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What Could Cause Belching?
i have a belching problem that when i get an attack could last 1 hr. to 8hr. or more have used over past 20 years prilosec,nexium, prevacid, aciphex is the latest some help have been scoped etc help . read a article about gambapentin and proton pump inhibitors
Tue, 6 Jun 2017
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
Belching attacks for 1 to 8 hours for the past 20 years and tried with Prilosec, Nexium, Prevacid, Aciphex; endoscopy was done but reports have not been mentioned by you indicate that further clinical evaluation and investigations are required.
Belching indicates that the lower esophageal sphincter is lax.
I would advise you the following in such a situation.
• Get a proper opinion of a gastroenterologist.
• Upper GI endoscopy.
• Contrast enhanced CT scan of the whole abdomen to find out whether there is any intestinal obstruction.
• Barium swallow test.
About the articles you have read about Gabapentin and proton pump inhibitors. You have already tried the medicines under the PPI category. Gabapentin may help but needs your doctor's prescription.
What you need is Domperidone as a motility regulator and treatment of the causative factors. Also, needed is the treatment of the stress and anxiety that may be one of the instigating or enhancing factors.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant
I have reviewed your query and here is my advice.
Belching attacks for 1 to 8 hours for the past 20 years and tried with Prilosec, Nexium, Prevacid, Aciphex; endoscopy was done but reports have not been mentioned by you indicate that further clinical evaluation and investigations are required.
Belching indicates that the lower esophageal sphincter is lax.
I would advise you the following in such a situation.
• Get a proper opinion of a gastroenterologist.
• Upper GI endoscopy.
• Contrast enhanced CT scan of the whole abdomen to find out whether there is any intestinal obstruction.
• Barium swallow test.
About the articles you have read about Gabapentin and proton pump inhibitors. You have already tried the medicines under the PPI category. Gabapentin may help but needs your doctor's prescription.
What you need is Domperidone as a motility regulator and treatment of the causative factors. Also, needed is the treatment of the stress and anxiety that may be one of the instigating or enhancing factors.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant
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