Frequent abdominal pain and burping may also be caused by conditions including: irritable bowel syndrome acid reflux disease (GERD) gastric and duodenal ulcers gallstones hiatal hernia acute pancreatitis some bacterial infections internal parasites (such as giardiasis) intestinal obstruction celiac disease hernia. A temporary stomachache and bloating accompanied by burping is rarely a cause for concern. But if burping is uncontrollable, does not relieve a distended stomach, or is accompanied by severe abdominal pain, seek medical help. Also seek help if abdominal pain and burping are frequent or accompanied by: vomiting, especially vomiting blood abdominal pain that lasts more than 24 hours headache fever over 101˚F (38˚C) pain or burning sensations in the throat or mouth chest pain. You can reduce your risk by: maintaining a healthy diet drinking plenty of water limiting carbonated beverages eating slowly avoiding talking while eating Taking probiotic supplements may prevent some cases of indigestion and heartburn.