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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Belching And Food Regurgitation?

I have been belching a lot and have GERD. The sudden belching after meals and sort of regurg. has started after 2 weeks missed doses of my Nexium. Have been back on Nexium about 1 and a half weeks. Still feels like I have a mucus plug at the top of my esophaugus. What do you think?
Tue, 26 Aug 2014
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General & Family Physician,  's  Response
Hello dear,

GERD is caused due to excess acid formation in stomach & relaxation of the sphincter at the lower part of esophagus.
Medical management consists of intake of Proton pump inhibitors like Esomeprazole (Nexium) which prevent acid formation in stomach.
Since you have missed the doses of Nexium for 2 weeks, there is a recurrence of symptoms.
So, kindly continue the medication as advised.

Additional management involves:
1. Intake of Domperidone preparations which strengthens the sphincter & prevents reflux.
2. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.
3. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.

If symptoms still persist, it will be better to consult your treating Doctor/ Gastroenterologist.
Investigation like Ultrasound scan of abdomen & Upper GI endoscopy will be helpful in clinching the diagnosis.

Wish you a good health.
Take care.
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What Causes Belching And Food Regurgitation?

Hello dear, GERD is caused due to excess acid formation in stomach & relaxation of the sphincter at the lower part of esophagus. Medical management consists of intake of Proton pump inhibitors like Esomeprazole (Nexium) which prevent acid formation in stomach. Since you have missed the doses of Nexium for 2 weeks, there is a recurrence of symptoms. So, kindly continue the medication as advised. Additional management involves: 1. Intake of Domperidone preparations which strengthens the sphincter & prevents reflux. 2. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised. 3. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. If symptoms still persist, it will be better to consult your treating Doctor/ Gastroenterologist. Investigation like Ultrasound scan of abdomen & Upper GI endoscopy will be helpful in clinching the diagnosis. Wish you a good health. Take care.