 
                            What Causes Burping And Flatulence?
 
 
                                    
                                     Thu, 23 Oct 2014
                                                
                                            
                                                Answered on
                                                
                                                Thu, 23 Oct 2014
                                                
                                            
                                                Answered on
                                             
                                             Mon, 10 Nov 2014
                                                
                                                
                                                Last reviewed on
                                                
                                                Mon, 10 Nov 2014
                                                
                                                
                                                Last reviewed on
                                             
                                            dyspepsia and GERD
Detailed Answer:
Hello and Welcome
I appreciate your concern.
GERD symptoms most likely .
I would empirically recommend a two week course of a
course of A PPI like Esomeprazole and a prokinetic
like metoclopramide or itopride to see for improvement,
If symptoms persist then an endoscopy and 24 hour ph monitoring should be indicated in consult with your doctor.
Diet changes would be required and are quite simple that you need to make. Do not complicate them by following complex regimens. Take 5 small meals a day consisting mainly of low carbohydrates , high fiber and low fat ingredients. Participate in 30 minutes of exercise twice daily. Avoid cola, caffeine, ice cream and over processed food as much as you can. Avoid eating after 9 PM at night. Keep a diet diary to record your daily routine for it to make a habit to see how you respond and what progress you make along the way.
Let me know if you have any query
wishing you best of health
Thanks
 
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