even if you are not a yogi, you can try a quiet meditation and deep breathing for several minutes several times a day to reduce stress levels.