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Gastric problem, suffering from belching after eating food - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: GERD
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi Doctor. My name is XXXXXXXX aged around 40 years. Recently I have been diagoned with few erosions in D1(last 1 month). I have completed my H.Pylori treatment and is basically on Antaacids. My problem is that I have lot of gastric and suffer from belching after eating food                                                                                                                                                                                                   
Doctor :   Hi
Doctor :   I am Dr.
Doctor :   Let me read the query
Doctor :   Can you please tell me more about the erosions in D1?
User :   It is peptic ulcer
Doctor :   Ok
Doctor :   What medication course did you take yet?
Doctor :   How much time?
Doctor :   Was the peptic ulcer diagnosed on endoscopy?
User :   as above stated I have completed antibiotic treatement for H.Pylori bacteria for 15 days and presently I am on antacids. Yes, endoscopy was done. I have started medications from 27/5/2010.
Doctor :   Now did the doctor confirm that H Pylori is completely treated?
Doctor :   You have to realize that the treatment of H pylori alone cannot treat the peptic ulcer, you need to have some changes put in place in certain behaviours
User :   No. I have not visited the doctor as yet as I have to go to for that. Any way other symptomps like heartburn, acid reflux is gone. My digestive system has become weak. I am taking pantadoc IT in the morning and after that I take digene gel (2 tsp) after breakfast, lunch and dinner. There is no test for H.Pylori gone as such. That can be diagoned only by symtoms
Doctor :   Modifications you have to try from now on are: Doctor :   1) Eating very slowly and after proper chewing of food
Doctor :   2) Concentrating on the food that you eat, like switch of the mobile, do not talk while eating, no watching of TV etc
Doctor :   3) Continuing on the medication, revising the dose and the number of medications if required by the Doctor
Doctor :   4) No spice and no fried foods
Doctor :   There are certain tests to say that the H Pylori is been treated or not
Doctor :   You can ask your Doctor about them and if they are feasibly done for you
User :   Yes, I am maintaining the same. But, I want to know till when I have to take the diet as prescribed. And, what is the cause of gastric after eating food. Is it normal or is it due to ulcer. I also want to bring to your knowledge that our locality water has lot of iron and everybody has gastric problem.
Doctor :   Actually you have to continue the same
Doctor :   for 6 months
Doctor :   Ulcer takes long time to heal
Doctor :   Hi
Doctor :   As ulcer takes long time to heal, you have to keep doing these behaviour modifications
User :   Do I have to continue the medicines also for 6 months
User :   are u there ?
Doctor :   Not reallyu
Doctor :   You have to titrate the dose of the medicine by seeing the Doctor
Doctor :   I am here
User :   My main query still remains unanswered ? about gastric ?
Doctor :   Can you repeat it
Doctor :   You have put saying you have gastric,
User :   My problem is that I have lot of gastric and suffer from belching after eating food
Doctor :   and lot of belching
Doctor :   By the term 'gastric' what symptoms do you have apart from belching
User :   Not much belching as I am also taking GANATON OD which I failed to bring to your notice
Doctor :   GANATON is an improved medication
User :   I get relief only when gas passes out. No other major symptoms as such
Doctor :   Ok
User :   pls reply my main query
Doctor :   You are put on number of medicaitons
Doctor :   and some of the medications themselves cause belching
Doctor :   that is the reason why I say to revise the medications
Doctor :   as per the dose
Doctor :   and requirement
User :   So, how to curtail those medicines and which are those medicines
Doctor :   You can do a trial and error methods
Doctor :   Stop GANATON for two days and see if the problem resolves
Doctor :   First stop antacids and see
Doctor :   These should be helpful
Doctor :   and then try GANATON
User :   O.K . But, the main treatment of ulcer is through antacids only. So, How I can stop antacids
Doctor :   Antacids are helpful only during the pain
Doctor :   The PPI pantaprozole takes care of reducing the
Doctor :   acid
Doctor :   So do not worry about stopping
User :   O.K. Thank you very much . Can I gradually take some spicy food during these 6 months or I have to completely stop the same
Doctor :   If you stop the medicine and you seem to have the pain coming back
Doctor :   You can take the antacid anyhow
Doctor :   I prefer to curtain them till the ulcer heals for next 2 to 3 months
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