Supragastric Belching or repetitive movement of throat - #20738

Your symptoms are most consistent with supragastric belching associated with a tic-like swallowing behavior and possible medication-related movement disorder (tardive dyskinesia or oropharyngeal dyskinesia). This condition is functional and behavioral, not due to excess stomach gas, and is commonly worsened by anxiety and certain psychiatric medications, including antipsychotics.

Supragastric belching occurs when air is rapidly sucked into the esophagus and expelled, often unconsciously, which explains the belching every few seconds. The repetitive gulping of saliva suggests a motor tic or dyskinesia, which can occur in patients taking long-term antipsychotic therapy, even when these medications are necessary.

Key points:

Acid-reducing medicines usually do not help supragastric belching

This condition is treatable but requires a combined approach

It is not dangerous, but it can be extremely distressing

What helps most:

Behavioral therapy (especially speech therapy or CBT focused on belching control) — this is the most effective treatment

Breathing retraining (slow diaphragmatic nasal breathing)

Habit-reversal therapy for the swallowing tic

Review of medications by your psychiatrist to assess for tardive dyskinesia and consider treatments such as VMAT-2 inhibitors if appropriate

Important next steps:

Consult a psychiatrist and gastroenterologist together

Request evaluation for antipsychotic-induced dyskinesia

Ask specifically about supragastric belching behavioral therapy

Overall conclusion:

Your condition is real, recognized, and manageable, but it requires specialized behavioral treatment and medication review, not just stomach medicines. With proper care, symptoms can be significantly reduced, even if they do not disappear completely.

Hello dear See belching can due to acid production or reflux disorder You can take below medication for improvement Tablet baclofen once daily for 3 days Tablet pantop D 40 mg once a day half hourly before breakfast In case of no improvement consult general physician medicine for better clarity Regards

Hello,

Supragastric belching with repetitive throat movements is usually a behavioral/neuromuscular issue, not stomach gas.

In your case, it is very likely related to medication-induced dyskinesia or a tic, especially with clozapine and amisulpride.

The most effective treatments are speech therapy–based behavioral therapy, medication review by your psychiatrist, and sometimes low-dose medications for dyskinesia.

🛑🛑This is treatable and reducible, but it requires coordinated care with a psychiatrist and speech therapist.

I trust this helps Thank you