How do you control uncontrollable Burping and Belching?

My research indicates that there are two types of gastroparesis; diabetic and idiopathic. My sister has gastroparesis and has had IDDM for 55 years. I have Parkinson's Disease x 9 years and believe I may have idiopathic (no known cause) gastroparesis. I suffer from bloating and pain after small amounts of food and water. I wonder if this could be a non-motor symptom of PD? Even small amounts of water make me very uncomfortable and difficult to belch. However, I do not get nauseous or vomit. Any suggestions?

No I tried gummies a couple yrs ago w/ THC in them . Hated it , they were too strong .
I do take a sleep gummy w/ 1 mg THC / CBD / Lavender/ chamomile/ valtarian int sometimes .
It happens if I’m outside house 🏡 too . I don’t go too many places though anymore.
It’s worse laying down but I’m so fatigued so much from not eating much .
We are on 2 hr car ride home from daughters & family and I’ve deep wet belched over 300 x in car .
I’m very exhausted and hungry but nausea is bad .

It may be SIBO which many doctors don't have the knowledge or experience in diagnosing or treating- have You tried all liquid diet to help eliminate bad bacteria if present? They feed off carbs and sugar. Elemental diet could be worth a shot, its fairly expensive and it can take 3-4 weeks of starving those bugs to get a bit of relief. Also could be fungal- candida?

I asked GI Dr. to order the bloodwork for Candida , even gave her the codes for each test . She doesn’t do that and even if she did she said she would not know what to do w/ results because most Yeast ( Candida ) infections are in woman’s Vag or Thrush in mouth ( I don’t have either symptoms of those ). I def think it could be in gut though !

I’ve been tests many times for SIBO through the years. Also Long H Pylori Breath test .
All were negative as was 5 hr gastric emptying study years ago .
I’ve had 3-4 Endoscopy & colonoscopy’s last 11 yrs . Last one was a year ago w/ biopsies.
Upper GI series , Cscans w/ contrast , Endo flip , MRI .
Saw FM Dr. Did elimination diets . Did food allergy testing .
I did have inflammation which was found after 12 viles of extensive blood test from FM Dr.
Tried Keto , & diff supplements again .

So we know what I have , but no RX or supplements have helped or pre - pro biotics and digestive enzymes. Only did liquid diet when doing colonoscopy preps .
I eat small , & hate eating period .
The GERD , Gastritis, Small hiatal hernia, diverticulosis all over colon , 700 plus deep wet belching , IBS-M , Esophagitis, non stop churning gut , fatigue, nausea is all just ruining my life . I can’t function like a normal person and do much outside the home or yard.
I even tried hypno therapy 3 x . It didn’t work !! I can’t be hypnotized 😵‍💫!
I talk my NP physc & have rx for anxiety med ( lowest dose , & lowest dose anti depressant ( last 7 months ).
I just cannot get 1 day off of symptoms.
We don’t eat out , or take in only healthy dinner at home 5:30 pm .
My main meal.
It’s so overwhelming & depressing . I try but it’s honestly killing me slowly .

I have lived with chronic belching since about 2014, and worked with about 5 different GI doctors , as well as alternative naturopathic care, acupuncture, and lots of googling for years. This list may not be complete of tests I have had: SIBO three times, negative, stomach emptying scan, two or three upper endoscopies ( and colonoscopies , special esophagus scan, antacid therapies, food sensitivities, visceral manipulation. It has never appeared to be related to my diet or specific trigger foods. I used FODMAP diet for 6 months, and two other times with different physicians for two month periods; no clues or changes whatsoever.
Two years ago I met with a new GI doctor who prescribed Nortriptylene starting at 10 mg bedtime, with instruction to increase to 20, then 30, then 40, then cap at 50, each week until symptoms of belching diminish. She said she often uses this protocol for IBS, which I may or may not have. I had almost IMMEDIATE positive response with 20 mg night, and have continued to be much more comfortable with far less belching for two years now. It ALSO dramatically improved my sleep ( but no drowsiness in day), reduced the frequency of my chronic headaches. I was getting up five times a night prior , now only 1 or 2 consistently. My daytime energy level improved significantly with sleep help. Now belching is still a daily event, but rarely acute, and mostly limited to late afternoon and early evening. It is much more deal-able, but certainly not gone, and still a social issue ( but much less dramatic and forceful). This has changed my life, and highly recommend people talk to their GI doctors about this. This medication has been around for decades and is relatively safe. Biggest side effect is drowsiness , which I have not had a problem with.
GOOD LUCK!

I’ve had severe burping since gastroperesis. Would continue until it took my breath away and go on for hours. Mylanta was the answer for me. As soon as I would start burping I would take a double dose of Mylanta. About 25 to 30 minutes later it would stop. It would usually start in the evening or at night. At night I would sit up for 30 or 40 minutes after the Mylanta. Hope this works for you too

Hello @retired7805 and welcome to Mayo Clinic Connect. I appreciate you sharing what helped you. As this is your first post on Connect, will you share a bit about your journey with gastroparesis?

I look forward to hearing from you again.

@hopeful33250 I was diagnosed with with gastroperesis 7 years ago. Have been on Domperidone since then. It is extremely helpful to me. Diagnosed with Lymphacytic colitis 2 years ago and diverticulosis with several flairs of diverticulitis. Most days are somewhat painful but able to ignore most of it. Nausea is seldom a problem but occasionally. Bad evenings have a lot of burping but Mylanta is my go to. No rhyme or reason to flairs. Had a bad flair of diarrhea from May to September once and another for 2 months when it was diverticulitis. Do not eat raw vegetables or fruits, no fried or greasy foods nor dairy other than Greek yogurt and hard cheeses. Sometimes have a hard time appreciating life but then remember all the people with a lot more problems than I have. Our son is fighting cancer right now so I want to stay tough and positive and be there for him and his family. Cannot give in to self pity. Things can always be worse. Many people are dealing with far worse problems so I am grateful for where I am today. To all who are dealing with with digestive problems I wish you the best and hope you find the way or ways to deal with all the stress you are living with.

Hello @retired7805, I appreciate you introducing yourself! I certainly appreciate your positive attitude. It is true that many people are dealing with far worse problems. This reminder helps me to keep problems in perspective.

Since you mentioned having been diagnosed with Lymphatic colitis, you might be interested in these Connect discussions:

- Lymphocytic Colitis: What is remission? https://connect.mayoclinic.org/discussion/what-is-remission/
- microscopic (lymphocytic) colitis https://connect.mayoclinic.org/discussion/microscopic-lymphocytic-colitis/
- Your tips on how to live with Lymphocytic Colitis/Collagenous Colitis https://connect.mayoclinic.org/discussion/lymphocitic-cholitis/

I am sorry to hear that your son is dealing with a cancer diagnosis. If you would like more support for his cancer diagnosis, Connect has many discussion groups dealing with different types of cancer. Is this a new diagnosis for your son?

I look forward to hearing from you again.