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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Stop Burping Followed By Vomiting?

I have suffered from time to time since age 5 with rotten egg burps followed by vomiting.I am 44 now and they are getting more frequent I have tried everything from scripts from the dr. to all over the counter cures.What can I do to stop this anything?I can t live like this anymore
Wed, 30 Sep 2020
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General Surgeon 's  Response
Hi,

Noted your short history of rotten egg burps since the age of 5 and you are now 44, tried many things but no relief.
The commonest causes are as follows:
- Partial obstruction at the level of duodenum or jejunum.
- Lax lower esophageal sphincter.
- GERD.
- Any other as may be found out by further evaluation and investigations.
I would advise you the following in such a case:
- Upper GI Endoscopy.
- Barium studies for oesophagus stomach, duodenum and follow through for small intestine.
- CT scan of abdomen to see for annular pancreas and other things.
- Consult a Gastroenterologist and surgical Gastroenterologist for second opinion and further evaluation, examination and investigations.

If the cause is surgical then you may need corrective surgery for say, Hiatus hernia, Lax lower esophageal sphincter, annular pancreas.
Medical management with pro-kinetic like Domperidone or Metoclopramide.
Small frequent meals.
Not to sleep immediately after food.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, ENT & General Surgeon
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How To Stop Burping Followed By Vomiting?

Hi, Noted your short history of rotten egg burps since the age of 5 and you are now 44, tried many things but no relief. The commonest causes are as follows: - Partial obstruction at the level of duodenum or jejunum. - Lax lower esophageal sphincter. - GERD. - Any other as may be found out by further evaluation and investigations. I would advise you the following in such a case: - Upper GI Endoscopy. - Barium studies for oesophagus stomach, duodenum and follow through for small intestine. - CT scan of abdomen to see for annular pancreas and other things. - Consult a Gastroenterologist and surgical Gastroenterologist for second opinion and further evaluation, examination and investigations. If the cause is surgical then you may need corrective surgery for say, Hiatus hernia, Lax lower esophageal sphincter, annular pancreas. Medical management with pro-kinetic like Domperidone or Metoclopramide. Small frequent meals. Not to sleep immediately after food. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, ENT & General Surgeon