Constant burping

[Riponian]

I have IBS and a hiatus hernia , for which I take Ozmaparol , I get the usual problems , diahorrea , constipation and the awful gut pain ! But also awful burping , this is quite debilitating , apart from being embarrassing ! I am getting to the point where I feel so exhausted with this constant pain and discomfort !! Has anyone else experienced this and if so , what medication do they take

Thankyou

[Nova7]

Hi Riponian, I can absolutely relate to the burping. Please get tested for SIBO (small intestinal bacterial overgrowth). This is what I finally, after 3 years, tested positive for. One of the main symptoms is constant burping! Good luck - I hope you get some answers.

[bringiton54321 in reply to Nova7]

Hi Nova7

Which type of SIBO did you have & what was the remedy ?

Thanks

[Riponian in reply to bringiton54321]

Hi

I haven’t been tested for SIBO , but after the message from Nova7 , I am going to try to get one !

[Nova7 in reply to Riponian]

I saw a private dietitian, specialising in gut issues. (she's both NHS and private healthcare). I ordered a test through Invivo and then she interpreted the results. I've also been seeing a gastro which she recommended.

[Nova7 in reply to bringiton54321]

Mine is methane dominant. Unfortunately, I'm still on my healing journey. I've just done 2 weeks of an antibiotic called Rifaximin, but it has barely touched it...

[Riponian in reply to Nova7]

Thankyou so much , I will try to get the SIBO test ! How are you now ?

[xjrs in reply to Riponian]

Please be aware that SIBO breath tests are not accurate. Plus you may only have SIBO if you have one of the set list of causes and the cause would need treating, otherwise it would keep coming back. Please avoid anyone outside of the medical profession (such as nutritional therapists) when discussing the possibility of this, better with your GP/gastro. A whole industry has been set up around this - they will rob you and not make you any better.

Here is the list of causes which can be discussed with a medical professional:

Stasis: dysmotility – problems with muscle contraction in the gastrointestinal tract

Surgery (loops, vagotomy, bariatric)

Short Bowel Syndrome

Stuck open ileocecal valve (which sits between the small and large intestine) allowing bacteria from the large intestine to flow back into the small intestine

Achlorhydria – no stomach acid – unlikely if you can experience acid reflux. Additionally a faecal elastase test would show if you aren’t breaking down proteins correctly (which require stomach acid for digestion)

Hypochlohydria – low stomach acid – see above – the only real test is a PH test directly into your stomach, but many practices do not carry this out and home testing is inaccurate

PPIs – proton pump inhibitors for GERD/acid reflux – this is particularly related to long term use

Malnutrition – excess bacteria in the small intestine can compete for nutrients that your body needs

Collagen vascular disease – immune system inflammation e.g. arthritis

Immune deficiency

Advancing Age

Chronic Pancreatitis – this causes constant abdominal pain/fatty stools

Chronic antibiotic use

IgA Deficiency – identified from GP blood tests

Coeliac Disease – identified from GP blood tests

Crohn’s Disease – identified through GP tests and colonoscopy if GP tests indicate referral is needed

NASH – non alcoholic fatty liver disease –identified from GP blood tests

Cirrhosis

Fibromyalgia – widespread pain

Rosacea

[Riponian in reply to xjrs]

I have read up about the test and understand that GPs don’t do it , it will have to be the Gastroenterologist !! But I will have a word with my GP !! Thankyou for your message

[Star_1 in reply to Nova7]

Hi no your pain I to constant burping and on lanzaparole twice day but trying juvia it does your gut bacteria hopefully working a bit good luck x

[Riponian in reply to Star_1]

Thankyou !!

[Riponian in reply to Star_1]

thanks Star , I have omaprazole and it doesn’t make a bit of difference ! So it’s going to be back to the GP !!

[Hidden]

You could try A.Vogel’s Centaurium which is herbal drops taken in water or other liquid and which helps strengthen the sphincter at the top of the stomach and helps rebalance stomach acid. The main problem with poi-to reduce stomach acid is to prevent food from starting to be broken down prior to digestion which in turn causes problems further down the tract!

[Riponian in reply to Hidden]

Thankyou , I’ll give anything a go !!

[Liz1234ty]

Hi, I had this and it turned out to be SIBO. My Gastro prescribed a four week course of an antibiotic called Rifaximin which unlike most antibiotics is v slow to digest so sits in the digestive tract for longer where it can kill the bacteria there. It was not a complete cure but my symptoms - especially the burping - were drastically reduced. I once spent a day counting over 1500 burps!

The other thing that has helped me has been a probiotic called Symprove. Again, in my case it seems to be about killing off bad bacteria in my small intestine and repopulating the gut with good bacteria. These have reduced but not eliminated my sypmtoms.

[Riponian in reply to Liz1234ty]

Thankyou so much , Iwas getting so depressed with this horrible thing ! Did you get your SIBO test through your GP ?? I have been reading about it and it said GPs dont do it , needs to be a gastroenterologist

[Liz1234ty in reply to Riponian]

Yes only gastro's can do it and prescribe the antibiotics I think. I was waiting for so long on the NHS that I arranged a private test and showed them the results via email and then an in-person appointment. I have heard of some gastros who will prescribe the antibiotic course without a test to see if it helps but in York Hospital they prefer to see test results if I recall correctly (it was a few years ago now).

[Riponian in reply to Liz1234ty]

Fingers crossed I can get referred back to Gastro , I’ve been there about 4 years ago Thankyou every little bit of knowledge helps !!

[Liz1234ty in reply to Riponian]

Good luck! In the meantime you could try probiotics. There are plenty of threads on this forum of ones people have had success with. I tried some with no luck but then third time lucky as Symprove has helped me. Probiotics can be effective against SIBO (if you do have that) but also can help reinforce a healthy digestive system. If you do decide to try them I'd recommend starting with a small dose as they can have side effects for the first week or so as your system adjusts to the beneficial bacteria.

[Riponian in reply to Liz1234ty]

I’m thinking of sending for the private test , did you find yours online ? I already take Probio7 from Holland and Barrett , but can’t see any improvement !

[Liz1234ty]

I went to Smart Nutrition for a test - all arranged on-line, no consultation needed.

In my experience it's worth trying a different formulation if the Probio7 does not work for you. It was my third probiotic brand/strain that worked for me. Also, it can take weeks to see a difference. With Symprove for the first 1-2 weeks I felt worse but after about 8 weeks I started to feel better and better. It should say on your bottle when you can expect to see results. It's often 4-8 weeks but sometimes can be as much as 12 weeks.

[Riponian in reply to Liz1234ty]

Thankyou I’ll have a look at Smart Nutrition later ! And thanks for your help

[Angie11]

Hi regarding the SIBO test in the Uk as you said it’s the gastro that will order this but even then they are very reluctant.

I got a test through my IBD nurse. If you have an IBD nurse I would ask her.

Good luck.

[Riponian in reply to Angie11]

Thankyou Angie , I’m thinking of paying for a test ! It could take me months to get back to see the gastro !