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Having sudden burping, belching, gassiness, diarrhoea, nausea, metalic taste. Tested for H. pylori. Reason?

Jan 2013
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Internal Medicine Specialist
Practicing since : 2003
Answered : 1658 Questions
Hi, I started having sudden burping, belching and gassiness about three weeks ago. That was week one, followed by some explosive diarrhea, than normal stools, different colors. This last week, intermittent nausea is present, with metallic taste in my mouth and white tongue. After nausea goes away, I am able to eat, like my apetite just opens up. Also, I feel like I have frog stuck in my throat sometimes. I have had blood work done, all normal, H/H and all the electrolytes. My GB ultrasound was normal, and no other structures were abnormal as seen on the U/S. I saw my family physician yesterday who repeated blood work, and is testing me for H pylori. This morning, still quezzy, no apetite, no pain, ever. Also, not pregnant. Please advise. Thank you1
Posted Fri, 24 May 2013 in Digestion and Bowels
Answered by Dr. Mayank Bhargava 2 hours later
Welcome to XXXXXXX forum.

Let me know your other associated symptoms along with mentioned.
Do you have acidic belching/ abdominal discomfort/ gargling sound in abdomen/ abdominal bloating after taking meals?
Do you have fever/ spasmodic abdominal pain/ vomiting?

With the available described symptoms, there appears to be high possibility of decreased gastrointestinal motility with partially treated gastroenteritis.
Persistence of upper gastrointestinal symptoms suggests the diagnosis.
Any sort of infection, whether viral or bacterial, is associated with some effect on liver with loss of appetite.

You should consult with XXXXXXX medicine specialist/ gastroenterologist and should go for thorough check up.
You should also go for complete blood count, blood sugar fasting and postprandial, serum electrolytes, widal test and thyroid profile.
You should also go for endoscopy and urea breathe test for better clarification of upper gastrointestinal tract.
Peptic ulcer disease is due to Helicobacter pylori bacteria and urea breathe test is performed for detection of this culprit bacteria.

You should take complete antibiotic therapy, antispasmodics, probiotics, antipyretics, if needed.
You should also take proton pump inhibitors along with prokinetics.

You should follow the mentioned changes:
1) Don't take tomatoes, and citrus fruits.
2) Avoid onion, garlic, excessive tea and coffee, chocolates,
3) Avoid oily and spicy food, non veg.
4) Take soft diet along with yogurt.
5) Keep difference of 3 hours between meals and sleep.

Hope that helps.
Let me know your other query.
Take care,
Dr. Mayank Bhargava
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