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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Foul Smell In Gullet?

I am experiencing a foul fishy/rotten egg smell that comes out of the gullet every now and then. Its like gas emanating without a burp. I have never had and do not have bad breath. This smelly gas is really bad and continues to come out usually for a few minutes and then subsides. I do not have any bad breath after that. Currently I am on hormone treatment for dysfunctional uterine bleeding and am taking meprate 10mg (twice daily) and cabgolin (1 per week). My thyroid levels for which I take thyroid medicine are normal currently. Could the medicines be causing this? And if not what could be possible reasons or this and suggested remedy?
Mon, 22 Sep 2014
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General Surgeon,  's  Response
HI.
The causes of foul smell u the gullet are :
Achalasia Cardia.
GERD occasionally.
I would advise you to undergo:
Upper GI Endoscopy.
Bariun studies for esophagus, stomach.
The treatment is :
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 try to avoid.
If no relief, get Upper GI endoscopy done and get prescription for added Medicines.
EKG for the heart n a safer side to rule out cardiac problems.
This helps all my patients and should help you hopefully.
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What Causes Foul Smell In Gullet?

HI. The causes of foul smell u the gullet are : Achalasia Cardia. GERD occasionally. I would advise you to undergo: Upper GI Endoscopy. Bariun studies for esophagus, stomach. The treatment is : 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 try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you hopefully.