Eructation
Description:
The eructation is involuntary or any passage of flatus from a gullet or a stomach through a mouth as a result of reduction of a diaphragm. If at the same time contents of a stomach get into a gullet, then speak about vomiting.
Usually gas comes out in the small portions a stomach imperceptibly through a mouth or through intestines. At excess swallowing air or the increased formation of gas in a stomach intragastric pressure increases, there is a reduction of muscles of a stomach, simultaneous sphincteri incontinence (gates) between a stomach and a gullet and compression of a sphincter between a stomach and 12 – a perstny gut, as causes an eructation.
Eructation symptoms:
The eructation happens empty (air), food, bitter, acid, rotten, and also loud and silent. The acid eructation is observed at a hyperoxemia, bitter — at throwing of bile in a stomach. A putrefactive eructation — at stagnation and putrefactive fermentation in a stomach (pyloric stenosis). Quite often the eructation rotten is one of early symptoms of an exacerbation of chronic atrophic (hyposecretory) gastritis. A bit later weight and the aching pains in the pit of the stomach, feeling of overflow after food, nausea, vomiting join.
The eructation food at which together with gas small portions of liquid gastric contents come to an oral cavity can be acid, bitter or putrefactive. The acid eructation is observed usually at a peptic ulcer and is caused by a hyperoxemia of gastric contents owing to hypersecretion of a gastric juice or fermentation at absence in a gastric juice of hydrochloric acid. The bitter eructation is noted as a result of a pelting in a bile stomach, putrefactive — at long stagnation in a stomach and putrefactive decomposition of its contents.
Eructation reasons:
At healthy people the eructation happens seldom. The frequent eructation quite often is a symptom of diseases of a stomach, liver, gall bladder, intestines. The eructation can be the leading sign at the diseases and states which are followed by disturbances of the mechanism of short circuit of the cardial sphincter located between a stomach and a gullet. Such state can arise, for example, at phrenic hernias or after operations on zheludochno – an intestinal path.
The eructation can be a symptom of neurosis of a stomach (aerophagia), in that case it is usually loud. The eructation can arise also reflex at diseases of abdominal organs, for example, of a liver, a gall bladder, and also at warmly – vascular diseases (coronary heart disease, a myocardial infarction, etc.). But most often the eructation arises at diseases of a stomach and 12 – a perstny gut.
Treatment of the Eructation:
The constant eructation demands, first of all, inspection of the patient for identification of the reasons of its emergence. It does not make sense to treat an eructation in itself. Against the background of treatment of a basic disease of the patient has to keep to a diet: not to take some carbonated drinks and foodstuff, it is long late in a stomach (haricot, peas, etc.). Food is recommended to be eaten often and small portions.
At hypersecretion of a gastric juice (if it became the eructation reason) accept alkalizing medicines (alkaline mineral water, grain soda, magnesia, etc.).
For the purpose of elimination of an eructation carry out treatment of a basic disease. In all cases exclude the carbonated drinks and products promoting gas generation from a diet or it is long late in a stomach. Food is recommended to eat often, small portions. At hypersecretion of a gastric juice appoint antiacid drugs.
Prevention of an eructation
* food needs to be chewed slowly and carefully;
* at a nervous eructation before food to accept infusion of roots of a valerian, to do several physical exercises (it removes stress);
* it is necessary to refuse carbonated drinks and chewing gum; chewing of an elastic band promotes accumulation of saliva which is swallowed then together with air;
* do not use such products which contain a lot of air (for example, the shaken-up cocktails)
