The patient was subjected to an outpatient follow-up or chronic pseudo-obstruction and aerophagia
at another tertiary medical institution about 3 years earlier.
(2) The pathogenesis of AGD is controversial; however, aerophagia
due to the relaxation of the upper esophageal sphincter as a sequel to anesthesia and debilitation has been suggested.
The second category in the Rome classification are the belching disorders, which comprises aerophagia
(troublesome repetitive belching with observed excessive air swallowing) and unspecified belching (no evidence of excessive air swallowing).
There are many causes of hiccups including gastric distention, aerophagia
, ventriculoperitoneal shunts, hydrocephalus, multiple sclerosis, strokes, epidural or subdural hematomas, diffuse axonal injury, cerebral contusions, encephalitis, meningitis, brain abscesses, neurosyphilis, laryngitis, pharyngitis, irritation of the tympanic membrane, retropharyngeal abscess, peritonsillar abscesses, mediastinitis, esophagitis, bronchitis, pneumonia, myocardial infarction, pericarditis, aortic aneurysms, pericarditis, misplaced pacemaker wires, small bowel obstruction, perihepatitis, subphrenic abscess, goiter, tumor or cyst of the neck, barbiturates, steroids, methyldopa, and electrolyte abnormalities [1-4].
So many of our homebound female patients asked for drugs to cure their neurotic habit of swallowing air (aerophagia
) and the consequent explosive belching.
Induced Reflux in Breastfeeding Infants With Ankyloglossia and Shortened Maxillary Labial Frenula (Tongue and Lip Tie).
However, in children suffering from neurologic impairment, severe gastroesophageal reflux disease (GERD), or disorders of gastric or esophageal motility, feeding by gastrostomy is frequently accompanied by complications such as recurrent aspiration, regurgitation, aerophagia
, recurrent vomiting, and weight loss [6, 7].
Observational study of children with aerophagia
. Clin Pediatr (Phila) 2008; 47: 664-669
After bloating and abdominal pain, epigastric pain was the most frequent symptom, being found in 52% of patients, followed with decreasing prevalence by; nausea, aerophagia
, gastroesophageal reflux disease, and aphthous stomatitis.
, gastric, and supragastric belching: a study using intraluminal electrical impedance monitoring.