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What Do Persistent Burps And Loss Of Appetite Indicate?

Posted on Thu, 18 Aug 2016

Question: I am getting 30 to 40 burps daily with a loud voice from last one & half years. Also I don't feel hungry most of the time. What is the cause of such burps & what treatment should i pursue.

Answered by Dr. Munish Sood (1 hour later)

Brief Answer:
symptom wise approach

Detailed Answer:
Dear
Thanks for contacting Ayurveda with your health concern and before prescribing the management & treatment aspect do let me know of below mentioned cause (if any) of excess burping in you like:

A.
. Are you a mouth breather?
. do you eat & drink in haste?
. any anxiety issues (resulting in open mouth breathing)?
. habit of regularly chewing something (gum, tobacco)?
. any denture problem?
. excess use of antacids, beer, carbonated drinks (colas,soda)

B.
Any associated risk factor like:
. Are you obese?
. Any addiction (smoking)?
. Thyroid & blood sugar profile?
. Any digestive tract problem (opinion of Gastroenterologist) to exclude hiatus hernia, H.pylori infection,gastroparesis, lactose intolerance, biliary stasis,bacteril overgrowth?

C.
Do revert back with your concerns so that ideal management for you is prescribed.

Dr. Munish Sood
Consultant Physician
Naimittika

direct online link: bit.ly/drmunishsood

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Munish Sood (19 hours later)

Thanks for replying. I feel some obstruction in nostrils while breathing especially in night & in cold weather. I snore & i think i might be breathing in night through mouth. I don't eat & drink in haste. As such no anxiety issues. No habbit of continuously chewing tobacco or gum. I do have some dental issues, my dentist says I have place for only 28 teeth while I am having 32 teeth. Also have some cavities & sensitivity issues in teeth. I don't take alcohol or carbonated drinks but sometimes i use antacids like digene or valoz-d for acidity. I am not obese nor do i smoke. No thyroid , BP & Sugar issues. A year back i consulted Gastroenterologist for the burps but no relief, he gave some medications. One thing i would want you to know is that I am taking Levipil 250mg once after dinner as prescribed by my neurologist. I am on this medicine for past few years & now I am normal. Levipil will be stopped by November 2016. I am yet to go for any test related to burps

Answered by Dr. Munish Sood (1 hour later)

Brief Answer:
further assistance

Detailed Answer:
Dear
Thanks for reverting back and if problem is persisting, ask for

1.
. Stool examination ( for amoebiasis, giardiasis, tapeworms etc.)
. Hb% for anemia.
. Ultrasonography: gall bladder
. Sigmoidpscopy & Gastroscopy (take second opinion of other Gastroenterologist)

2.
Avoid: oily foods,aerated drinks,overeating, onion,peas,bean,dals.
Avoid swallowing of air (sipping tea, chewing gum,aerated drinks)
Eat slowly.Avoid haste. Chew properly and avoid overeating and close the mouth while belching.

3.
. Triyodashang gugullu: 2
Lavanbhaskar churan: 1gm
Lashunadi vati: 2.... with warm water (after meals) twice daily.

. Abhyarishta /Kaumaryassav: 20 ml after meals at bed time.

. Tablet Gasex: 2 thrice daily half and hour aftet meals.

. Tablet Stressan/brahmi vati/mentat: 2 at bed time.

PS.
i. Levipil (levetiracetam) can be given as monotherapy for partial seizures with or without secondary generaliston and dyspepsia is one of the side effect If drug

ii. Have gone through your reports and found notjing sifnificant.

iii. Consult a Gastroenterologist who will provide you with relevant investigations for the cause of burps.

Dr.Munish
Naimittika

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Above answer was peer-reviewed by : Dr. Priyanka G Raj