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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Vomiting And Belching. Endoscopy, Ultrasound, Colonoscopy Normal. Prescribed With Nortriptyline. Have SIBO

Hello, After one night of vomitting 7 times, I began belching after everything I swallow. They are not huge belches, they only release air. It can be water, a taste of something like an almond , a snack, or a meal. I also belch when I get up in the morning and sometimes when I bend over, but rarely inbetween meals. There is no pain. This has continued for 5 months and it has not changed or skipped a swallowing event even once. I have had blood tests, a colonscopy, endoscopy , abdomen ultrasound, and successful treatment for SIBO. Everything is normal. My first gastroenterologist gave up and now my second one wants me to stick a pencil in my mouth (which also did not help) and prescribe a small dose of Nortriptyline , of which I am leary due to the side effects. Do you think something mechanical happened to the esophagus , diaphram, or stomach muscles when I had the original vomitting incident? It seems like my doctors think it is in my head. The latter one thinks I burp on purpose. I have never had anything like this before the vomitting incident. I also have a naturopath treating me for SIBO and leaky gut syndrome, but she has not done any tests for it. Any thoughts would be greatly appreciated. Thank you.
Wed, 17 Apr 2019
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General Surgeon 's  Response
Hi,

Possible alterations in gut flora or enzyme mechanics, where a majority of the tests and findings would be turning out normal parameters.

The thorough approach would be of multiple level management as
- dietary care to avoid dairy fat and spices
- antiemetic, probiotic, motility-related agents as prokinetics
- avoidance of stress, anxiety
- regular sound sleep
- avoid over eating
- regular walking and exercies
- control of body weight.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suffering From Vomiting And Belching. Endoscopy, Ultrasound, Colonoscopy Normal. Prescribed With Nortriptyline. Have SIBO

Hi, Possible alterations in gut flora or enzyme mechanics, where a majority of the tests and findings would be turning out normal parameters. The thorough approach would be of multiple level management as - dietary care to avoid dairy fat and spices - antiemetic, probiotic, motility-related agents as prokinetics - avoidance of stress, anxiety - regular sound sleep - avoid over eating - regular walking and exercies - control of body weight. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon