Heartburn and excessive burping: what to know

Heartburn is a burning feeling behind the breastbone or in the upper abdomen, while burping releases swallowed air or gas from the stomach. Acid reflux is a common condition that can present with heartburn and repeated burping. Gastritis, a hiatus hernia, or irritation from certain medicines may also contribute. Irritable bowel syndrome can cause bloating and gas, although it does not explain every burning sensation. These symptoms do not identify one cause by themselves.

Notice when symptoms begin, whether they follow large or fatty meals, and whether lying down makes them worse. A clinician may ask about sour fluid in the mouth, nausea, abdominal pain, bowel changes, and medicines.

Eat more slowly, take smaller meals, and reduce habits that increase swallowed air, such as chewing gum, drinking through a straw, or fizzy drinks. Remain upright after eating and avoid lying down soon after a meal. Keep a brief trigger diary rather than removing many foods at once. A pharmacist or clinician can explain whether acid reflux medication is suitable, especially if you take other medicines or have ongoing symptoms.

For an overview of the symptom, see Excessive Burping. Acid reflux information can help you understand why stomach contents may move upward.

Seek urgent help for chest pressure or pain with breathlessness, sweating, faintness, or pain spreading to the arm or jaw. Arrange prompt medical review for vomiting blood, black stools, repeated vomiting, trouble swallowing, food sticking, unexplained weight loss, or severe or worsening abdominal pain. Book a routine appointment if symptoms keep returning, disturb sleep, or need frequent over-the-counter treatment.

Could reflux, gastritis, a hiatus hernia, or another digestive problem explain my symptoms? Which details should I record? Is a medicine trial appropriate, and what warning signs should change the plan?