What should you know about keep burping and nausea?

Nausea and burping may occur when the stomach is irritated or its movement is disturbed. Acid reflux or gastritis can cause upper digestive discomfort. Food poisoning and gastroenteritis often bring vomiting or diarrhoea, while gallstones may cause pain beneath the right ribs after eating. Heat exhaustion can cause nausea with thirst, weakness and heavy sweating. Hepatitis A may cause nausea with marked tiredness or yellowing of the skin. Hypoglycaemia may cause nausea with shaking, sweating or confusion. A symptom combination does not establish a diagnosis.

Take small sips of fluid and choose light foods if tolerated. Rest somewhere cool if heat may be involved, and record meals, bowel symptoms, pain location, fever, medicines and the timing of episodes. Avoid alcohol and foods that clearly worsen symptoms. People with diabetes should follow their personal hypoglycaemia plan and seek advice if symptoms do not improve.

Seek prompt medical advice for ongoing vomiting, inability to keep fluids down, worsening abdominal pain, fever, dark urine, yellow skin, reduced urination or symptoms after heat exposure. Get urgent help for confusion, fainting, severe weakness, blood in vomit or stool, severe dehydration or sudden intense pain.

Tell the clinician when symptoms began, what you ate or drank, whether others are ill, where pain is located and whether sweating, diarrhoea, fever or yellowing occurred. Ask what examination or testing is needed.