Simple office-based behavioral approach to patients with chronic belching

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Chronic belching can be a difficult and socially disabling symptom often attributed to reflux with poor response to therapy. In patients where aerophagia is identified as a clear cause, treatment with baclofen may not be tolerated, and biofeedback therapy is time-intensive and may still not be effective. In this pilot study, an office-based easy-to-perform method based on sustained glottal opening was used in five patients with chronic belching, in whom reflux and other causes had been excluded. Treatment consisted of having the patient breathe slowly and diaphragmatically with his or her mouth open during supine, then sitting periods to prevent belching. When this was successful, patients were then counseled on continuing this breathing with mouth slightly ajar as an outpatient using this persistently. Wide mouth opening was used for rescue therapy of belching attacks. All five patients responded to the office-based therapy with complete cessation of belching during the visit. At 1-month follow up, four patients remained asymptomatic. One patient was asymptomatic but for two breakthrough attacks easily managed with the protocol. A simple office-based procedure based on complete glottal opening can be curative for a subset of patients with chronic eructation secondary to repetitive air swallowing.

Original languageEnglish (US)
Pages (from-to)570-573
Number of pages4
JournalDiseases of the Esophagus
Volume26
Issue number6
DOIs
StatePublished - Aug 2013

Fingerprint

Eructation
Aerophagy
Mouth
Therapeutics
Mouth Breathing
Baclofen
Outpatients

Keywords

  • Aerophagia
  • Belching
  • Biofeedback
  • Eructation.

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Simple office-based behavioral approach to patients with chronic belching. / Katzka, David A.

In: Diseases of the Esophagus, Vol. 26, No. 6, 08.2013, p. 570-573.

Research output: Contribution to journalArticle

@article{7e3644be719a4655b44a7a8b5812ca67,
title = "Simple office-based behavioral approach to patients with chronic belching",
abstract = "Chronic belching can be a difficult and socially disabling symptom often attributed to reflux with poor response to therapy. In patients where aerophagia is identified as a clear cause, treatment with baclofen may not be tolerated, and biofeedback therapy is time-intensive and may still not be effective. In this pilot study, an office-based easy-to-perform method based on sustained glottal opening was used in five patients with chronic belching, in whom reflux and other causes had been excluded. Treatment consisted of having the patient breathe slowly and diaphragmatically with his or her mouth open during supine, then sitting periods to prevent belching. When this was successful, patients were then counseled on continuing this breathing with mouth slightly ajar as an outpatient using this persistently. Wide mouth opening was used for rescue therapy of belching attacks. All five patients responded to the office-based therapy with complete cessation of belching during the visit. At 1-month follow up, four patients remained asymptomatic. One patient was asymptomatic but for two breakthrough attacks easily managed with the protocol. A simple office-based procedure based on complete glottal opening can be curative for a subset of patients with chronic eructation secondary to repetitive air swallowing.",
keywords = "Aerophagia, Belching, Biofeedback, Eructation.",
author = "Katzka, {David A}",
year = "2013",
month = "8",
doi = "10.1111/dote.12006",
language = "English (US)",
volume = "26",
pages = "570--573",
journal = "Diseases of the Esophagus",
issn = "1120-8694",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - Simple office-based behavioral approach to patients with chronic belching

AU - Katzka, David A

PY - 2013/8

Y1 - 2013/8

N2 - Chronic belching can be a difficult and socially disabling symptom often attributed to reflux with poor response to therapy. In patients where aerophagia is identified as a clear cause, treatment with baclofen may not be tolerated, and biofeedback therapy is time-intensive and may still not be effective. In this pilot study, an office-based easy-to-perform method based on sustained glottal opening was used in five patients with chronic belching, in whom reflux and other causes had been excluded. Treatment consisted of having the patient breathe slowly and diaphragmatically with his or her mouth open during supine, then sitting periods to prevent belching. When this was successful, patients were then counseled on continuing this breathing with mouth slightly ajar as an outpatient using this persistently. Wide mouth opening was used for rescue therapy of belching attacks. All five patients responded to the office-based therapy with complete cessation of belching during the visit. At 1-month follow up, four patients remained asymptomatic. One patient was asymptomatic but for two breakthrough attacks easily managed with the protocol. A simple office-based procedure based on complete glottal opening can be curative for a subset of patients with chronic eructation secondary to repetitive air swallowing.

AB - Chronic belching can be a difficult and socially disabling symptom often attributed to reflux with poor response to therapy. In patients where aerophagia is identified as a clear cause, treatment with baclofen may not be tolerated, and biofeedback therapy is time-intensive and may still not be effective. In this pilot study, an office-based easy-to-perform method based on sustained glottal opening was used in five patients with chronic belching, in whom reflux and other causes had been excluded. Treatment consisted of having the patient breathe slowly and diaphragmatically with his or her mouth open during supine, then sitting periods to prevent belching. When this was successful, patients were then counseled on continuing this breathing with mouth slightly ajar as an outpatient using this persistently. Wide mouth opening was used for rescue therapy of belching attacks. All five patients responded to the office-based therapy with complete cessation of belching during the visit. At 1-month follow up, four patients remained asymptomatic. One patient was asymptomatic but for two breakthrough attacks easily managed with the protocol. A simple office-based procedure based on complete glottal opening can be curative for a subset of patients with chronic eructation secondary to repetitive air swallowing.

KW - Aerophagia

KW - Belching

KW - Biofeedback

KW - Eructation.

UR - http://www.scopus.com/inward/record.url?scp=84881549247&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84881549247&partnerID=8YFLogxK

U2 - 10.1111/dote.12006

DO - 10.1111/dote.12006

M3 - Article

C2 - 23199281

AN - SCOPUS:84881549247

VL - 26

SP - 570

EP - 573

JO - Diseases of the Esophagus

JF - Diseases of the Esophagus

SN - 1120-8694

IS - 6

ER -