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Digestion issues
Doctor, I get burps even if I'm drinking water, or eating any small food or anything. All this is happening since a month. I'd get stools daily but 2-3 times or someday constipation. Sometimes a lil cramp at right upper side of abdomen. Idk if it's muscle stretch or strain or what since I was going to gym too for weight loss. I checked my ultrasound it had fatty liver changes grade 1-2 rest was normal, to confirm this I went for fibroscan it showed no fatty liver CAP value was 174 kpa 3.3..I was experiencing hairfall last month more so I tested for my iron, b12 were borderline low. I took iron and b12 supplements and tested after a month, b12 and iron didn't increase. Now my b12 is 155, iron 43 and hb 11.5... I visited my nearby gastroenterologist he just gave me esomeprazole and domperidone tablets, psyllium husk and i dont know why why he gave anti depressant. And started b12 injections. He also checked for celiac disease, the report was negative. What should I do please help
Answers (18)
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Your reports are reassuring - celiac negative, fibroscan shows no significant fatty liver, so this picture is functional dyspepsia with IBS-type bowel habit, which is exactly why the burping comes even with plain water (mostly air swallowing). The low-dose antidepressant your gastroenterologist added is standard practice for gut-brain pain sensitivity, not for depression, so do continue it. Your real gap is iron: iron 43 with Hb 11.5 and hair fall means the oral iron did not absorb, so get ferritin checked and take iron on an empty stomach with vitamin C, never with tea, milk or your esomeprazole - and B12 injections are fine to continue. Eat small frequent meals, no aerated drinks or chewing gum, and keep the psyllium going. Black stools, vomiting, food sticking or unexplained weight loss need an endoscopy without delay. Book a Practo consult with me and we will fix the iron and the gut symptoms together.
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Take syp mucaine gel 5ml every 8hours.
Tab domperidone 10mg every 8hours.
Take oral b12 supplements.
Drink more water and avoid fatty meas.
Get liver function tests done and share results.
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Can be related to reflux or functional gut issues, and the low B12 ,iron and Hb also need proper evaluation.
Please book a consultation with your reports and current medications so we can review the cause and plan the next steps appropriately.
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Your symptoms can fit acid reflux/functional dyspepsia with irregular bowel habits. The low B12, iron and Hb 11.5 also need proper evaluation, especially since they have not improved adequately with supplements.
Next Steps
Continue the treatment prescribed by your gastroenterologist. B12 injections may be appropriate when levels are significantly low. Your iron deficiency should also be assessed for dietary deficiency, menstrual blood loss or gastrointestinal causes.
Health Tips
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Burping after small amount of food or even water often happens when you swallow extra air while eating or drinking....
Simple tips to help
1) Drink water slowly without using a straw
2) Take small bite and Chew your food well
3) Avoid talking while you eat or drink
4) Sit upright for thirty minutes after you eat.
For constipation....
Eat more high fiber foods like fruits, vegetables
Whole grains and plenty of water..
Light walking after eating help your gut move food and gas forward..
Skip chewing gum ...
Investigation
Hb is normal range
Vitamin B12 low....Good already taken the vitamin B12 Injection.. and complete the course of injection..
Liver scan is shown normal..
Fatty liver grade-1 is not an issue..
Celiac disease is Negative...
Tab-Esomeprazole keep taking continue
Contact for more advice..
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Continue taking the esomeprazole and domperidone for the recommended trial period to control acid-related burping and upper abdominal discomfort.
Continue psyllium husk with adequate water to help regulate bowel consistency for both constipation and frequent stools.
Avoid swallowing excess air by eating slowly, avoiding carbonated drinks, chewing gum, or drinking through straws.
Next Steps
Upper GI Endoscopy (EGD): If symptoms (burping, mild right upper quadrant discomfort, poor nutrient absorption) persist, an upper endoscopy with gastric mucosal biopsies can directly evaluate for gastritis, H. pylori, and autoimmune gastritis.
SIBO Breath Test: A lactulose or glucose hydrogen/methane breath test can check for bacterial overgrowth if bloating and bowel irregularities continue.
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Constant burping, irregular stools, and right upper abdominal cramps lasting a month should not be ignored. This pattern can point to several things from acid reflux to gallbladder issues.
Next Steps
See a gastroenterologist and get an abdominal ultrasound done. They can pinpoint the cause and treat it properly rather than you guessing.
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