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Eructation

Do frequent burps disrupt your day? Eructation, or belching, is usually harmless but could signal acid reflux or digestive issues when persistent. Dr. Scott at GastroDoxs in Houston provides personalized evaluation, testing and treatment to relieve discomfort and restore comfort.

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Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

What Is Eructation?

  • Eructation is the medical term for belching or burping.
  • It occurs when gas from the stomach is expelled up and out through the mouth.
  • Unlike vomiting, eructation brings up only air, not food.
  • Occasional burping is normal; frequent burping may signal an underlying issue.

Common Causes and Risk Factors

  • Swallowing air by eating or drinking too quickly
  • Drinking carbonated beverages such as soda or sparkling water
  • Acid reflux (GERD) that carries gas and acid upward
  • Eating gas-producing foods - beans, onions, cabbage, spicy dishes
  • Smoking or chewing gum, which increases swallowed air
  • Stress or anxiety leading to rapid, shallow breathing
  • Digestive conditions like gastritis, peptic ulcers, or GERD

Signs and Symptoms

  • Frequent burping or belching
  • Sensation of fullness or pressure in the upper abdomen
  • Bloating or mild chest tightness
  • Discomfort or pain after meals
  • Sometimes a sour or acidic taste in the mouth

How Dr. Scott Diagnoses This Condition?

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

Medical History and Exam

He reviews your burping patterns, epigastric pain, eating habits, stressors and any prior GI issues.

Physical Examination

He palpates your upper abdomen to check for tenderness, bloating or signs of reflux.

Diagnostic Tests

  • Upper endoscopy to visualize the esophagus and stomach for acid damage, ulcers or hiatal hernia.
  • Breath tests to detect H. pylori infection or small intestinal bacterial overgrowth (SIBO).
  • Esophageal pH monitoring to quantify acid exposure and correlate with symptoms.

Advanced Testing (if needed)

Esophageal manometry to assess muscle function or a gastric emptying study to rule out motility disorders.

Dr. Scott with Patient
Treatment

Our Team offers a full range of care for eructation (burping).

1. Lifestyle and Diet Modifications

  • Eat slowly and chew food thoroughly to minimize swallowed air
  • Avoid trigger foods and drinks such as carbonated beverages, beans, cabbage, and high-fat meals
  • Have small, frequent meals and practice stress-management techniques (deep breathing, relaxation)

2. Medications

  • Antacids for quick relief of mild burping and discomfort
  • H₂-blockers or proton-pump inhibitors (PPIs) to reduce excess stomach acid if reflux is present
  • Simethicone to break up gas bubbles and decrease belching

3. Minimally Invasive or Advanced Procedures

  • Endoscopic valve-tightening procedures to prevent gas reflux from the stomach
  • pH testing or esophageal manometry to evaluate acid exposure and esophageal pressure
  • Upper endoscopy when visualization of the esophagus and stomach lining is indicated
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Frequently Asked Questions

What causes frequent eructation?

Swallowed air during eating or drinking quickly, carbonated beverages, acid reflux (GERD), certain gas-producing foods, and stress or anxiety can all lead to frequent burping.

Is eructation the same as vomiting?

No. Eructation is the release of stomach gas through the mouth, whereas vomiting expels food or liquid from the stomach.

Is there a difference between eructation and belching?

No. “Eructation” is simply the medical term for belching or burping.

How does flatulence differ from eructation?

Flatulence is gas expelled from the rectum; eructation is gas released from the stomach via the mouth. Both can cause discomfort but occur through different routes.

When should I see a doctor?

See a physician if you burp daily, experience pain, or have other symptoms like unintentional weight loss, persistent heartburn, or vomiting.

Can diet reduce eructation?

Yes. Eating smaller, more frequent meals, avoiding trigger foods and carbonated drinks, and chewing slowly can help minimize burping.

Are endoscopic procedures safe?

Yes. Endoscopic tests and treatments are generally safe and performed under careful monitoring. Dr. Scott will review all risks and benefits before proceeding.

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