When evaluating and managing patients with belching, bloating, and abdominal distention, the authors emphasize the significance of a complete physical examination, excellent communication, and integrated treatment. There is little study on the causes and risk factors for these illnesses, and existing therapies are inadequate. Based on the research, the authors provide 15 best practice recommendations. A physical exam and impedance pH monitoring can help distinguish between gastric and supragastric belching. The Rome IV criteria should be utilized to identify primary abdominal bloating. Dietary adjustments and testing can rule out illnesses such as carbohydrate enzyme deficits and celiac disease. Imaging and endoscopy should only be performed when clinically required. A nutritionist can assist with dietary adjustments such as a low-FODMAP diet. Neuromodulators and psychosocial therapy can aid in the reduction of symptoms.

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