Garlic SIBO

Everything You Need to Know About Garlic & SIBO - SIBO SO

  1. According to Dr. Siebecker, garlic is one of the 4 main herbs used to treat SIBO - but it's not just regular garlic cloves you can buy at the grocery store. Instead, it's an extract of garlic called allicin
  2. On the other hand, you may have either heard about or taken a supplement like Allimax (Allicin) to help heal the SIBO which is garlic (Allicin is a compound obtained from garlic). In fact, I took it for awhile. Learn more about Allicin as a natural antibiotic for SIBO HERE. Trending Content from A Gutsy Girl
  3. Garlic is one of the 4 main herbs used to treat SIBO - but it's not just regular garlic cloves you can buy at the grocery store. Instead, it's an extract of garlic called allicin.d There are four main herbs typically used to treat SIBO, berberine containing herbs, such as goldenseal root, Oregon grape, barberry Coptis
  4. Garlic is a hugely popular natural remedy - but if you have SIBO, eating a lot of garlic is not a great idea. That doesn't mean you're out of luck! Let's explore what makes garlic so awesome and how you can get those benefits even if you have SIBO. Why Taking Garlic for SIBO is NOT a Good Ide
  5. Garlic is an amazing plant: it can reverse AIDS, kill glioblastoma cancer cells in your brain and wipe any cold in a matter of hours. If i had SIBO i would certainly try it
  6. Garlic is a good antimicrobial herb; however, it is not useful if the small intestine is overpopulated with good bacteria such as Lactobacillus. Despite this limitation, garlic exerts potent antimicrobial activity against various gram-negative bacteria including methogenic bacteria which is linked with SIBO

Oregano, garlic, goldenseal, and cinnamon may also help to control bacterial levels within the small intestine, to reduce symptoms of SIBO Generally garlic is not tolerated as well in SIBO patients due to the fermentable substrates it contains. That being said some people can tolerate garlic just fine and others can tolerate small amounts of garlic in their diet. Garlic is a healthy food and if tolerated well it can be included Ingredients: 2 cups (480 ml) extra virgin olive oil, pure olive oil or vegetable oil such as canola, grapeseed, rice bran, safflower or sunflower 6 large cloves of fresh garlic, peeled, whole or halve After I decided to see a doctor for a full work-up, the diagnosis I received was SIBO: small-intestinal bacterial overgrowth.. Small-intestinal bacterial overgrowth is exactly what it sounds like: a type of dysbiosis, which simply means an imbalance in the trillions of bacteria that take up residence in your gut.In the case of SIBO, however, the issue is not necessarily the ratio between good. Other supplements use a type of garlic that can aggravate SIBO patients because they are usually made with garlic extract. Garlic extract and garlic in foods contain polysaccharides which act as a prebiotic. Allimed's formula contains 100% Allicin without the prebiotics. This is why it is usually well-tolerated in SIBO patients

Garlic and SIBO - A Gutsy GirlÂ

  1. 5 Facts About SIBO. 1. SIBO is not an infection, and it's generally associated with an underlying condition. There's a popular misconception that SIBO is an intestinal bacterial infection.
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  3. but can leave it in oil for up to 2 weeks. Note garlic flavor will intensify as garlic has more time to infuse « Cheesy Cauliflower Pizza Crus
  4. for resolution of SIBO by LBT. Herbals also appear to be as effective as triple antibiotic therapy for SIBO rescue therapy for rifaxi
  5. Small intestinal bacterial overgrowth (SIBO) occurs when bacteria that usually grow in one part of your digestive tract, like your colon, are growing in your small intestine. Left untreated, SIBO..
  6. SIBO commonly results when a circumstance — such as surgery or disease — slows the passage of food and waste products in the digestive tract, creating a breeding ground for bacteria. The excess bacteria often cause diarrhea and may cause weight loss and malnutrition
  7. The Low FODMAP Diet can help to calm IBS and SIBO over the short-term. Restoring the inner ecosystem is the only true solution for long-term digestive health. FODMAP is an acronym that stands for Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols. (like cabbage, garlic, and raw dairy)

Allicin is the compound in garlic that gives it most of these properties. Unfortunately, Allicin is highly unstable and begins to degrade as soon as the garlic is cut, crushed, or chewed. Because Allicin is so easily damaged, if you're using garlic, for SIBO you will see that it's highly recommended to only use a brand called Allimed Mullin prefers to use oregano oil, wild garlic and berberine (the active constituent of Oregon grape root and other plants used as GI remedies), which can help reduce the excess bacterial growth. As for diet, Dr. Mullin says dietary modification is essential to treatment but will not by itself cure SIBO sweetener or garlic Tabasco (McIlhennyCo) Wasabi- pure Vinegar: apple cider, distilled/white, red & white wine Asafoetida powder Chicory root (leaves ok) Cocoa/chocolate-unsweetened Gums/ Carrageenan/ Thickeners Sauces or Marinades with High Fodmap/ SCD Illegal items Soy Sauce/Tamari Spices: Onion & Garlic powder Vinegar: balsamic SIBO Food Guid

Is Garlic Antifungal? What the Research Says - Hollywood

SIBO harms the structure and function of the small bowel. Damage in the small intestine can lead to leaky gut, which occurs when the intestinal barrier is permeable and proteins from food can enter the bloodstream. Oligo-saccharides: a) fructo-oligosaccarides found in wheat, rye, onions and garlic etc. b) galacto-oligosaccharides found in. Small Intestinal Bacterial Overgrowth (SIBO) is an overgrowth of bacteria in the small intestine. When the digestive system is healthy and functioning normally, the small intestine usually has a relatively small number of bacteria residing there. Fructans - foods like garlic, onions, wheat, rye, barley, asparagus. Lactose - found in.

If you have SIBO, IBS, or fructose intolerance, your body might react badly to garlic because it contains FODMAPs. You can read more about FODMAPs here. Allicin doesn't contain the FODMAPs part of garlic, so it is safe to consume even if you have those conditions. Of course, check with your doctor first It is important to note that Allimed does not contain the FODMAPs part of garlic, so this is not a worry when consuming it to treat SIBO. Dosage: Take 1-2 caps 3x per day for a total of 14 days (start with 1 cap 3x per day and on day 3 increase to 2 caps 3x per day). It is important that you take 450mg

Beef Marrow Bone Broth | Journey Through SIBO

Everything You Need To Know About SIBO and Garlic

  1. Herbal Antibiotics - SIBO- Small Intestine Bacterial Overgrowth Like pharmaceutical antibiotics, this approach seeks to attack the bacterial overgrowth head on and fairly quickly with herbal antibiotics (HAbx). It is the first choice for most naturopathic physicians and other naturally oriented practitioners
  2. SIBO: Symptoms, Causes and Natural Support Strategies. Small intestinal bacterial overgrowth (SIBO) is a condition that is characterized by too many microorganisms in the small intestine. Unlike the large intestine or colon, which is extraordinarily rich in bacteria, the small intestine usually has much less bacterial organisms
  3. SIBO is defined as an increased number and/or abnormal types of bacteria in the small intestine. The condition encompasses yeast overgrowth such as Candida too, but excess bacteria is more common and a bigger problem. The herbs wormwood, cloves and garlic are particularly beneficial for helping to eradicate SIBO. These herbs are found in.
  4. try: garlic, oregano oil, neem, and supplements containing berberine, which include Oregon grape, goldenseal, and barberry. SIBO Diet. Eating the right foods is also important in SIBO. A FODMAP diet is commonly recommended, which is low in sugar and carbs (see ibsdiets.org for more information and a list of approved foods)

Why You Should NOT Use Garlic for SIBO - Hollywood Homestea

My daughter has had warts on her right hand for over a year and nothing worked. As soon as she started the garlic the warts started dying that day! Her SIBO symptoms are much better. I am ordering the 100 capsule bottle today! Good Stuff! Have been taking this for SIBO. Seems to be lessening the symptoms and helping with the gut/skin issues Although the oregano and garlic in our outstanding SIBO Defense Blend are (naturally) very effective at fighting SIBO and supporting a healthier gut bacteria balance, the incredible health benefits of these two herbs go WAAAAY beyond SIBO!. Here is a more complete resume for these two gems of Nature, proving that SIBO Defense Blend can be used for much more than just SIBO

SIBO: The Garlic Cure - Experiences? Ray Peat Foru

  1. Raw garlic is helping. I know that garlic can be controversial, but my current protocol of a garlic clove 3x/day + oregano oil 3x/day is helping quite a bit. I was solely on oregano and once I included the garlic my mood shifted almost immediately! I had a methane and hydrogen positive breath test
  2. SIBO is an acronym for Small Intestine Bacterial Overgrowth. Normally, the small intestine is almost sterile, only populated by select bacteria in very small numbers. SIBO occurs when there is an increase in the number of bacteria and/or changes in the types of bacteria. In the majority of SIBO cases this overgrowth is caused by bacteria that.
  3. NUNM's SIBO Center offers analysis and results for the SIBO Breath Test to physicians and patients throughout the United States. In addition, NUNM's team of naturopathic doctors, acupuncturists and student interns are available to serve patients and their individual SIBO needs with a holistic approach
  4. Garlic and Diarrhea. According to medical experts, garlic can most definitely cause diarrhea. The reason is that garlic is quite high in a FODMAP called fructans, says Will Bulsiewicz, MD, a board-certified gastroenterologist and gut health expert at Lowcountry Gastroenterology in Mount Pleasant, South Carolina, and author of Fiber Fueled
  5. ) - Add Allicin= methane/constip (like Neo, Met) • Purified Allicin, not whole garlic which is highly fermentable = aggravates SIBO • I use 2 herbs- 4 don't work better vs 2 - Keep some herbs in reserve for next rounds - Most I see need multiple rounds & concerned HAbx.

Home Remedies to Get Rid of SIBO - Beyond Diseas

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  2. Garlic is undoubtedly one of the most powerful natural antibiotics and has been found to be especially powerful in the fight of 14 different infections. Most of its medicinal qualities are due to the presence of a sulfur compound known as allicin, which also gives its pungent odor. It effectively protects against pathogenic bacteria, viruses, [
  3. What is small bowel bacterial overgrowth (SBBO or SIBO for short)? We all have bacteria in our intestines, but some people have too much. These extra bacteria can cause problems. Good movement of food through the small bowel helps avoid this problem, and so does having normal amounts of stomach acid. So, people with slow bowel motility or wh
  4. These antimicrobial properties make garlic an exciting natural cure for various ills, a kind of culinary medicine. It might be worth a try if you think you have a bacterial overgrowth (such as SIBO or candida)

So I decided to try the garlic, and the ulcer/glass shards in stomach pain stopped. Considering doing this again soon but recently had surgery and it's knocked my temps down. I can't imagine trying to kill off SIBO critters whilst barely hitting 36 degrees Using probiotics or garlic when you have SIBO. I've written previously about the digestively miserable condition called Small Intestinal Bacterial Overgrowth, in which normal colonic-type.

Sibo food guide, jan 13 2014

SIBO breath test accuracy. Leading practitioners use the hydrogen/methane breath test for SIBO because overall, it gives the most accurate and reliable results [Source: Pub Med]. However, no test is perfect, and false negatives and false positives do happen. That means you could have SIBO, yet your test result is negative SIBO also known as small intestinal bacterial overgrowth is a condition where there is an overgrowth of bacteria in the small intestine. Common symptoms of SIBO include: such as onion and garlic? High fodmap foods will frequently trigger abdominal pain in people with SIBO Mantova Garlic Flavored Extra Virgin Olive Oil Spray, heart-healthy cooking spray perfect for salads, pasta sauces, or grilling, 100% natural cooking oil made in Italy, olive oil dispenser bottle sprays, drips, or streams with no waste, 8 oz. 8 Fl Oz (Pack of 1) 4.7 out of 5 stars 424 Garlic infused oil is a tasty and safe replacement for garlic in low FODMAP meals. The fructans present in garlic are only water-soluble and not oil soluble ( 4 ). This means the garlic flavour transfers into the oil while the fructans stay trapped in the garlic cloves, as there is no water in the oil for them to leech into ( 4 ) Side effects of allicin-containing supplements including diarrhea, heartburn, gas, and nausea. Due to the lack of clinical trials testing the effects of garlic supplements, little is known about the safety of long-term or regular use of such supplements or how it might interact with prescription or over-the-counter medications

Black garlic is made by allowing raw garlic to age in a controlled environment between 140-170 degrees Fahrenheit for a period of several weeks, giving it a unique sweet flavor and soft texture. Compared to fresh garlic, the black version of garlic contains a higher concentration of antioxidants, as well as certain vitamins and minerals SIBO Symptoms - What your Body is Trying to Tell You. While one of the best ways to diagnose SIBO is through a breath test which tells you how much hydrogen/glucose/lactulose (14) your bacteria ferment. Unfortunately not every physician agrees with the diagnosis, so sometimes a Doctor may call and negative result positive and vice versa Many low carb SIBO diets totally disrupt thyroid function. Many SIBO experts seem to preach that the lower the carb intake the better when dealing with SIBO. Usually this leads to a severe restriction of starches and fruits and the adoption of a more fat based diet. A long term adoption of a low carb diet can lead to thyroid dysfunction For some garlic flavour you can make your own garlic infused olive oil which you can use in your cooking instead of your regular oil. The Indian spice Asafoetida powder can also be used as a spice to replace onion flavour and you can buy this from an Indian supermarket (be careful when using it as it has a potent smell)

Cures for SIBO: Bacteria and Intestinal Functio

Onion and garlic contain the highest amounts of FODMAPs by weight of any food. The amount of fructans in dried garlic is 3 times more than that of fresh ().Cooking it may reduce the bloating and gas associated with eating it, but only reduces the amount of FODMAPs and does not completely eliminate them.. Unfortunately, the dried form is in many seasonings, dressings, canned soups, frozen. Over the last 5 years, the low FODMAP approach has become the gut healing diet du jour, with everyone from naturopaths to conventional MD's prescribing it for IBS relief. On today's episode we get into the nitty gritty of what eliminating fermentable carbs from your life actually looks like, the healing potential for your SIBO, and how this.

SIBO Diet Food List to Eat & Avoid (Low Fermentation

Learn the exact anti-candida protocol I've successfully used on over 60,000 patients at my New Zealand Clinic & via Skype (wipes out yeast, bad bacteria & pa.. Put pine nuts, lemon zest and lemon juice in a small food processor and pulse until finely chopped. Add all basil leaves to bowl of processor. Turn processor on and drizzle olive oil into bowl until mixture is the consistency you like. (Go for something between a paste and a sauce.) Taste for flavor and add salt and pepper as desired Roasted Garlic Cloves Health Benefits. Researchers also believe the organosulfur compounds in garlic may be protective against cancer.. Some studies show garlic is effective for preventing pancreatic, colon, rectal, esophagus, pancreas, stomach, breast, prostate, bladder, brain, and lung cancers, as well as multiple myeloma.(11, 12, 13).According to Web MD, garlic is also a wonderful treatment. Marshmallow root. Nutrients - SIBO can cause a lack in needed nutrients for healing the intestines. Supplying the body with supplements such as L-glutamine, anti-oxidants, vitamins A, C, and E, zinc, and omega-3 fish oils will facilitate healing. 5. Rebalance - Healthy Lifestyle Choices

Low FODMAP Garlic-Infused Oil - FODMAP Everyda

How I Healed My Gut From SIBO & What I Wish I'd Know

Often during the herbal or antibiotic treatment I'll just tell them to avoid the foods that seem to irritate SIBO people the most, like garlic, onion, and apple. Once the kill phase is complete and the person has retested to make sure SIBO is gone, the diet I recommend most often is a combo SCD and low FODMAP diet Prep: 15 mins. Cook: 10 mins. Yields: 2 servings. This delicious SIBO friendly and Low FODMAP Pad Thai with prawns recipe will transport you to Thailand. No onions or garlic make it kind on your tummy. Change the protein each time you make it for a new flavour sensation. This is delicious with seafood, chicken, pork or beef Ways To Consume Raw Garlic. Garlic is an incredible healing food. It kills off the viruses and bacteria that are behind countless chronic illnesses, symptoms, and conditions and helps flush toxic viral and bacterial waste out of the lymphatic system. Garlic also strengthens the immune system Allicin is one of the main compounds found in freshly crushed garlic and is known for its potent antimicrobial properties. These supplements make up part two of the plan and we do them for about a month, says Dr. Link. 3. Focus on motility . The final step of SIBO treatment lasts about three months and focuses on motility People with SIBO may need intramuscular injections of vitamin B-12, as well as oral vitamins, calcium and iron supplements. Lactose-free diet. Damage to the small intestine may cause you to lose the ability to digest milk sugar (lactose). In that case, it's important to avoid most lactose-containing products, or use lactase preparations that.

Allimed Review, #1 Natural Antibiotic [Allicin Garlic for

Easiest ways to get a good flavour infusion is 20g melted butter, a decent drizzle of this garlic oil, 1 and a quarter cup of water, bring to the boil, add rice, cook on low heat for 12 minutes then take off heat for 10-15 minutes. Bam garlic rice. Tonight I tried it with potato Put the perfect team of oregano oil and garlic in our SIBO Defense Blend to work against SIBO now and see how much better you can feel! Each bottle contains 120 capsules (120 servings). 100% Satisfaction Guarantee. All Holistic Blends products include a risk-free, 60-day money back guarantee Get help with SIBO and GI Dysbiosis. some with Garlic that have allicin and other compounds that are researched for effectiveness in bacterial and fungal infection. 3 Many essential oils are also antimicrobial, and almost all antimicrobial herbs have an effect on disrupting biofilms,. There is accumulating evidence demonstrating the antimicrobial properties of a growing number of herbs including garlic, black cumin, cloves, cinnamon, thyme, all-spices, bay leaves, mustard, and rosemary. This has prompted an interest in herbal therapy for the treatment of SIBO Studies on SIBO, particularly with diet, are limited. The general guidelines are to make food from scratch, and eat easily digested food and simple carbohydrates, sugars, and other nutrients that are quickly absorbed in the digestive system and do not sit around in the small intestine where bacteria can benefit from them. Garlic (may help.

FODMAP beginner - SIBO/candida/histamine questions : FODMAPS

5 Facts About SIBO the Internet Keeps Getting Wrong U

Unfortunately most commercial seasoning contains onion or garlic—usually both. This can make avoiding these high-FODMAP ingredients seem impossible. Guide to SIBO: Symptoms, Causes, and Natural Treatment Options. The Best Low FODMAP Cookbooks. Foods That Cause Constipation (and how the FODMAP Diet can help!) Blueberry Muffins (low-FODMAP. Garlic-infused oil is a popular way to add low FODMAP garlic flavor on the low FODMAP diet. My current favorite is Colavita Roasted Garlic Olive Oil (technically a garlic-flavored oil) that has been confirmed to be low FODMAP by Monash University. Learn more about why garlic-infused oil is okay in my Low FODMAP Garlic and Onion Substitutes post SIBO causes bloating, gas, pain, and inflammation in the gut. It can also lead to food allergies, nausea, reflux/GERD and weight gain/weight loss. SIBO is diagnosed with a breath test. A lactulose substrate is ingested and it measure for both hydrogen and methane gases. Any level above a 20 is a positive for hydrogen dominant SIBO Like so many people with SIBO, I have tried A LOT of different supplements and therapies to help restore my gut function. Sorting through which treatments might be best for you and worth the money can be a frustrating task. I want to share some of my experiences with different products/therapies to hopefully assist yo

This low FODMAP salsa is so good that you won't miss the garlic or onions. Made with the finest vegetables, this salsa is delicious. This premium salsa is made with no onions or garlic. We take this one-of-a-kind salsa to the next level with a squeeze of lemon. Low sodium for a heart healthy di.. Compared to traditional taco seasoning, this recipe is likely lower in FODMAPs because it does not contain onion or garlic.However, it is made with ancho chili powder.According to 2020 Monash data, ancho chili pepper can contain high levels of the FODMAP, excess fructose, in large servings

The Best SIBO Treatments, Herbal Supplements and Natural

Diet as a Part of Your SIBO Treatment Plan. When it comes to treatment of SIBO, quick fixes don't always work.Diet is an important part of an overall SIBO treatment plan and can help you manage SIBO symptoms.. A combination of treatments that address overall gut health is the best approach for long-term success SIBO (Small Intestine Bacterial Overgrowth) is pretty self-explanatory. Too much bacteria in your small intestine, specifically bad bacteria. A dysbiosis in the gut, when the bad bacteria takes over and wreaks havoc. Causes can vary from low stomach acid, use of antibiotics, an unbalanced diet, hypothyroidism, IBS

SIBO and Die-Off Reactions: What You Need to Know September 29, 2015 by Dr Lisa Giusiana. SIBO (Small Intestinal Bacterial Overgrowth) is a condition where bacteria has inappropriately inhabited the small bowel and is causing problems such as bloating, abdominal discomfort, constipation and/or diarrhea, and can also progress into even more serious health problems As for garlic, the SIBO Specific Diet Food Guide lists garlic in three ways: powdered garlic is red-zone illegal, fresh garlic is orange-zone-high, and garlic-infused oil is green-zone-safe. However in our experience, all forms of garlic—including garlic-infused oil—caused significant bloating, so that is the one exception we take to this. For example, those with IBS should avoid garlic and onion, even though garlic can help fight excessive bacteria. An overview of risk factors for SIBO was conducted by a team at Dartmouth-Hitchcock Medical Center and published by Gastronterol Hepatol in 2007 Numerous research studies have shown garlic to be an effective treatment for yeast and fungal infections, especially Candida overgrowth. Not only that, garlic is a proven immune-booster and active detoxifier. It can reduce cholesterol and help to control your blood sugar levels. And best of all, garlic is a delicious addition to your diet SIBO is a very important root cause, and I've written a great article on SIBO and Hashimoto's that summarizes the causes, tests, and treatment options for SIBO, including the low FODMAP approach. This article will go a bit deeper into the low FODMAP approach so that you'll have a good idea on how to implement it

Garlic Infused Oil - SIBO Diet Recipe

An Australian study found luminal antigliadin antibodies in 35% of SIBO patients, demonstrating an increased risk of developing celiac disease.6 Gluten is known to increase intestinal permeability through zonulin signaling and may play a role in the development of various autoimmune conditions, including type 1 diabetes, multiple sclerosis, and. Allimed's'® sophisticated refinement allows us to capture garlic's active component, Allicin and deliver it directly to where your body needs it. Out of stock Category: Supplements Tags: bloating , constipation , guthealth , methane , sibo , siboherbs , sibotreatment , treatmethan Once SIBO is diagnosed, there are a few common methods for treating it. Diet and lifestyle are important regardless of how SIBO is addressed, but in most cases antibiotics, probiotics, or antibacterial herbs will be used to reduce small intestinal bacteria, and then diet and lifestyle factors are used to prevent regrowth and to help normalize the gut

Herbal therapy is equivalent to rifaximin for the

To ease IBS and SIBO symptoms, it's essential to avoid high FODMAP foods that aggravate the gut, including: Dairy-based milk, yogurt and ice cream; Wheat-based products such as cereal, bread and crackers; Beans and lentils; Some vegetables, such as artichokes, asparagus, onions and garlic; Some fruits, such as apples, cherries, pears and peache Fresh and dried herbs can be used in cooking along with sugarless mayonnaise, mustard without garlic, apple cider vinegar, white and red vinegar, tabasco, and wasabi. Foods to avoid on phase 1 restricted SIBO diet include garlic, onion, balsamic vinegar and, chicory root, garlic, onions, soy sauce and tamari, carrageens, and thickeners

SIBO Diet: Beneficial Foods and Foods to Avoi

Low FODMAP Lemon (garlic infused) basil swordfish steaksGrocery List - SIBO RecipesThe Best Hashimoto’s diet: How to Lose Weight and Feel Better

However — if you taking high doses of garlic in the supplement form and on blood thinners your healthcare provider should be aware. Although garlic is great for your gut, if you have SIBO (Small intestinal bacterial overgrowth), then it might be a good idea to avoid it, as it a high FODMAP food The main difference between the SIBO diet and the low-FODMAP diet is the level of restriction, says Pimentel. For example, the low-FODMAP diet cuts out most fruits and some root vegetables like onions and garlic, while the SIBO diet is more lenient. On the SIBO diet, you should not eat What is SIBO? Small intestinal bacterial overgrowth (SIBO) occurs when the bacteria in the small intestine get out of balance and overgrow.This can often happen in people who eat a diet high in sugar, alcohol and/or refined carbohydrates.Certain bacteria will feed off of refined carbohydrates and break them down into short-chain fatty acids, creating gas and causing bloating It's a pretty common occurrence, and there are many reasons for burping after eating garlic. Garlic, especially overcooked, tends to irritate the stomach lining for many people, and burping is a stomach-related gas that happens when you swallow too much air, eat something that disrupts the stomach or you have anxiety, explains Tarek Hassanein, MD, director of the Southern California GI.