
Aerophagia is a medical term for the act of swallowing air into the digestive tract. This condition often results in belching, discomforting abdominal tension, borborygmi (rumbling or gurgling noise in the stomach), and increased flatulence.
There are two categories of aerophagia: normal and pathological.
Normal aerophagia is a physiological event that usually occurs after a large meal, due to the swallowing of saliva and the intake of food and drinks. Under normal circumstances, about 70% of the air in the intestine comes from swallowing, 20% diffuses from blood circulation, and only 10% is associated with bacterial fermentation of undigested organic residues.
The body eliminates these gases through blood reabsorption, belching, and flatulence. Therefore, aerophagia often contributes to meteorism (abdominal swelling due to gas) and increased flatulence.
Pathological aerophagia is a disorder that arises due to numerous predisposing conditions. These can be mental disorders, such as anxiety disorders with aerophagic tics, organic diseases affecting the digestive and biliary tract, or hormonal changes during pregnancy.
Other conditions that may lead to aerophagia include chronic rhinitis and sinusitis, hiatal hernia, irritable bowel syndrome, xerostomia (dry mouth), or sialorrhea (excessive salivation). Lifestyle habits, such as smoking, using inappropriate dental prostheses, consuming carbonated drinks, bicarbonate, and chewing gum, or eating hastily can also trigger the disorder.
The typical symptoms of aerophagia include belching, abdominal tension, borborygmi, and increased flatulence. An increase in the gastric air bubble can cause widespread retrosternal pain, often mistaken for a heart attack.
In patients with high anxiety levels and low gastric tolerance to extension, aerophagia can lead to acute dilation of the stomach, followed by a feeling of suffocation, anxiety, tachycardia, and hyperventilation.
The treatment for aerophagia varies depending on the underlying cause. If the condition is due to the consumption of large, nutrient-rich meals, digestion times increase, leading to fermentation, swelling, and stomach acidity. In such cases, phytotherapy, or plant-based therapy, can be beneficial. Herbal preparations based on lemon balm, mint, fibrino clover, caraway, holy thistle, coriander, and horsetail ash can help.
If aerophagia results from bad eating habits, it's essential to reevaluate the role of proper chewing, which is fundamental for promoting digestive processes.
When aerophagia is connected to unconscious states or nervous tics, psychotherapy, possibly combined with anxiolytic drugs, may be beneficial. In cases where aerophagia is caused by xerostomia, the condition is likely psychological, and anxiolytics may provide relief.