{"id":8914,"date":"2021-08-27T21:09:35","date_gmt":"2021-08-27T21:09:35","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=8914"},"modified":"2025-12-30T20:40:33","modified_gmt":"2025-12-30T20:40:33","slug":"rome-iv-belching","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/rome-iv-belching\/","title":{"rendered":"Rome IV Diagnostic Criteria for Belching Disorders"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Gas, bloating, and belching are associated with a variety of conditions but are most commonly caused by functional gastrointestinal disorders. These disorders are characterized by disordered motility and visceral hypersensitivity that are often worsened by psychological distress.<!--more--><\/p>\n<p><strong>Rome IV Diagnostic Criteria for Belching Disorders<\/strong><\/p>\n<p>Must include all of the following:<\/p>\n<p>Bothersome (ie, severe enough to impact on usual activities) belching from the esophagus or stomach more than 3 days a week<\/p>\n<p style=\"padding-left: 40px;\">2a: Excessive supragastric belching (from esophagus)<br \/>\n2b: Excessive gastric belching (from stomach).<\/p>\n<p>Supportive remarks<\/p>\n<ul>\n<li>Supragastric belching is supported by observing frequent, repetitive belching<\/li>\n<li>Gastric belching has no established clinical correlate<\/li>\n<li>Objective intraluminal impedance measurement can be used to distinguish supragastric from gastric belching.<\/li>\n<\/ul>\n<p>Criteria fulfilled for the last 3 months with symptom onset at least 6 months before diagnosis.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Wilkinson JM, Cozine EW, Loftus CG. Gas, Bloating, and Belching: Approach to Evaluation and Management. Am Fam Physician. 2019 Mar 1;99(5):301-309. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30811160\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Stanghellini V, Chan FK, Hasler WL, Malagelada JR, Suzuki H, Tack J, Talley NJ. Gastroduodenal Disorders. Gastroenterology. 2016 May;150(6):1380-92. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27147122\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Liu K, Walsh E, Katzka D, Bredenoord AJ, Clarke M, Guadagnoli L, Blumenfeld L, Yadlapati R. Diagnostic and Management Review of Gastric and Supragastric Belching, Aerophagia, and Rumination Syndrome. Clin Gastroenterol Hepatol. 2025 Aug 21:S1542-3565(25)00706-2. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40848911\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Aug 27, 2021.<br \/>\nUp-date Dec 30, 2025.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[53],"tags":[2415,16,15,14,13,939,2416,2407,2408,2089],"class_list":["post-8914","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-belching","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-disorders","tag-eructos","tag-roma-iv","tag-rome-iv","tag-trastornos"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - 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