[68F] Experiencing severe gassy stomach and burping

What might be happening

Based on your symptoms, the most likely causes could be:

• Functional Dyspepsia: This is a condition characterized by chronic or recurrent pain or discomfort centered in the upper abdomen. Unlike IBS, symptoms are not related to the process of defecation. There's no evidence that FD is associated with an increased risk of death.

  • Treatment options include dietary modifications, medications to reduce stomach acid and possibly antidepressants, and psychological therapy.

• Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. IBS is a chronic condition that you'll need to manage long term.

  • Treatment of IBS is usually focused on relieving symptoms. Lifestyle changes, including changing your diet and regular physical activity, can often help control your IBS.

• Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus.

  • Treatment usually involves lifestyle changes and medications that reduce stomach acid. If these don't help, surgery might be an option.

• Gastritis: This is an inflammation, irritation, or erosion of the lining of the stomach. It can occur suddenly (acute) or gradually (chronic).

  • Treatment usually involves taking antacids and other drugs to reduce stomach acid, which can help promote healing and relieve symptoms. In some cases, eliminating irritating foods from your diet might also be beneficial.

What you can do

Here are some steps you can take to manage your symptoms:

1. Dietary changes: Avoid foods that exacerbate your symptoms. Common culprits include fatty and fried foods, alcohol, caffeine, chocolate, and artificial sweeteners.
2. Regular exercise: Physical activity can help reduce bloating and improve digestion.
3. Over-the-counter treatments: Antacids, activated charcoal, or simethicone can help with gas and bloating.
4. Mindful eating: Eat slowly, chew your food thoroughly, and don't gulp. This can reduce the amount of air you swallow, which can lead to gas.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

• Severe, persistent, or worsening abdominal pain
• Blood in your stool or black, tarry stools
• Unexplained weight loss
• Difficulty swallowing
• Persistent vomiting or vomiting blood

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.