Brief Answer:
Kindly please continue with treatment and do lifestyle modification.

Detailed Answer:
Hello Sir,
Thanks for writing in to hcm
This is Dr.Riyanka Chail glad to be answering your query.

I have gone through your complaints in details and i can definitely reassure you that you donot have any brain tumour . Firstly please be relaxed.

You need to build up on your mental strength.

You have been diagnosed having GERD and the doctor has put you on proton pump inhibitors which is one of the best treatments for GERD. However, the medication does take time to work. Also , even psychological factors contribute as too much anxiety can increase GERD , hence you need to relax and be mentally happy.

An endoscopy has been done which shows bacteria as told by you so most probably it is a H.Pylori infection as thats the commonest one in stomach.
You could consult your doctor regarding treatment from H.Pylori using H.Pylori kit that contains a course of (Proton pump inhibitors, two types of broad spectrum Antibiotics ) taken for 7-14 days.

Tablet Thorazine shall reduce your anxiety and is usually given in mood disorders.
Carafate is sucralfate which reduces acidity.

Donot worry . Please take your medications on time . The medications might take 4-6 weeks to show its effects.

In the meanwhile kindly practice some lifestyle modifications so that the outcome is better. For example:

1. Avoid taking oily and spicy food.Take bland diet rich in fibres and fruits and
vegetables.
2. Avoid Alcohol and smoking.
3. Donot fast and Instead of taking three large meals , have six small meals.
Dont be empty stomach for more than 2 hours.
4. Donot lie down immediately after meals. Also, have your dinner atleast 2
hours before bed time.

Please also practice relaxation techniques like meditation and yoga. Also , keep yourself occupied with work and leisure activities to distract yourself from constant thinking of your problems.

Your doctors have been treating you appropriately so please dont worry. You need to give some time for medications to work.

Hope this answers your query. Don't worry .
Do write back if you have any further doubts.
Get well soon     
Dr.Riyanka

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Brief Answer:
Kindly consult a psychiatrist regarding excessive belching

Detailed Answer:
Hi,
Thank you for writing back to us with queries.

Aerophagia is usually hinting towards mostly anxiety causes. Try and avoid chewing gums . Do breathing exercises - nostril breathing techniques to avoid ingestion of air through mouth.Donot take carbonated drinks.
Also drink good amounts of water as it reduces belching.

The belching mechanism can be monitored using methods like oesophageal electrical impedence/pH monitoring for gastroesophageal reflux monitoring.

If CT abdomen has been done after you developed the symptoms and is normal then even ultrasound will most likely be normal.

Kindly consult a psychiatrist regarding belching as it is a learned behaviour and hence attributed to anxiety and obsessive compulsive disorders and you may need to take treatment based on the findings of the psychiatrist.

Please relax because if you keep getting anxious it will only increase the anxiety and the problems.
Also kindly take walks and do moderate exercise and make sure you dont put on too much weight .

You could try for hypnosis as an alternative and even behavioural treatment by qualified professional psychiatrists/ psychologists.

Food enzymes syrup available over the counter have shown beneficial effects on many people.

Mainly donot isolate yourself from people. Interaction with people and maintaing a social life is very important no matter how your health. It gives alot of moral support.

Hope this answers your query. Don't worry .
Do write back if you have any further doubts.
Get well soon
Dr.Riyanka

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