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Constant belching
I have functional dyspepsia, hiatal hernia and gastritis. I'm taking acogut 300 and intavon. However, air is getting trapped in between my chest and I'm finding it difficult to burp wherein I am experiencing a constant feeling of it. What to do? Please help it's causing anxiety
Answers (21)
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Hello,
Take balanced diet.
For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399.
Thanks.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Start bland diet
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What you can do:
1. Diet and Lifestyle:
• Avoid carbonated drinks, chewing gum, and fast eating (all increase swallowed air).
• Small, frequent meals.
• Avoid lying down right after meals; keep head elevated while sleeping.
2. Medications:
• You may benefit from a prokinetic like levosulpiride (already in Acogut).
• Consider antacids or PPIs (e.g., pantoprazole) if not already on one.
3. Relaxation and Breathing Exercises:
• Deep diaphragmatic breathing can help reduce air trapping and anxiety.
• Stress increases aerophagia, so relaxation is key.
4. ENT/Gastro Opinion:
• If symptoms persist, ENT evaluation (to check cricopharyngeal spasm) and esophageal manometry may help.
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Trapped air and constant belching may be due to aerophagia linked with anxiety or dyspepsia. Try slow eating, avoid carbonated drinks, and do breathing exercises.
You can reach me.
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Need few more details
Kindly connect.
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Hello,
Quite understandable given the condition, don't worry
Please add GasX extra strength after meals - no more that 4 times a day
Continue other medicines as it is. Acogut 300 and Intavon are appropriate in this condition
Make sure to
1. Eat Smaller, More Frequent Meals
Avoid large meals that increase pressure in the stomach. Eat 5–6 small meals rather than 2–3 large ones.
2. Avoid Trigger Foods and Beverages like
Spicy foods/ Deep fried foods
Citrus fruits and juices
Tomatoes and tomato-based sauces
Chocolate /Caffeine (coffee, tea, soda)
Alcohol /Carbonated drinks
3. Don’t Lie Down After Eating :Wait at least 2–3 hours after meals before lying down or going to bed.
4. Elevate the Head of the Bed by 6 to 8 inches using extra pillow
5. Maintain a Healthy Weight
6. Avoid Tight Clothing :Tight belts or waistbands can increase pressure.
7.Chew Food Thoroughly & Eat Slowly : Helps prevent bloating and reduces air swallowing, which contributes to gas.
8.Limit Late-Night Eating :Avoid food and drinks within 3 hours of bedtime.
9.Reduce Stress : Consider Mindfulness or meditation
Light exercise like yoga or walking
Next Steps
If it still doesn't improve, visit a Gastroenterologist and Reassess the hernia
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Take small frequent meals, avoid excess of tea, coffee, chocolate, spicy ,oily, food.
Take more of fresh green vegetables, fruits.
Keep head end of bed slightly propped up while sleeping.
Consult gastro surgeon for corrective surgery.
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Avoid fried food and spicy food and
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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All doctors gives you lot of suggestions follow as much as possible.
Nexpro RD40 ONE IN EMPTY STOMACH FOR ten days.
Mucain gel 10ml without water nothing by mouth till 30min can be taken 3to 4 times .
LISTEN U HAD LOT OF MEDICAL CONDITION TILL U DON'T CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST NO THERAPY GIVES U PROPER RESULT.
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Understanding What’s Happening:
In your case, the feeling of air trapped in the chest without the ability to burp is likely due to a combination of:
• Gastric dysmotility (from functional dyspepsia)
• Impaired esophageal-gastric coordination (from hiatal hernia)
• Vagal tone hypersensitivity and anxiety, which worsens the awareness of trapped gas
Medications You’re Taking:
• Acogut 300 (Itopride) – Prokinetic; good choice for improving gastric emptying.
• Intavon (Dimethicone + antacids) – Helps reduce gas bubbles and acidity.
These are appropriate, but when belching difficulty becomes a primary concern, you may need specific add-ons or changes.
What You Can Do Now:
1. Short-Term Measures for Immediate Relief:
• Simethicone chewables (Gas-X, Flatuna, etc.) – Breaks down gas bubbles. Safe and helpful.
• Try positional maneuvers:
• Knees-to-chest (lying on back and pulling knees in)
• Lying on left side or in a child’s pose for 10–15 min
• Sitting upright after meals (don’t recline)
2. Dietary Adjustments (Critical):
Avoid:
• Carbonated beverages, chewing gum, and straws (introduce excess air)
• High-FODMAP foods (onions, legumes, cruciferous vegetables)
• Fried/fatty meals (slow gastric emptying)
Eat:
• Frequent, smaller meals
• Slowly and mindfully, to avoid aerophagia (swallowed air)
3. Add-on Medications You Can Discuss with Your Doctor:
• Baclofen (5–10 mg) – Helps with transient lower esophageal sphincter relaxations (TLESRs), especially in hiatal hernia.
• Levosulpiride or Domperidone – May offer better relief than Itopride in some cases.
• Low-dose Amitriptyline (10 mg at night) – If anxiety and visceral hypersensitivity are dominant.
• PPI (if not already on one) – Like Pantoprazole or Esomeprazole, crucial for gastritis/hernia.
4. Manage Anxiety (very important):
• Breathing exercises: 4-7-8 breathing or box breathing helps relax the diaphragm and vagus nerve.
• Mindfulness or guided meditation: Can reduce your perception of bloating and chest pressure.
• Short-term anxiolytics (e.g. etizolam or clonazepam SOS): Only if prescribed and your anxiety is disabling.
Next Steps
Your symptoms are common but very treatable with the right strategy.
• I recommend speaking to your physician about adding simethicone, a trial of baclofen or levosulpiride, and possibly a low-dose TCA if anxiety remains high.
• Long-term lifestyle and dietary control is essential to prevent recurrence.
Health Tips
If you develop:
• Painful or persistent bloating not relieved by gas-passing
• Vomiting, hematemesis, or black stools
• Weight loss or dysphagia
→ Please get re-evaluated promptly.
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for proper evaluation
Kindly consult further
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Himani Gupta
Ear-Nose-Throat (ENT) Specialist
8 yrs exp
Guwahati
Tab Rabeprazole with domeperidone 1 tab OD BBF
Syp mucaine gel 1 tsf TDS 20 min before meals
Tab Ganaton 50 mg tds before meals
Tab tryptomer 10 mg 1 tab Hs
Do this course for 1 week
Next Steps
Get done Surgery consultation for Hiatus hernia
Rest of the treatment I have given… because hiatal hernia causes regurgitation and dyspepsia
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Dr. Aswin Raj T V
General Physician
3 yrs exp
Thiruvananthapuram
Have your meals at correct time. And avoid carbonated drinks, spicy foods. Kindly connect if not getting better
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Dr. Shruti Goswami
General Physician
12 yrs exp
Pune
Pls connect
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Dr. Thresia Pereira
General Physician
37 yrs exp
Mumbai
Avoid spicy food
Consult available now
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Dr. Jyothi
General Physician
3 yrs exp
Visakhapatnam
Problem is difficult to burp ,and was taking medicine for gastritis.
Once go for chest x-ray PA view and ECG for further evaluation
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Gastritis.
Avoid spicy foods.
Avoid coffee and tea in empty stomach.
Use more of curd and butter milk.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.