Brief Answer:
Probiotics,PPI &Prokinetic,life style modification
Detailed Answer:
Hi Thanks for using HCM.
I went through the query and understood your concern.
With type 2
diabetes and normal blood work and ECG suggests that the belching and gas at middle of night is most probably due to variation in
gastric acid secretion or variation in normal bacterial commensals in the gut.
I too see a lot of diabetic patients with similar complaints and for them usually I suggest probiotics, yogurt, plenty of fluids and high fiber diet. The pain may be due to
acid reflux and hence your husband requires a prokinetic drug with reduction in acid secretion with head end of the cot raised to 15 to 20 degree for sleeping. Drugs like
pantoprazole /
omeprazole (PPI) with
domperidone can be tried to relieve the symptoms.
Even if the above measures fails a course of antibiotic therapy with
metronidazole may help you.
Along with the above measures daily 30 min out door activity help in reducing the symptoms and also balancing the body rhythm and cut down the processed food, white bread, doughnuts, white sugar and pizza and have more of high fibre diet, green leafy vegetables, fruit.
In short, I don't feel the symptoms at night are concerning. I would prefer that you start medicine regularly along with dietary changes. Perhaps he can prevent it completely. That being said, if symptoms are severe and untolerable, ER visit could be inevitable.
Hope this information helps you.
Feel free to ask if any related query and I will be glad to answer them.
Regards