J Korean Neuropsychiatr Assoc.  2014 Sep;53(5):327-331. 10.4306/jknpa.2014.53.5.327.

A Psychiatric Approach to a Patient with Excessive Belching

Affiliations
  • 1Department of Psychiatry, Inha University Hospital, Incheon, Korea. kce320@inha.ac.kr
  • 2Division of Gastroenterology, Department of Internal Medicine, Inha University Hospital, Incheon, Korea.

Abstract

Belching is the audible escape of air from the esophagus into the pharynx. It is considered a disorder when the symptom is very frequent and causes significant distress to the patients. Excessive belching can be divided according to excessive supragastric and gastric belching. Gastric belching is usually physiological. In contrast, supragastric belching can be considered learned behavior. In addition, many psychiatric conditions, including anxiety, have been described in patients with supragastric belching and some patients have reported that their symptoms increased during stressful events. We report on a case of supragastric belching in a depressive patient and discuss its management through psychiatric approaches.

Keyword

Belching; Supragastric belching; Major depressive disorder; Cognitive therapy

MeSH Terms

Anxiety
Cognitive Therapy
Depressive Disorder, Major
Eructation*
Esophagus
Humans
Life Change Events
Pharynx
United Nations

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