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Feb 03, 2021

Chronic Burping after Ileostomy Surgery - Any Advice?

This topic is about someone experiencing chronic burping after having a loop ileostomy, which was supposed to be reversed but couldn't be due to radiation damage. This person finds that every meal or drink, like coffee, leads to intense burping, which helps relieve abdominal pressure. Despite avoiding alcohol, tobacco, most medications, and sticking to an organic diet, the issue remains and is embarrassing in public.

Here are some helpful insights and advice:

1. It's important to rule out any serious conditions first. Consider scheduling a comprehensive gastrointestinal work-up, including an upper endoscopy, repeat imaging, and a gallbladder evaluation. Seeking a second opinion from a specialized GI group could also be beneficial.

2. Online medical resources, such as Cedars-Sinai’s overview on "Gas in the Digestive Tract," can provide symptom checklists and options for further investigation.

3. Keeping a detailed food diary might help identify triggers. Common culprits include eating too quickly, consuming excess carbohydrates, lactose, sugar, raw onions, fried or highly spiced foods, and large mixed meals.

4. Try eating smaller, more frequent meals, about 5 to 7 times a day, to help reduce gastric distention.

5. Some over-the-counter aids that might help include:
- Rid-x, an anti-gas chewable that some find reduces belching.
- Pepto Bismol for occasional gas relief.
- A traditional remedy of ½ teaspoon of baking soda dissolved in a small amount of water.

6. Remember that effective burping can actually prevent painful gas build-up. Not being able to release gas can be more uncomfortable than frequent belching.

7. Continue to advocate for yourself. If your current surgeons are offering uncertain solutions, consider finding another GI or surgical team willing to pursue definitive diagnostics before recommending further surgery.
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