Hi. Thanks for your query. Noted the history and understood the concerns. Blood pressure pill and Paxil may need to be taken if blood pressure is not under control. Feeling of burp without actual incidence of burping indicate that you may have one of the following: Stress and anxiety. Gastritis and GERD like problems. Aerophagia causing stomach to fill up with air causing the need to burp. This can be diagnosed by a clinical evaluation by your Doctor, and get a referral for a Gastroenterologist for further evaluation and investigations like Upper GI Endoscopy, Barium studies and so on to get an additional management as needed. Take small frequent meals of soft and bland diet. Avoid stress and anxiety and if needed change the lifestyle to suit you the best.