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Constant Burping

Maggie12
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Maggie12 Rookie
Maggie12
Posted

In January I had bloodwork done because I felt bloated all the time. I was gaining weight, my face seemed swollen and I had a dull ache in my stomach. They did allergy test and my gluten level was 15 and it should be less than 2. Is this considered high? I completely cut out gluten on Jan. 23rd. Since then the bloating went away and I have lost 25 pounds. I probably lost 10 pounds the first two weeks. I switched to a completely healthy diet and walk 2-4 miles a day. I’m scheduled for a colonoscopy and an endoscopy in August. The burping still continues all the time throughout the day. It is more like small burps and I fell gassy at times. I’m not sure what is causing this. I went to a GI doctor and he scheduled these test saying it sounds more autoimmune. I also do have rheumatoid arthritis. Thank you for any advice or suggestions to alleviate burping.

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Scott Adams Grand Master
Scott Adams
Posted

Welcome to the forum.

Can you share the blood test results here, along with the cut off levels for a positive result? It sounds like you got a celiac disease blood panel, but you called it an "allergy" test so it's not clear (celiac disease is not an allergy).

Also, normally a biopsy would be done after a positive celiac test, but it sounds like your doctor hasn't planned this as a follow up.

This article may be helpful:

 

cristiana Veteran
cristiana
Posted

I have times when this troubles me a lot - although I follow a gluten-free diet, there are times when I get mild gastritis symptoms I think this is when it affects me most.   I find drinking chamomile is very soothing on the stomach.   Mint tea also seems to help - it makes the burping worse initially, but then it seems to settle down.

You may wish to try eating less fatty or sugary food and see if that helps - maybe keep a food diary.  Things that really repeat on me are potato crisps.

cristiana Veteran
cristiana
Posted

Also - are you taking iron supplements?  These really affected me and gave me so much wind in my stomach it would hurt my back.

Maggie12 Rookie
Maggie12
Posted
  • Author
On 5/29/2023 at 5:22 PM, Scott Adams said:

Welcome to the forum.

Can you share the blood test results here, along with the cut off levels for a positive result? It sounds like you got a celiac disease blood panel, but you called it an "allergy" test so it's not clear (celiac disease is not an allergy).

Also, normally a biopsy would be done after a positive celiac test, but it sounds like your doctor hasn't planned this as a follow up.

This article may be helpful:

 

The only test done was:

Allergen Gluten IGG

Your value

15.0 mcg/ml

Standard Range

<2.0 mcg/ml

Flag 

H

so I am not sure what this means? At the time of this test I was eating gluten. The doctor ran test on a lot of other foods but this was the only one that came back high. Does this number seem extremely high? I am not sure what a really high number would be?

Maggie12 Rookie
Maggie12
Posted
  • Author
On 5/30/2023 at 2:11 AM, cristiana said:

I have times when this troubles me a lot - although I follow a gluten-free diet, there are times when I get mild gastritis symptoms I think this is when it affects me most.   I find drinking chamomile is very soothing on the stomach.   Mint tea also seems to help - it makes the burping worse initially, but then it seems to settle down.

You may wish to try eating less fatty or sugary food and see if that helps - maybe keep a food diary.  Things that really repeat on me are potato crisps.

Thank you. I started the burping in January and since then have been eating gluten free so I’m not sure why I continue to burp. I eat only healthy foods and rarely eat fatty or sugary foods. I have tried to eliminate foods that I think could cause burping but even drinking water will cause burping. 

On 5/30/2023 at 2:17 AM, cristiana said:

Also - are you taking iron supplements?  These really affected me and gave me so much wind in my stomach it would hurt my back.

No, I am not not. 

cristiana Veteran
cristiana
Posted

Hi Maggie

The only other thing I can think is you might have mild gastritis, or you may have an H Pylori infection. 

https://www.healthline.com/health/excessive-burping#:~:text=Excessive burping can be a,abdominal pain

This is very common and I know I was tested for it when I had an endoscopy.  Something to ask your gastroenterologist before the procedure, although I think you can have a breath test for this done by a GP. 

I don't know anyone who has had a breath test like this among my coeliac friends here in the UK, but I have heard people talk about it on this forum in the past.

I hope a fellow Mod might be able to advise.

Cristiana

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Maggie12 Rookie
Maggie12
Posted
  • Author
34 minutes ago, cristiana said:

Hi Maggie

The only other thing I can think is you might have mild gastritis, or you may have an H Pylori infection. 

https://www.healthline.com/health/excessive-burping#:~:text=Excessive burping can be a,abdominal pain

This is very common and I know I was tested for it when I had an endoscopy.  Something to ask your gastroenterologist before the procedure, although I think you can have a breath test for this done by a GP. 

I don't know anyone who has had a breath test like this among my coeliac friends here in the UK, but I have heard people talk about it on this forum in the past.

I hope a fellow Mod might be able to advise.

Cristiana

I did have a breath test and it was negative. So that is why I’m confused. Thank you for your input.

Scott Adams Grand Master
Scott Adams
Posted
2 hours ago, Maggie12 said:

The only test done was:

Allergen Gluten IGG

Your value

15.0 mcg/ml

Standard Range

<2.0 mcg/ml

Flag 

H

so I am not sure what this means? At the time of this test I was eating gluten. The doctor ran test on a lot of other foods but this was the only one that came back high. Does this number seem extremely high? I am not sure what a really high number would be?

For celiac disease and gluten sensitivity normally a test would not be called "allergen", but I believe the test you took to be this one, and the article below has more info about blood tests for celiac disease:

Quote

Gliadin Peptide Antibody IgG (Immunoglobulin G) - This test is used to detect the presence of IgG antibodies to gliadin peptides, which are a type of protein found in gluten. The test is often used to help diagnose gluten sensitivity and celiac disease. Some studies have suggested that the Gliadin Peptide Antibody IgG test has a relatively high false positive rate, meaning that it may produce positive results in people who do not actually have celiac disease or gluten sensitivity. Additionally, the test may miss cases of celiac disease, particularly in people who have mild or atypical symptoms. Overall, the Gliadin Peptide Antibody IgG test may be useful as a screening tool for celiac disease or gluten sensitivity, but a positive result would generally need to be confirmed with additional testing, such as the DPG test or a biopsy of the small intestine.

 

Maggie12 Rookie
Maggie12
Posted
  • Author

Yes that’s why I was confused and would say allergic even though I know that’s not the proper term. I still can’t find if 15mcg/mL is considered high or very high.

Scott Adams Grand Master
Scott Adams
Posted

If your test is 7.5 times higher than the cut off, then it would be very high, but again, the accuracy of this test is questionable. It should lead you to getting more tests, and proper blood panel for celiac disease that includes tTG tests as well as total IGA.

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    • cristiana
      Coeliac or not coeliac

      By cristiana · Posted

      Hi @CC90 Ah... that is very interesting.  Although it is very annoying for you to have to go through it all again, I would say that almost sounds like an admission that they didn't look far enough last time?   I could be wrong, but I would not be at all surprised if they find something on the next attempt.  Coeliac damage can be very patchy, as I understand it, so that's why my own gastroenterologist always likes to point out that he's taken lots of samples!  In the kindest possible way (you don't want to upset the person doing the procedure!) I'd be inclined to tell them what happened last time and to ask them in person to take samples lower down, as  if your health system is anything like the one in my country, communication between GPs, consultants and hospitals isn't always very good.  You don't want the same mistake to be made again. You say that your first endoscopy was traumatic?  May I ask, looking at your spelling of coeliac, was this done at an NHS hospital in England?  The reason for the question is that one of my NHS diagnosed friends was not automatically offered a sedative and managed without one.  Inspired by her, I tried to have an endoscopy one time, in a private setting, without one, so that I could recover quicker, but I had to request sedative in the end it was so uncomfortable.    I am sorry that you will have to go through a gluten challenge again but to make things easier, ensure you eat things containing gluten that you will miss should you have to go gluten free one day. 😂 I was told to eat 2 slices of normal wholemeal bread or the equivalent every day in the weeks before , but I also opted for Weetabix and dozens of Penguin chocolate biscuits.  (I had a very tight headache across my temple for days before the procedure, which I thought was interesting as I had that frequently growing up. - must have been a coeliac symptom!)  Anyway, I do hope you soon get the answers you are looking for and do keep us posted. Cristiana  
    • CC90
      Coeliac or not coeliac

      By CC90 · Posted

      Hi Cristiana   Yes I've had the biopsy results showing normal villi and intestinal mucosa.  The repeat endoscopy (requested by the gastro doc) would be to take samples from further into the intestine than the previous endoscopy reached.      
    • Wheatwacked
      Coeliac or not coeliac

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    • trents
      Coeliac or not coeliac

      By trents · Posted

      Cristiana asks a very relevant question. What looks normal to the naked eye may not look normal under the microscope.
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      Coeliac or not coeliac

      By cristiana · Posted

      Hello @CC90 Can I just ask a question: have you actually been told that your biopsy were normal, or just that your stomach, duodenum and small intestine looked normal? The reason I ask is that when I had my endoscopy, I was told everything looked normal.  My TTG score was completely through the roof at the time, greater than 100 which was then the cut off max. for my local lab.  Yet when my biopsy results came back, I was told I was stage 3 on the Marsh scale.  I've come across the same thing with at least one other person on this forum who was told everything looked normal, but the report was not talking about the actual biopsy samples, which had to be looked at through a microscope and came back abnormal.
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