What Is Eructation?
Eructation, commonly known as belching, is the release of swallowed air from the stomach through the mouth. Occasional burping is normal, but frequent or loud eructation may indicate an underlying digestive issue.
Common Causes and Risk Factors
- Swallowing air by eating or drinking too quickly
- Consumption of carbonated beverages (soda, sparkling water)
- Chewing gum or sucking on hard candy
- High-fat or spicy meals
- GERD (acid reflux) or hiatal hernia
- Delayed gastric emptying (gastroparesis)
- Stress, anxiety, or nervous habits
- Smoking and excessive alcohol use
- Certain medications that affect digestion
Signs and Symptoms
- Frequent burping throughout the day
- Gurgling or popping sounds after meals
- Sensation of fullness or bloating
- Mild upper abdominal discomfort
- Sour or acidic taste in the mouth (when reflux is present)
Expert Treatment for Eructation by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He reviews your burping frequency, meal habits, epigastric pain characteristics, and lifestyle factors (diet, smoking, stress).
Laboratory Tests
We check for H. pylori infection, complete blood count (to rule out anemia), and basic metabolic panel.
Diagnostic Procedures
- Upper endoscopy (EGD) to visualize the esophagus, stomach, and duodenum for inflammation or hiatal hernia.
- 24-hour pH and impedance monitoring to quantify acid and non-acid reflux events.
- Gastric emptying scan to assess for delayed stomach emptying (gastroparesis).
- Abdominal ultrasound to evaluate gallbladder, pancreas, or other organ involvement if indicated.
Advanced Functional Testing (if needed)
Esophageal manometry to measure motility and lower esophageal sphincter function, or specialized breath tests for small-intestinal bacterial overgrowth (SIBO).
Frequently Asked Questions
Why do I burp so often?
Swallowed air, reflux, certain foods, or stress are common reasons.
When should I see a doctor?
If burping is frequent, painful, or comes with other symptoms like weight loss or nausea.
Can anxiety cause burping?
Yes. Anxiety can lead to air swallowing and worsen reflux.
Is burping a sign of acid reflux?
Yes. GERD often includes burping, heartburn, or sour taste.
Are natural remedies safe?
Some people find relief with ginger, peppermint tea, or probiotics. Ask your doctor first.
How soon will I feel better?
Most people feel relief within a few days to one week with the right care.
Will insurance cover the procedures?
Usually, yes. Our staff will help check your plan and explain your options.