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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Constant Burping And Dry Heaves

I have constant burping and dry heeves throughout the day. It usually quits be later afternoon and doesnot bother me at night. I also feel nauseas all day . I' been to my internal medicine doctor.He put me on Nexium Did not wok Alo did a sonogram to rule any thing else out. Also a H-pylori blood test which came back fine Any ideas?
Wed, 1 Feb 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted your history of constant burping and dry heaves throughout the day, usually quits after noon, and does not bother in the night, feels nausea throughout the day, on Nexium but did not work. Ultrasound and H. pylori tests are negative.
Such a problem can occur due to the GERD.
I would advise the following in such a patient:
Zantac 12 hourly.
Pepcid every 3 to 4 hours when on empty stomach.
Add Domperidone or such motility regulators.
Soft bland diet.
No aerated colas / soda/ drinks.
Early dinner. No late nights.
Treatment for anxiety (as prescribed / needs a prescription by your Doctor)
Lying in a reclining position
Walk around after dinner.
Think of the factors which increased the present problem, GERD, anxiety and avoid all such factor strictly.
No smoking/drinking, if you are doing.
It is also observed that there are so many other things like incense sticks - that is agarbatti, dhoopbatti, scents, scented things of any sort, Deodorants and such factors do not allow one to get alright- your observation will help you to find out all such factors which should be avoided at any cost.
If no relief, get Upper GI endoscopy done and get prescription for added Medicines.
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Suggest Treatment For Constant Burping And Dry Heaves

Hi. Thanks for your query. Noted your history of constant burping and dry heaves throughout the day, usually quits after noon, and does not bother in the night, feels nausea throughout the day, on Nexium but did not work. Ultrasound and H. pylori tests are negative. Such a problem can occur due to the GERD. I would advise the following in such a patient: Zantac 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Domperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ drinks. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor) Lying in a reclining position Walk around after dinner. Think of the factors which increased the present problem, GERD, anxiety and avoid all such factor strictly. No smoking/drinking, if you are doing. It is also observed that there are so many other things like incense sticks - that is agarbatti, dhoopbatti, scents, scented things of any sort, Deodorants and such factors do not allow one to get alright- your observation will help you to find out all such factors which should be avoided at any cost. If no relief, get Upper GI endoscopy done and get prescription for added Medicines.