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Two months out from hiatal hernia repair. Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end. That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
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As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.
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