I decided to try the Prevpak which is a 14 day course of amoxicillin and biaxin. I have many tests for H. Pylori and was always negative but decided to take the antibiotics anyway. My burping is 75% reduced. How can this be? Could bacterial overgrowth cause burping? Does this mean I may have killed a gas causing bug in my stomach and the symptoms won't return? I am especially interested in what flux thinks.Pete
burping is not swallowed air
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Why do you think gas has to do with any of this?Burping involves contraction of the lengthwise muscle of the esophagus with subsequent opening of the upper esophageal sphincter.There is always some dead space air in the open cavities of the body. So this air will come up in a burp. But it doesn't necessarily mean that air in the stomach or esophagus is the cause.It seems reasonable that anything that sensitizes or triggers the esophagus can trigger the burp. It is possible to have gastric bacterial overgrowth (or H. Pylori) and that make the stomach "squirm" so to speak and the esophagus too.
Flux,I understand what your saying, I just find it odd that I could go to "the best GIS in the country" and they say I'm subconsiously swallowing air. I knew it was not the case and feel they oversimplified things. Well the fact that antibiotics reduce the burping makes me assume that they were wrong. My question is that I assume that I probably have gastric bacterial overgrowth. I believe this is probably caused by motility problems(delayed emptying) or from 7 years of PPIS. Whatever the case is it possible in your opinion that antibiotics could be the cure or is it more likely that it will come back full force in a couple of months like SIBO? I also wonder why Pimental doesn't keep his SIBO patients on long term antibiotics(maybe a small maintenance dose) I mean they do it for people with Crohns and chronic sinus infections, why not SIBO. What is your opinion? As always I respect your opinion more then my physicians'. ThanxPete
I don't buy this claim either because there is no way to quantify the volume as abnormal. There is always going to be some dead space volume in the stomach/esophagus and the muscle can just contract all it wants. Once it contracts and evacuates this dead space air, it will fill the next time you (or anyone else for that matter) swallows. In truth, we don�t know what happens to all the air that is ordinarily swallowed, however. Some researchers believe that everyone is actually belching all day long an undetectable, unconscious level!
If it is from overgrowth, then it is unlikely to be cured. Whatever is allowing the bacteria is still present and will allow them to regrow, once the antibiotics are stopped.
Generally, SIBO is treated by by rotating between an antibiotic and no antibiotic. The reason is to reduce the likelihood of resistant strains.In Crohn�s and UC, I don�t believe they are treating against any particular bacteria. The reason the antibiotics seem helpful is not wholly clear.
I had H. Pylori and one of my first symptoms was excessive burping. I knew that after 30 years of life I wouldn't all of the sudden be swallowing excess air. What ####.The blood test for H. Pylori gave me a false negative (which is not uncommon), but the biopsy of my stomach revealed the bacteria. I was treated for the H. Pylori with a regimen of 3 drugs (Prilosec - Amoxicillin - Biaxin for 2 weeks) and that eradicated the bacteria and the burping.
You are right in that the C-Urea Breath Test is much more accurate for H. Pylori detection than the blood test. However, the gold standard for detection is to actually biopsy the stomach lining, which is where the H. Pylori lives.During my endoscopy, I was biopsied for both H. Pylori and Celiac Sprue (the gluten condition you mentioned).P.S. Spasman, I see you suffer from trapped gas. I did, too. What really helped me was an anti-cholinergic. Both Bentyl and Librax worked wonders. Have you tried either?Stacey
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The last G.I. specialist i saw(one in a million)prescribe me Bentyl 10mg but i lost my prescription because the paper was forgot somewhere.I'm scared about the side effects even not mentionned that i often have.My gut is very sensitive.I heard about dry mouth,bladder problems...Do you have some?Do you take Librax and Bentyl?What a coktail!
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I would really recommend either Librax or Bentyl. The side effects are minimal (I didn't have any) and they disappear for most people after a few weeks.No, I didn't take them together. I first took Librax and then Bentyl. Both worked equally well. But I have to tell you that Bentyl 10 mg. did not touch my pain or trapped gas. I had to take 20 mg. and it worked great. And with these drugs you only take them as needed, so it's not like you'd have to take them every single day (like an anti-depressant).I'd highly recommend your trying them. All drugs have loads of side effects listed, but it doesn't mean you will experience any of them. You can always try it and stop it if it doesn't work.BTW, within an hour after I popped my first Librax I felt much better than I had in months.Good luck, spasman (love your name)!Stacey
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No one said I lived for 30 years without H. Pylori. It could easily have been dormant in my system for years before becoming active.
You really need to study up on H. Pylori. Obviously you don't know much about it. Excessive burping is a symptom of ulcer. H. Pylori can cause ulcers. I had an ulcer caused by the H. Pylori. Connect the dots.
It is possible that when acid gets neutrlized, it releases some gas which comes out in the form of burps.This is often the case in people who take abntacids who mistakenly believe that it is burpibg which gives them relief ( and they continuously try to burp) but it is actually the neutralization by the antacid which gives them relief.
Doesn't argue against your idea that one cannot go without having symptoms for 30 years and then suddenly having them?
Are you then agreeing that H. Pylori could through some unknown mechanism induce excess air swallowing, which in turn causes burping?
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