Brief Answer:
Gastrointestinal motility seems to be the main issue

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone through your query carefully. Your problem seems to be due to gastritis or gastroesophageal reflux.

In such cases, investigations are likely to turn out normal but that does not mean that there is no underlying problem. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed, and finally expelled as feces. If somehow this movement gets hampered, degradation of undigested food in the intestines by the intestinal bacteria would lead to excess gas formation.

In order to relieve yourself, you need to do the following:

* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Take Prilosec (Omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like ispaghul/psyllium husk or senna. I would insist you to increase your dietary fiber intake.

* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Please discuss this with your treating physician.

* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.

Hopefully, that should help.

Let me know if I could help further.

Regards

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