Oral Gas Expulsion: Causes and Treatment Options - Gastroenterology and Hepatology

More Info

---

Understanding oral gas expulsion can be quite complex, as it may stem from various underlying causes. Based on your description, it seems you have been experiencing this issue for about two months and have consulted both traditional Chinese medicine and Western medicine without significant relief.
Firstly, it’s essential to understand that oral gas expulsion, or burping, can occur due to several reasons, including dietary habits, gastrointestinal issues, and even stress. In your case, the mention of diaphragmatic spasms by your traditional Chinese medicine practitioner suggests that there may be a muscular component to your symptoms. The diaphragm plays a crucial role in respiration and can affect how air is expelled from the stomach and esophagus.
The Western medicine approach you’ve taken, including the use of three different gastric medications, indicates that your healthcare provider is considering potential gastrointestinal causes such as acid reflux, gastritis, or even functional dyspepsia. Since you mentioned that gastroesophageal reflux (GERD) occurs infrequently, it might not be the primary cause of your symptoms. However, it’s still worth monitoring, as even infrequent reflux can lead to discomfort.

Given that your blood tests have returned normal, it’s a positive sign that there are no immediate concerns regarding systemic issues. However, if your symptoms persist, further investigations may be warranted. Here are some potential next steps:
1. Endoscopy: This procedure allows a doctor to view the upper digestive system and can help identify any abnormalities in the esophagus, stomach, or duodenum. It can also help rule out conditions like esophagitis or peptic ulcers.

2. Esophageal Manometry: This test measures the rhythmic muscle contractions in your esophagus when you swallow and can help assess how well the esophagus is functioning.

3. pH Monitoring: This test measures the acidity in your esophagus and can help determine if acid reflux is contributing to your symptoms.

4. Dietary Review: Keeping a food diary to track what you eat and when symptoms occur can help identify any dietary triggers. Common culprits include carbonated beverages, spicy foods, and high-fat meals.

Regarding the use of probiotics, they can be beneficial for gut health and may help with digestive issues. Probiotics can improve the balance of gut bacteria, which may aid in digestion and reduce gas production. However, their effectiveness can vary from person to person, and it may take some time to notice any benefits. It’s advisable to consult with your healthcare provider before starting any new supplements, especially if you are already on medication.

In summary, while your symptoms may be frustrating, there are several avenues to explore for diagnosis and treatment. It’s crucial to maintain open communication with your healthcare providers and consider seeking a gastroenterologist's opinion if your symptoms persist. They can provide specialized care and help you navigate through the various diagnostic options available.