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What Causes Nausea Along With Belching?

Posted on Tue, 17 Feb 2015

Question: I previously took Omeprozale for acid reflux for 6 to 8 years. About 2 years ago I developed nausea and severe belching. I tried 9 different prescriptions and found some relief with 40 mg Nexium and 10mg of Baclofen, but always had breakthrough symptoms. I had a scope of my stomach which my doctor said showed no problems. I have again developed constant nausea and some belching which begins every morning shortly after I get up and brush my teeth. I have stopped the Nexium because the nausea would start right after taking it. I do not have a gallbladder. The only time I do not have the nausea is when I have eaten a full meal. I've tried small, frequent, high protein meals, elevating the head of the bed, not eating in the evening, avoiding fatty foods. Is there any hope?

Answered by Dr. Dr Samir Patil (6 hours later)

Brief Answer:
Add domperidone. if no relief pH studies

Detailed Answer:
Hello,
I have gone through the description you have provided. You are most likely suffering from Non erosive GERD.
You need to continue Nexium. in case you have nausea with nexium. I would advise to reduce the dose of nexium to 20 mg and add a prokinetic medication like domperidone which should help you with your nausea.
In case your symptoms persist then the next step would be to get a pH study with impedance manometry to asses the reflux and the types of reflux so further treatment can be planned

Hope this helps
Do get back in case you have further queries
Regards
Dr Samir Patil

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Above answer was peer-reviewed by : Dr. Shanthi.E