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Okay, so I originally came to bug the ever-loving hell out of PH for my GERD/IBS issues. Well, those issues are getting better it seems, but one issue that has not resolved is burping. I burp drinking water; I burp after eating; and sometimes burp way afterwards.

Here's a typical meal I'm eating at this point:

6 meals (roughly, that's not set in stone)

3-4 oz meat/fish/poultry/pork

2 cups of veggies

fist sized-portion of starchy tuber (three times a day)

1 tbsp coconut oil

Thoughts on this?

(I'm sure SIBO and candida will get mentioned, and I've already tested negative for H.Pylori).

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4 Answers

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I feel for you - I too suffer from burping. I'm probably not the best person to ask about this as I still haven't elimnated mine, but I agree with Denis about self-experimentation. However, this can be very frustrating if everything seems to make you burp!

I went through months of eliminating various foods and eventually I had to pare things right down to a meat-and-fat only diet, which helped with the burping but caused other problems. Hopefully, you won't need to do anything so drastic! I identified sensitivities to starch, sucrose, fructose, glucose, fructans and possibly other things as well by doing this. :-(

If your burping is persistent, you might need to give the food eliminations a little time to work. I found my burping would get worse (even when fasting) before it got better.

If you've got ongoing digestive issues you might want to look into the GAPS diet. I know there are others on this site who've have had great success with this diet and it is supposed to address a lot of the issues which can cause gut problems (dysbiosis, low stomach acid etc.). I've had limited success with GAPS so far, but I'm sticking to it for the time being. My burping has greatly reduced (although it's starting to come back a little now I've started taking the GAPS recommended kefir - grrr!).

Best of luck!

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If you don't mind me asking, what other problems did the meat/fat diet cause? – lostgoonie Aug 20 at 20:56
I got terrible diarrhoea after a about 5-6 days. I probably should have stuck it out and it might have passed, but more worryingly I was getting a terrible flare up of my fungal problems (athletes foot, seborrhoic dermatitis etc.) - the itching was just crazy. According to the folks over at the Perfect Health Diet this can happen on very low carb diets. I'm currently trying kefir, candex and grapefruit seed extract to get the fungal stuff under control. If it works I might try the meat only diet again to deal with the bacterial side of things. – TJ Aug 21 at 20:13
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Burping after eating and drinking is perfectly natural, as we consume quite a bit of air every time we swallow (via our noses), which avoids creating a "vacuum" by stabilizing air pressure inside our heads. Plug your nose and swallow, and you'll see what I mean: your ears will pop instead--the pressure release has to come from somewhere.

However, burping that persists between meals, or when your stomach is empty, means gas is coming from somewhere: stuff in your stomach seems the likely culprit, though I've heard of intra-abdominal pressure pushing gas backwards (also contributing to GERD) so you could be belching stuff from the upper portion of your small intestine. SIBO is a good thing to explore. Gases can also be released as stomach acid neutralizes and breaks down stuff in your stomach.

I had a history of GERD that I seem to have cured after going paleo, but it did take months. Low stomach acid persisted for quite awhile after stopping the PPI drugs I was taking, and low acid sure seems to have led to copious burping for hours after eating.

My first experiment would be to reduce eating frequency, so there are more periods where your stomach can empty fully. As long as there's food in there, you could have some gas production. Despite the old joke, "better to burp and taste it than to fart and waste it," if you burp and taste your last meal hours later, stuff is perhaps hanging around in there too long. I had some relief from taking Betaine HCL (a stomach acid replacement) and digestive enzymes--and also not drinking fluids with meals, which can perhaps dilute stomach acid so it takes longer to break stuff down. I would also avoid eating brothy/watery soups with other foods, for the same reason. Eating broths is great--but maybe not as a side along with lots of solid food, at least while you're trying to sort this out.

Another piece of advice is one your grandmother might have given: eat slowly, smaller bites, and chew your food thoroughly to mix in plenty of saliva, which itself aids in breaking down food. I've read that certain components in saliva also stimulate digestive enzyme production. Fast eating in large bites may encourage swallowing more air with your food.

I also notice my bodily posture while eating contributes. Slouching in a chair (like at one's desk at work), or wearing trousers with a snug waist, while seated bent at the waist, causes me more discomfort during/after eating. Sometimes if I'm feeling burby and refluxy, sitting up straight or standing up relieves pressure considerably.

Those are my thoughts, but naturally everyone's individual experience will vary. Others suggested changing the foods your eat, or the rations of each kind--all sound advice.

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You could try eliminating one type of food at a time and see if that has any effect. Some people have problems with certain vegetables (nightshades, cruciferous, etc). You didn't mention what kinds of vegetables you are eating.

I get some gas when I eat a lot of carbs. I usually eat about 3 starchy tubers per week, you are eating 3 per day. Low carb isn't for everyone and isn't necessary on Paleo, but you might also try cutting the carbs a bit.

I also eat basically one big meal a day (usually dinner) and the other two are basically snacks. I don't think I could eat 6 times in a day if someone paid me, I am just not that hungry. Not sure how many calories you are eating but you could try eating less frequently.

Could also be some temporary adaptation period for your system with the new diet. When I went Paleo I had pretty serious IBS issues (daily) and they stopped abruptly when I changed diet, but there was a few weeks where my system had to adapt.

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Self-Experimentation is what helped me. I reacted to FODMAPS and had the same burping issues. Its almsot gone now but comes back when I overeat fruit or another food that I react to. Each person is different so n=1 is key.

How much water do you drink? I also start burping when I don't drink enough water throughout the day. Especially now with how hot it is.

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