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Suggest treatment for nausea and severe belching

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Posted on Thu, 2 Feb 2017
Question: nausea followed by deep belching and sometimes so severe, vomiting after.
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Answered by Dr. Bonnie Berger-Durnbaugh (7 minutes later)
Brief Answer:
Questions so that I can help:

Detailed Answer:
Hello XXXXXXX

When did this start/how many days have you had this?

Any diarrhea, sore throat or other symptoms?

How often is this happening?

Does it happen all day, or at certain times of the day?

Are you otherwise well? Do you take any medications for any health problems?

I'll write back after I hear from you - thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (47 minutes later)
It started about 4 years ago and it happens a few times a month. The nausea followed by deep, deep belching last very briefly and sometimes so severe I will vomit. There are no other symptoms and it occurs randomly. I am on no medications. Thank you, Christy.
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Answered by Dr. Bonnie Berger-Durnbaugh (32 minutes later)
Brief Answer:
Thoughts on what might be going on.

Detailed Answer:
When people feel nauseated, especially prior to vomiting, they sometimes swallow more air (this is not under conscious control). This would explain the deep belching. But the initial cause of your nausea is not clear.

I've experienced this same set of symptoms from motion sickness, which can be a cause, or from sore throats that cause increased swallowing of air.

Other possibilities include stomach irritation, drinking alcohol, intense stress, problems with the gall bladder (although gall bladder symptoms usually happen in relation to eating), and allergies to particular foods. There are other causes for nausea too, but given the history you provided I don't think they would apply.

As you are 46, I'm wondering about any kind of hormonal changes (perimenopause) which might be contributing to this, but this is lower on my list as you have had it for 4 years.

If there is some sort of stomach irritation going on, you can try ranitidine (Zantac) 150 mg twice a day and see if it helps prevent the problem. Stomach irritation or reflux would be higher on my list of what might be causing this. Also, hiatal hernia might cause this. Reaching/stretching and lifting can make a hiatal hernia act up.

So - without being able to examine you, these are my thoughts on what might be going on. I hope it helps.










Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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Suggest treatment for nausea and severe belching

Brief Answer: Questions so that I can help: Detailed Answer: Hello XXXXXXX When did this start/how many days have you had this? Any diarrhea, sore throat or other symptoms? How often is this happening? Does it happen all day, or at certain times of the day? Are you otherwise well? Do you take any medications for any health problems? I'll write back after I hear from you - thanks.