Abhijit Kulkarni, MD
Location and Office HoursAllegheny Center for Digestive Health
Pittsburgh, PA 15212
- Bravo by Elder Health
- CIGNA HealthCare
- Gateway Health Plan
- Great-West Healthcare CIGNA
- Keystone Blue (Highmark BC/BS)
- Keystone Health Plan West (Highmark BC/BS)
- Optimum Choice/MAMSI (UnitedHealthcare)
- Security Blue (Highmark BC/BS)
- TRICARE North/HealthNet Federal Services
- UPMC Health Plan
- Unison Health Plan
- Unison/Three Rivers Health Plans/MedPLUS+
- United Healthcare
- Allegheny General Hospital
- Allegheny General Hospital, Suburban Campus
- Kindred Hospital Pittsburgh
- Monongahela Valley Hospital
- Western Pennsylvania Hospital
What are some effects of bacteria imbalance?
Ashley Koff, RD, Nutrition & Dietetics, answeredOne key side effect of bacteria imbalance is a tendency to bloat around the middle and gain abdominal weight despite good dietary and activity practices. Additionally, we continue to be intrigued by research exploring the link between bacteria imbalance and obesity, for there is some compelling evidence that deserves further exploration.
Why do I belch loudly after eating?
Anthony Komaroff, MD, Internal Medicine, answeredProlonged deep belching after eating is almost certainly due to excessive swallowing of air. (The medical term for this is "aerophagia.") When food is gulped down, large amounts of air are swallowed as well.
If quick swigs of a beverage are swallowed to help "wash down" the food, even more air is apt to get swept into the lower esophagus and stomach. And you can imagine how the problem is compounded if the beverage is carbonated. The end result is a large pocket of air just waiting to come back out.
We used to think that the pocket of air resided in the upper stomach and was released when the lower esophageal sphincter (a muscle ring) relaxed. But a recent study suggests that most air never gets all the way down to the stomach. Rather, it builds up in the lower esophagus and bellows out once the muscle ring at the top of the esophagus relaxes. The result is a large, resonant belch.
Air swallowing also may occur in folks who smoke, chew gum, or have anxiety problems. But big belching occurring directly after a meal is usually due to poor eating habits. Chewing food slowly and separating swallowed solids from liquids is likely to produce a quieter meal for all at the table.
What causes gastroparesis?
The cause of gastroparesis isn't always known. In fact, no identifiable cause is discovered in one-third of people who are found to have the condition. Diabetes is one of the most recognized causes. Gastroparesis can sometimes develop after surgery for other stomach problems. Other causes include smoking, alcohol and marijuana use, certain genetic conditions, neurologic disorders, and cancer.
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