Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

134 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for gas and constant burping

Answered by
Dr.
Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3551 Questions

default
Posted on Tue, 26 Aug 2014 in General Health
Question: Hi,
My father XXXX aged 69yrs is a high pressure and sugar patient.Last one and half year he is consistently suffering from gas which ends up in burp all the time. So we consulted general physician but the doctor referred to nephrologists (as problems found related potassium,sodium,creatinine etc).Last one year we are consulting nephrologists and psychiatrist (for anxiety) .But the situation remains the same and burp still continues which results in loss of appitite.
Please suggest
doctor
Answered by Dr. Suresh Heijebu 1 hour later
Brief Answer:
Delayed stomach emptying

Detailed Answer:
HI,SIR

I have carefully read your query, gone through all your attached reports and understand your concern.

The unresolved symptoms of long term gastric complaints of bloating and loss of appetite ,in my opinion point towards "diabetic gastroparesis",which is an autonomic nervous system dysfunction syndrome.

This is quite common complication in long term diabetic patients.

Treatment includes tab metocloperamide twice a day.

Include high fiber in the diet.

Finish dinner by 8 pm.

maintain adequate hydration.

All this is enough..

i hope this info is useful to you.
consult an expert gastroenterologist for further assistance.
thank you

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Suresh Heijebu 12 hours later
Do i stop consulting with nephrologist and stop the medicine prescribed by him or the kindney is also not in healthy condition according to the reports given by me and therefore the medicine are very necessary to keep the kindney in action. Nephrologist doctor has stictly mentioned not to give any fruit or fruit juice to the patient then for maintaining adequate hydration, does drinking water would be helpful what do you suggest.kindly suggest me some high fiber containing food.
doctor
Answered by Dr. Suresh Heijebu 2 hours later
Brief Answer:
Keep in touch with nephrologist always

Detailed Answer:
Hi,

You should keep consulting your family nephrologist,as his prescribed medications are absolutely necessary,to your father,since he is a known patient of CKD-chronic kidney disease.

Yes fruit juices should not be given to CKD patients,as they cause potassium overload.Orange juice can occasionaly be given

Give Oatmeal for breakfast
This should only be source for dietary fiber,rest of all fiber foods should be avoided.

You can give him ample amount of drinking water.

Key messages to your father:

1.avoid large meals,and eat atleast 5 small meals a day.

2.cut down high fat foods.

3.liquid foods in the form of "shakes" are very good.

4.start your day with pureed foods and liquids.

5.chew food well.

6.on days ,if symptoms are severe,rest the stomach,take only liquid foods.

7.sit up while eating and one hour after finishing.

8.keep blood sugar under strict control.consult your doc if its >200mg/dl.

9.check your weight twice a week.

10.if weight is decreasing ,increase consumption of liquid diets in the form of milk shakes,popsicles and gelatin.

if you loose weight weight more than 5kgs unintentionally,report to your doctor.

I hope this info is helpful to you.
post your further queries on http://bit.ly/drsureshheijebu
Thank you.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Topics ,  

Recent questions on  Creatinine

doctor1 MD

I am doing a patient dianose for school and my file says the patientis 37, 70inches tall weighs 169.The pateint complant is she feels she can t stop. i think it is the thyroid hermone being over active is causing the problem. urine sample reads 41 glucose, 59 NA+, 3 HCO3-, 25 K+, 448 Urea, 67 Cl-, 60 creatinine. Osmolarity 279. am i right or could there be another cause

doctor1 MD

Dear Sir, My dad (60 yrs) is suffering from Anklosing Spondylitis for 25 years, and have been using Microcid 25 mg ( 2 tab ) in morning & 2 tab in night ( 100 mg per day ) for 25 yrs. Recently for the last 2 years, we added K-Link product ( K-Artis ) to reduce his pain. Now, we have found that his kidney is shrunk and urea ( 40) , creatinine (1.4) value is in border . 1.Will the renal failure is due to microcid? 2. Can we try using microcid for one week to check if urea & Sr. Creatinine increases or is stable? Please advice

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here...

                                        My father Mr. Paresh nath Pal, 69 years old having major kidney failure, wanted to know about what are the ways or alternatives.

I am providing details about him till now.

He has Hyper Tension , Diabetes for near about last 20 years. Pacemaker have been implanted on 2006 because of low pulse rate.

According to his recent report on 8th april:

Blood pressure- 124\75

Blood sugar- fasting92\pp141

Blood urea-104

Blood creatinine-3.90

potassium 4.8

hemoglobin-9

doctor1 MD

Dear Sir,

My mother has been suffering from Kidney disease. She never had any problem with BP or Blood Sugar but he has been declared to have bilateral renal parenchyma disease since 2005.

She is taking a calculated diet limiting the salt content in the food to 3 gm/day. The recent blood test conducted (2 months back) has reported bad results and the details are listed below:-

Creatinine - 7.5

Hemoglobin - 8.1

Blood Sugar (Fasting) 88 mg/DL

Urea - 150

Sodium - 131

Potassium - 4.2



What should be the next step? Is kidney transplantation the only choice? When/where should it be done? Is it getting very worse or we still have some time to go for the transplantation?

Please help.

Thanks, Kunal



                                                  

doctor1 MD

Im a 70 year old stage two diabetic. I woke up in the night with dry heaves...I just went to the store and fell faint and nauseated. I rested for 30 minutes and felt a lot better. I home now and concerned ! I had low blood presure. Now its 128...

doctor1 MD

I feel completely dumb I can't concentrate I can't think straight I feel like I can't function has the time even though I am I'm having memory loss I sometimes blackout for a Split Second I had an MRI month ago and it showed nothing same with the...

doctor1 MD

Sir, I am 59 years with no sugar and blood pressure problem . During routine yearly blood test , my Amylase and Lipase tests showed elevated levels. Amylase level showed MORE THAN 1000 in Thyrocare lab and 3661 IN XXXXXXX HOSPITAL LAB, BENGALURU....