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Eructation

Are you struggling with frequent burps and digestive discomfort? At GastroDoxs in Houston, Dr. Rishi Chadha offers personalized evaluations, advanced treatments for eructation, and expert care. From lifestyle modifications to endoscopic interventions, our board-certified gastroenterologist helps restore your digestive comfort.

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Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Eructation?

Eructation (commonly called burping or belching) is the release of excess gas from the stomach through the mouth. It is a normal digestive process, but when it occurs frequently it can indicate an underlying issue.

Common Causes and Triggers

  • Eating too quickly or overeating, which increases swallowed air
  • Drinking carbonated beverages (soda, beer, sparkling water)
  • Gastroesophageal reflux disease (GERD) or acid reflux
  • Hiatal hernia, where part of the stomach pushes into the chest
  • Food intolerances (e.g., lactose, fructose) and certain high-fiber foods
  • Anxiety or stress leading to air swallowing (aerophagia)
  • Certain medications that slow digestion or relax the esophageal valve
  • Smoking or chewing gum, which increases air intake
  • Spicy or greasy foods and, in Houston, hot weather that can worsen reflux

Signs and Symptoms

  • Frequent, loud burping throughout the day
  • Sensation of gas trapped in the chest or throat
  • Bloating or feeling overly full after meals
  • Mild to moderate abdominal discomfort or pain
  • Sour or bitter taste in the mouth from refluxed acid

How Dr. Rishi Diagnoses Eructation?

Dr. Rishi uses a step-by-step approach:

Medical History and Physical Exam

He reviews your digestive symptoms, eating habits, stress levels, and lifestyle factors (e.g., smoking, medications, carbonated drinks).

Upper Endoscopy

A thin, flexible scope examines your esophagus, stomach, and duodenum to look for inflammation, hiatal hernia, or other abnormalities.

pH Monitoring

A small probe measures acid exposure in your esophagus over 24 hours to confirm or rule out GERD.

Imaging Studies

  • Abdominal ultrasound evaluates the gallbladder, liver, and biliary tract for contributing issues.
  • Hiatal hernia assessment if structural concerns are suspected.

Breath Tests

We test for H. pylori infection or small intestinal bacterial overgrowth (SIBO), both of which can increase gas production.

Rishi Chadha
Treatment

Our Houston team offers a full range of care for frequent burping (eructation).

1. Lifestyle and Diet Modifications

  • Eat slowly, chew thoroughly, and avoid overeating
  • Eliminate or reduce carbonated beverages (soda, beer)
  • Limit spicy, greasy, or gas-producing foods
  • Incorporate stress-relieving activities (deep breathing, walking, yoga)

2. Medications

  • Antacids to neutralize excess stomach acid
  • H2 blockers or proton pump inhibitors (PPIs) to manage GERD
  • Prokinetics to enhance gastric emptying and reduce bloating
  • Simethicone to break up gas bubbles and relieve discomfort

3. Minimally Invasive or Advanced Procedures

  • Endoscopic fundoplication to reinforce the valve between stomach and esophagus
  • Botox injections targeting the stomach's lower esophageal sphincter for valve dysfunction
  • Laparoscopic hiatal hernia repair when a hernia contributes to reflux and burping
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What is eructation?

Eructation is the medical term for burping when gas leaves your stomach through your mouth.

Can stress cause burping?

Yes. Anxiety and stress can lead to excessive air swallowing, which increases burping.

When is burping a concern?

If it's very frequent or comes with pain, nausea, heartburn or reflux, you should seek evaluation.

What causes constant burping?

Common triggers include GERD, carbonated beverages, overeating, food intolerances, or a hiatal hernia.

Can I fix it with diet changes?

Often yes eating slowly, avoiding soda and spicy or greasy foods, and managing stress can help.

What if diet and lifestyle changes don't work?

Medications like antacids, H2 blockers or PPIs, and in some cases endoscopic or surgical procedures may be needed.

Are there serious causes of excessive burping?

Yes. Conditions such as GERD, gallbladder disease or hiatal hernias can lead to persistent burping.

What is the ICD-10 code for burping?

R14.0 is used for eructation (burping) and R14.1 for gas pain and flatulence.

Do you treat children with burping issues?

Yes. Kids can experience similar symptoms and benefit from tailored evaluation and treatment plans.

How quickly will I feel better?

Many patients notice improvement within days to weeks after starting lifestyle changes or medications.

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