Often belching, very bloated, pain under the right ribs, lower abdominal pain

Patient's question:

Approximately 3 years ago, I started experiencing belching. Recently, I've noticed that belching also causes reflexive pain in my back for a moment, and I feel like vomiting when I belch. My abdomen is very bloated, and I always feel like there are many things stuck between my upper and lower parts. The lower part of my right ribs is clearly painful, and it hurts more when pressed. There is also pain in the lower abdomen, but it's not as noticeable when pressed. I previously saw a doctor and was diagnosed with superficial gastritis. I took medication for a while and then stopped because I felt fine. Recently, my belching has become more severe.

Doctor's answer:

Analysis of the condition: Abdominal distension is a common digestive system symptom. The main causes of abdominal distension include gastrointestinal gas, various causes of ascites, abdominal tumors, etc.
Advice: The normal gastrointestinal tract contains a small amount of gas, approximately 150 milliliters (ml). When excessive air is swallowed or due to poor digestion and absorption function, the gastrointestinal tract produces too much gas. If the gas in the intestines cannot be expelled from the anus, it can lead to abdominal distension;

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