Brief Answer:
Reflex disorder most likely.

Detailed Answer:
Hello,
Thank you for choosing HealthcareMagic for your query.
I am a Gastroenteriologist and would be answering your query.
Have gone through your query in detail and i appreciate your concerns.
Hi,

Most likely your symptoms are because of Gatro esophageal reflux disease (GERD),It is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe . The backwash irritates the lining of your esophagus and causes, heart burn,chest pain and intense burning sensation t.Both acid reflux and heart burn are a part of GERD.
Advice
Ask your gastroenterologist to start you on pantroprazole or esomeprazole, Pantoprazole can be used in dosage as high as 40 mg twice daily ,Ash him/her to add Domepridome 30mg slow release once daily,This will slow down the reflux of acid back and would provide symptomatic relief.An antacid containing local anaesthetic could be added to drug regimen.
Acotiamide is a new drug and is very effective in controlling symptoms of GERD and esophagitis. In trials- Acotiamide,a gastrointestinal motility modulator,at a standard dose of 100 mg thrice daily has significantly affected esophageal motor functions or gastroesophageal reflux in healthy adults.
All these drugs can be considered by your gastroentrologist to provide you with symptomatic relief.

Apart from medicines few other life style changes are adviced-
- Increase XXXXXXX warm water intake
- Do not drink water during and after meals
- Eat small meals (rich in fiber),Avoid spicy,oily and heavy meals.
- Eat plentiful "fresh oranges" and "pear "
- Drink COLD milk and and AVOID junk food.
- avoid beverages / alcohol/ soft drinks
- do some exercise early in the morning
- avoid carbonated drinks

Tests suggested are-
Endoscopy- To visualise esophagus and stomach and to rule out possibility of ulcers.
Now lets move on to burping problem-
Excessive burping is suggestive of improper digestion of food.Our gut consists of thousands of bacteria and yeast termed as microbiota of gut.This microflora plays a very important role in proper digestion of food.These bacterias and yeast are responsible for proper digestion and fermentation of food. However in patients having GERD this good flora is depleted hence food is not properly fermented leading to production of excessive amount of gases.This gas formed can leave intestine either as burp or fart.

For burping apart from medications of GERD follow-
Avoid-
Dairy products, which contain sugar lactose that causes gas.
Vegetables, including onions, radishes, cabbage, celery, carrots, brussel sprouts, broccoli, cauliflower and legumes.
Fruit sugar, which is especially high in prunes, raisins, bananas, apples, apricots and fruit juices from prunes, grapes and apples
Fiber.
Fatty foods and carbonated drinks.

Try Eating more fermented foods. These are rich in both good bacteria and enzymes you can try raw natto kefir or cultured veggies. This is probably one of the most important first steps.
Take a high-quality probiotic.
Take external enzyme supplements.
Exercising, to help keep food moving through your system.
Using spices that may help to prevent flatulence. These include turmeric, coriander, peppermint, fennel, sage, chamomile and ginger.
Finally, when you reintroduce a food that was previously a gas-causing food, be sure you do so slowly. This will give your body a chance to adapt to the adjustment.

Hope i answered your query in details.
In case you have more doubts feel free to ask.

Thanks.

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