[42M] Experiencing bloating, foul-smelling burps, and stomach growling

Patient Description

A 42-year-old male reports feeling bloated with frequent, nasty smelling burps, and stomach growling that has been occurring for the past day or two. The patient notes that the burping, which is most noticeable on an empty stomach, seems to upset the stomach further due to the smell. Eating appears to alleviate the burping to some extent. Additionally, the patient experiences heartburn and a sour taste in the mouth, particularly after eating, as well as random stomach growling throughout the day. The patient has also experienced nausea but no changes in weight. There is no further information on the patient's medical history, pre-existing conditions, or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that affects the ring of muscle between your esophagus and your stomach. This can cause symptoms such as heartburn, sour taste in the mouth, and bad-smelling burps.

    • Treatment typically involves lifestyle changes, antacids, H2 blockers, or proton pump inhibitors.
  • Gastritis: This is an inflammation of the stomach lining. It can cause symptoms such as nausea, vomiting, and a growling stomach.

    • Treatment typically involves antacids, H2 blockers, proton pump inhibitors, or antibiotics if caused by a bacterial infection.
  • Peptic Ulcer Disease: This is a condition where painful sores or ulcers develop in the lining of the stomach or first part of the small intestine. Symptoms can include a burning stomach pain, feeling of fullness, and belching.

    • Treatment typically involves proton pump inhibitors, H2 blockers, or antibiotics if caused by a bacterial infection.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Avoid foods and drinks that can trigger reflux such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
  2. Eat smaller meals more frequently throughout the day.
  3. Don't lie down after a meal. Wait at least three hours.
  4. Elevate the head of your bed if you regularly experience heartburn at night or while trying to sleep.

What you should look out for

Reasons to see a doctor more urgently:

  • If you notice blood in your stool or vomit
  • If you develop severe abdominal pain
  • If you have difficulty swallowing
  • If your symptoms persist or worsen

Please remember that while I strive to provide accurate and helpful medical information, this advice is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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1 yr ago

Top picked over-the-counter products for Acid Reflux (GERD): American College of Gastroenterology Guidelines

People Also Ask


What causes bad-smelling burps and how can they be treated?

Bad-smelling burps can be caused by digestive disorders like GERD, gastritis, or infections. Treatment may involve dietary changes, antacids, or medications like H2 blockers or proton pump inhibitors.


How can I differentiate between GERD and gastritis based on symptoms?

GERD often causes heartburn and a sour taste in the mouth, while gastritis may lead to nausea and stomach growling. A medical evaluation is necessary for an accurate diagnosis.


What lifestyle changes can help alleviate symptoms of heartburn and sour taste in the mouth?

To alleviate heartburn and sour taste, avoid trigger foods (e.g., fatty foods, caffeine), eat smaller meals, avoid lying down after eating, and elevate the head of your bed.


When should I see a doctor for symptoms like nausea and stomach growling?

You should see a doctor if you experience severe abdominal pain, blood in stool or vomit, difficulty swallowing, or if symptoms persist or worsen despite self-care measures.


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