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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Burping Every Morning?

Hi doctor,
My mom starts burping every morning when she gets up.we got her endoscopy ,blood tests done.Doctor suspects that she is allergic to gluten ,it came in her blood tests too.her ttg was about 61 .but in endoscopy nothing came.she has lost 15 kg weight in one year.we all are clueless.please help.
Fri, 31 Mar 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted your history and understood your concerns about you Mother.
Burping in the morning in an elderly person with a normal upper GI Endoscopy can be due to stress and /or anxiety.
Gluten allergy can cause many other problems and the burping will be anytime, not only in the morning phenomenon.
Loosing 15 kg in one year is a big concern and should be fully investigated for.
I would advise her the following:
CT scan of the whole abdomen with double contrast to see whether there is any distal obstruction in the intestines.
Psychoanalysis if all the reports are normal.
Barium swallow to see whether there is an early stage of Achalasia Cardia.
Change in diet can help but not really sure about it with the history you have provided.
Get an opinion of a Gastroenterologist for clinical evaluation and investigations to get a proper diagnosis and get her treated accordingly.
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What Causes Burping Every Morning?

Hi. Thanks for your query. Noted your history and understood your concerns about you Mother. Burping in the morning in an elderly person with a normal upper GI Endoscopy can be due to stress and /or anxiety. Gluten allergy can cause many other problems and the burping will be anytime, not only in the morning phenomenon. Loosing 15 kg in one year is a big concern and should be fully investigated for. I would advise her the following: CT scan of the whole abdomen with double contrast to see whether there is any distal obstruction in the intestines. Psychoanalysis if all the reports are normal. Barium swallow to see whether there is an early stage of Achalasia Cardia. Change in diet can help but not really sure about it with the history you have provided. Get an opinion of a Gastroenterologist for clinical evaluation and investigations to get a proper diagnosis and get her treated accordingly.