Behavioral treatment of chronic belching due to aerophagia in a normal adult.
Aerophagia, or excessive air swallowing, is a potential cause of belching, flatulence, bloating, and abdominal pain and may contribute to a worsening of gastrointestinal (GI) disorders. A limited number of published reports of aerophagia treatment indicate that behavioral methods may be of benefit. A case report is presented describing the behavioral treatment of chronic belching due to aerophagia in an adult female. The collaborative application of single-participant design research helped identify open-mouth, diaphragmatic breathing and minimized swallowing as an effective intervention. Belching frequency was reduced from an average rate of 18 per 5-min interval during the baseline period to 3 per 5-min period after treatment. Results were maintained at an 18-month follow-up. Recommendations for the use of a brief treatment protocol with adults referred for chronic belching or other GI complaints attributed to aerophagia are discussed.
Wright-Patterson Medical Center, Dayton, Ohio, USA.
Jeffrey A
JA
Cigrang
Christine M
CM
Hunter
Alan L
AL
Peterson
D000328:Adult; D000334:Aerophagy / Q000523:psychology / Q000628:therapy*; D001521:Behavior Therapy / Q000379:methods*; D002908:Chronic Disease; D003679:Deglutition; D004884:Eructation / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008889:Military Personnel / Q000523:psychology*; D009058:Mouth Breathing; D010348:Patient Care Team; D011614:Psychotherapy, Brief; D012017:Referral and Consultation; D014481:United States