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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Problems With Burping. Need Treatment

I have always had problems with burping since being a child. I also feel continually bunged up and nasally with problems swallowing as well, it s not a problem when I eat, but afterwards. I have tried gaviscon and also lansoprazole and omeprazole to no avail, i take avamys nasal spray and use olbas oil etc. My dr referred me to an ENT consultant who made me feel like I had wasted their time. I can t seem to shift this and it wears me down, would this all be connected? iI also have a white tongue sometimes and yellowish mucus in the mornings, I thought it was hayfever a while ago but seems to be with me pretty constantly, the dr thought it was all in the mind and not a physical problem but now I m not sure, can you help me?
Thu, 31 Oct 2013
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

Persistent burping occurs in chronic stomach and intestinal infections; chronic indigestion excessive; growth of harmful bacteria which kill the good bacteria in the intestine; swallowing of air during eating, particularly when eating rapidly without proper chewing; in the presence of anxiety and panic attacks-to name a few.

You have not mentioned anything which points to any of the given causes.

Hence, from the available information, I will suggest that:-

* Have regular meals; eat slowly; chew food properly before swallowing; desist from conversation while eating; avoid gas producing foods, such as, beans, legumes, aerated drinks.

* Take a course of anti-H.pylori therapy in consultation with your treating doctor, along with prokinetic drug, such as metaclopamide or itopride before each meal.

* Add Prokinetic drug such as, Lactobacillus along with liberal amount of curd in your diet.

* If you have chronic anxiety, depression or mental stress, anti-depressants + anti-anxiety drugs will help significantly.

Hopefully, your problems will minimize or even disappear.

Dr. Rakesh Karanwal
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Problems With Burping. Need Treatment

Hi there, Thanks for your query. Persistent burping occurs in chronic stomach and intestinal infections; chronic indigestion excessive; growth of harmful bacteria which kill the good bacteria in the intestine; swallowing of air during eating, particularly when eating rapidly without proper chewing; in the presence of anxiety and panic attacks-to name a few. You have not mentioned anything which points to any of the given causes. Hence, from the available information, I will suggest that:- * Have regular meals; eat slowly; chew food properly before swallowing; desist from conversation while eating; avoid gas producing foods, such as, beans, legumes, aerated drinks. * Take a course of anti-H.pylori therapy in consultation with your treating doctor, along with prokinetic drug, such as metaclopamide or itopride before each meal. * Add Prokinetic drug such as, Lactobacillus along with liberal amount of curd in your diet. * If you have chronic anxiety, depression or mental stress, anti-depressants + anti-anxiety drugs will help significantly. Hopefully, your problems will minimize or even disappear. Dr. Rakesh Karanwal