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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nausea And Belching Immediately After Having Food?

I have had a ulcer they put me on 2 types of antibiotics 2650mg amoxicillian and 1000 mg of clatrithromyican and prilosec OTC that seemed to help some then i had a kidney infection started a third antibiotic cypro 3 times a day then back to 2650 mg amoxicillian,i got diarrhea real bad my ulcer some better but as soon as i eat feel urge to start belching and cant eat till its over and if i am neasuated no matter what i can not vomit just dry heave and very painful
Mon, 24 Jul 2017
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
Dry heaves and pain in the abdomen/chest with the history of an ulcer is indicative that your problem of acidity related things like GERD has not yet resolved in spite of Amoxicillin, Clarithromycin and Prilosec.
The diarrhea can be due to intestinal infection or intolerance to the antibiotics or development of imbalance of the bacterial flora of the intestine.
I hope the kidney infection is over once you have taken Ciprofloxacin.
I would advise you the following in such a situation:
Get the upper GI Endoscopy and barium studies along with esophageal manometry studies to know the exact problem so that additional management can be done.
Continue Prilosec.
Watch for whether the antibiotic courses are over.
Pre and probiotics to restore the bacterial flora alone may help.
But it is also necessary to get the stool and blood tests done.
Get an additional treatment with antacids to be taken every three hours.
Domperidone may help in strengthening the lower esophageal sphincter so that the belching may stop. This should be taken half an hour before taking any food.
Food should be soft and bland.
Additional treatment as per the additional findings and till cured.
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What Causes Nausea And Belching Immediately After Having Food?

Hi. Thanks for your query. Noted the history and understood your concerns. Dry heaves and pain in the abdomen/chest with the history of an ulcer is indicative that your problem of acidity related things like GERD has not yet resolved in spite of Amoxicillin, Clarithromycin and Prilosec. The diarrhea can be due to intestinal infection or intolerance to the antibiotics or development of imbalance of the bacterial flora of the intestine. I hope the kidney infection is over once you have taken Ciprofloxacin. I would advise you the following in such a situation: Get the upper GI Endoscopy and barium studies along with esophageal manometry studies to know the exact problem so that additional management can be done. Continue Prilosec. Watch for whether the antibiotic courses are over. Pre and probiotics to restore the bacterial flora alone may help. But it is also necessary to get the stool and blood tests done. Get an additional treatment with antacids to be taken every three hours. Domperidone may help in strengthening the lower esophageal sphincter so that the belching may stop. This should be taken half an hour before taking any food. Food should be soft and bland. Additional treatment as per the additional findings and till cured.