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Loud belching and burning sensation
Hi Everyone
Just wanted if someone can help or guide me for my below problem.
Endoscopy on 1-Dec-2025
• Lax LES — Hill's Grade 2
• Grade A Esophagitis (took 3 months PPI)
• Corpus & Antral Gastritis
• Duodenum: Normal
✅ H. PYLORI
Detected Dec 2025 → Treated → Stool test March 2026 confirmed Negative
🫀 *UPPER GI SYMPTOMS* (1–2 years history)
After treatment of Hpylori, my symptoms were reduced but not gone . It is reduced by almost 50%. I have taken PPI from 3 months from Dec to Feb end.
Diagnosed: Functional Dyspepsia + Lax LES Grade 2 + Esophageal Hypersensitivity
Below are my symptoms:
• Loud belching — especially on empty stomach (Major Symptoms)
• Burning while burping(Major Symptoms)
• Burning behind left breastbone (sometimes)
• Epigastric burning (sometimes )
• Symptoms worst when stomach is empty — particularly evenings
• Eating food or drinking water relieves symptoms significantly
I don't want to take PPI anymore. Any other solution for this?
Answers (7)
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Next Steps
consult a gastroenterologist
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Kindly consult endocrinologist
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It is reassuring to know that your H. pylori infection was successfully eradicated and confirmed negative by a stool test in March 2026 . However, it is very common to experience persistent symptoms due to your overlapping diagnoses of Functional Dyspepsia, Lax LES, and Esophageal Hypersensitivity . In esophageal hypersensitivity, the nerve endings in your esophagus are overly sensitive, meaning even normal amounts of stomach acid or gas can cause loud belching and significant burning sensations, especially when your stomach is empty
.
Next Steps
Since you have already taken a 3-month course of PPIs and wish to avoid them now, there are highly effective alternative medical strategies available . We can manage this using low-dose visceral neuromodulators (to calm down the hypersensitive nerves), mucosal protectants, or prokinetics instead of traditional PPIs.
Health Tips
Please connect with me directly for an online consultation here so I can safely analyze your entire clinical history, check your previous prescription doses, and design a customized, non-PPI management plan to relieve your burning and belching permanently."
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Bland diet helps
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Kindly do connect and consult
Will help you
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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.