Bloating and Nausea: When Burping Brings Relief - Gastroenterology and Hepatology

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Bloating, feeling the urge to vomit when unable to burp, but feeling a bit better after burping?


I have never had stomach issues before, but a month ago I suddenly felt nauseous and couldn't eat when I woke up.
After a few days, I frequently experienced dry heaving.
I consulted a gastroenterologist who diagnosed me with gastroesophageal reflux disease (GERD), and an ENT specialist who said I had pharyngitis.
I took the prescribed medication for over a week, and my symptoms have improved slightly, but it has now been over a month.
I often still feel bloated after meals, and belching helps alleviate the discomfort; if I can't belch, I feel bloated and nauseous.
Sometimes I feel full after just a small amount of food, and eating more makes me uncomfortable.
Other than that, I don't have any other stomach discomfort, but I'm really worried that I might have cancer.

Kai Kai, 20~29 year old female. Ask Date: 2020/05/19

Dr. Cai Jinji reply Gastroenterology and Hepatology


Dear Miss Kai-Kai: Nausea, loss of appetite, and dry heaving can have many possible causes, including gastrointestinal issues and gynecological problems.
It is recommended that you visit a hospital for evaluation.
Nantou Hospital cares about you.
Dr.
Tsai Jin-chi, Nantou Hospital.

Reply Date: 2020/05/19

More Info


Bloating and nausea can be distressing symptoms, especially when they disrupt your daily life and eating habits. Based on your description, it seems that you have been experiencing these symptoms for over a month, with a diagnosis of gastroesophageal reflux disease (GERD) and throat inflammation. It's understandable to feel concerned about your health, especially with the persistent nature of your symptoms.

Bloating often occurs when there is an accumulation of gas in the gastrointestinal tract. This can be caused by various factors, including dietary choices, swallowing air while eating or drinking, and certain gastrointestinal conditions. In your case, the bloating and nausea may be related to the GERD diagnosis, which can lead to discomfort after eating, as well as the sensation of fullness or pressure in the abdomen.

The fact that burping provides some relief suggests that gas buildup may be a contributing factor to your discomfort. When you burp, you release gas that has accumulated in your stomach, which can alleviate the feeling of bloating. However, if you find that you are unable to burp, it can lead to increased pressure and discomfort, potentially triggering nausea.

It's also worth noting that certain foods and beverages can exacerbate bloating and nausea. Common culprits include carbonated drinks, fatty foods, spicy foods, and large meals. Eating smaller, more frequent meals and avoiding known triggers may help manage your symptoms. Additionally, incorporating gentle physical activity, such as walking, can aid digestion and reduce bloating.

Regarding your concerns about cancer, it's important to remember that while persistent gastrointestinal symptoms can be alarming, they are often related to less serious conditions, such as GERD or gastritis. However, if your symptoms continue to worsen or if you experience additional concerning symptoms—such as significant weight loss, changes in bowel habits, or blood in your stool—it's crucial to follow up with your healthcare provider for further evaluation.

In terms of treatment, since you have already been prescribed medication for your symptoms, it may be beneficial to discuss with your doctor whether your current treatment plan is adequate. Medications such as proton pump inhibitors (PPIs) or H2 blockers can help reduce stomach acid and alleviate GERD symptoms, but they may take time to show full effects. If your symptoms persist despite medication, your doctor may consider further diagnostic tests, such as an upper endoscopy, to rule out other conditions.

In summary, while your symptoms are understandably concerning, they are likely related to GERD and may improve with dietary adjustments and appropriate medical management. It's essential to maintain open communication with your healthcare provider about your symptoms and any changes you experience. They can help guide you through the process of managing your symptoms and ensuring that any underlying conditions are appropriately addressed.

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