Download FREE Practo app
Get ₹200 HealthCash
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 (10)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+169
kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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..
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Already answered
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Mr. Ashish
General Physician
1 yrs exp
Jind
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
You can consult me with your CBC, iron/ferritin, B12 and FibroScan reports so I can review them together and guide you on the next step.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Mr. Lalan Kumar
General Physician
26 yrs exp
Patna
My diagnosis would be either "Colitis: Amoebic/Bacterial" or "Irritable Bowel Syndrome (IBS)"....to be treated accordingly. A simple Stool Routine & Microscopic exam may help in diagnosis. Should be de-wormed also.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Mohd Asif
General Physician
1 yrs exp
Delhi
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
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.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
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.