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Having belching, undigested food in stool, weight loss. Treated with aciphex for GERD in the past. Done chest x-ray, cbc, ekg and upper endoscopy. Could it be IBS and GERD?

Hi, im 34 years old male , 6 2 and 195 lbs. i have increased belching and gurgling stomach (especially when i first wake up) for about 5 months and lots of undigested vegetables in my stool (this symptom ive had for years). Ive lost about 15 lbs during this time. I was on aciphex for years because of gerd but was switched to dexilant for gastritis . Ive recently stopped taking the dexilant and am trying bentyl 4x a day but so far no changes. i am very regular with my bowel movements (once a day) so i dont see how it could be ibs. these are the tests i have done so far: chest xrays (normal), ekg, cbc, liver and pancreas enzyme blood tests (all normal), upper gi series (showed some thickening of rugal folds), upper endoscopy with biopsy (mild gastritis and gerd, negative on celiac and h pylori), gallbladder ultrasound (normal), ct scan of abdomen and pelvis with contrast (normal), colonoscopy (normal) and hida scan with cck (normal). I do have health anxietys and am currently in therapy and taking vybrid for anxiety. Im curious why i never seem to digest vegetable type matter, seeds and nuts. I guess my question could all of this just be a combination of gerd slight ibs and high levels of stress and anxiety. with all of these tests wouldnt they have seen if something serious was causing my symptoms? I worry about some type of cancer, but if cancer was causing symptoms wouldnt some test have seen it? Thank you
Asked On : Wed, 5 Sep 2012
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General Surgeon 's  Response
Apr 2013
-Hi and welcome to HCM. Thank you for your querry.
It sounds like stomach issue. All this is caused by high acid secretion which is found in gastritis, GERD or hiatus hernia.Stomach and esophageal cancer is very rare at your age.
Symptoms are aggravated after meal, long sitting, leaning forward, stress and anxiety. In the beginning this is treated by changing dietary habits.
You should avoid alcohol, coffee, smoking, fats and fast food, carbonated drinks and eat more milk and milk products, fruit and vegetables, boiled food and natural beverages and teas. 1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise.

Secondly, there are antiacid medicines which are usually helpful,you should consult your GP about this. If symptoms persist,you should do gastroscopy and stomach biopsy to verify is there helicobacter pylori infection which can be treated then.
Hope I have answered your query.
Answered: Wed, 5 Jun 2013
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