I have IBS and a hiatus hernia , for which I take Ozmaparol , I get the usual problems , diahorrea , constipation and the awful gut pain ! But also awful burping , this is quite debilitating , apart from being embarrassing ! I am getting to the point where I feel so exhausted with this constant pain and discomfort !! Has anyone else experienced this and if so , what medication do they take
Thankyou
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Riponian
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Hi Riponian, I can absolutely relate to the burping. Please get tested for SIBO (small intestinal bacterial overgrowth). This is what I finally, after 3 years, tested positive for. One of the main symptoms is constant burping! Good luck - I hope you get some answers.
I saw a private dietitian, specialising in gut issues. (she's both NHS and private healthcare). I ordered a test through Invivo and then she interpreted the results. I've also been seeing a gastro which she recommended.
Mine is methane dominant. Unfortunately, I'm still on my healing journey. I've just done 2 weeks of an antibiotic called Rifaximin, but it has barely touched it...
Please be aware that SIBO breath tests are not accurate. Plus you may only have SIBO if you have one of the set list of causes and the cause would need treating, otherwise it would keep coming back. Please avoid anyone outside of the medical profession (such as nutritional therapists) when discussing the possibility of this, better with your GP/gastro. A whole industry has been set up around this - they will rob you and not make you any better.
Here is the list of causes which can be discussed with a medical professional:
Stasis: dysmotility – problems with muscle contraction in the gastrointestinal tract
Surgery (loops, vagotomy, bariatric)
Short Bowel Syndrome
Stuck open ileocecal valve (which sits between the small and large intestine) allowing bacteria from the large intestine to flow back into the small intestine
Achlorhydria – no stomach acid – unlikely if you can experience acid reflux. Additionally a faecal elastase test would show if you aren’t breaking down proteins correctly (which require stomach acid for digestion)
Hypochlohydria – low stomach acid – see above – the only real test is a PH test directly into your stomach, but many practices do not carry this out and home testing is inaccurate
PPIs – proton pump inhibitors for GERD/acid reflux – this is particularly related to long term use
Malnutrition – excess bacteria in the small intestine can compete for nutrients that your body needs
Collagen vascular disease – immune system inflammation e.g. arthritis
Immune deficiency
Advancing Age
Chronic Pancreatitis – this causes constant abdominal pain/fatty stools
Chronic antibiotic use
IgA Deficiency – identified from GP blood tests
Coeliac Disease – identified from GP blood tests
Crohn’s Disease – identified through GP tests and colonoscopy if GP tests indicate referral is needed
NASH – non alcoholic fatty liver disease –identified from GP blood tests
I have read up about the test and understand that GPs don’t do it , it will have to be the Gastroenterologist !! But I will have a word with my GP !! Thankyou for your message
thanks Star , I have omaprazole and it doesn’t make a bit of difference ! So it’s going to be back to the GP !!
You could try A.Vogel’s Centaurium which is herbal drops taken in water or other liquid and which helps strengthen the sphincter at the top of the stomach and helps rebalance stomach acid. The main problem with poi-to reduce stomach acid is to prevent food from starting to be broken down prior to digestion which in turn causes problems further down the tract!
Hi, I had this and it turned out to be SIBO. My Gastro prescribed a four week course of an antibiotic called Rifaximin which unlike most antibiotics is v slow to digest so sits in the digestive tract for longer where it can kill the bacteria there. It was not a complete cure but my symptoms - especially the burping - were drastically reduced. I once spent a day counting over 1500 burps!
The other thing that has helped me has been a probiotic called Symprove. Again, in my case it seems to be about killing off bad bacteria in my small intestine and repopulating the gut with good bacteria. These have reduced but not eliminated my sypmtoms.
Thankyou so much , Iwas getting so depressed with this horrible thing ! Did you get your SIBO test through your GP ?? I have been reading about it and it said GPs dont do it , needs to be a gastroenterologist
Yes only gastro's can do it and prescribe the antibiotics I think. I was waiting for so long on the NHS that I arranged a private test and showed them the results via email and then an in-person appointment. I have heard of some gastros who will prescribe the antibiotic course without a test to see if it helps but in York Hospital they prefer to see test results if I recall correctly (it was a few years ago now).
Good luck! In the meantime you could try probiotics. There are plenty of threads on this forum of ones people have had success with. I tried some with no luck but then third time lucky as Symprove has helped me. Probiotics can be effective against SIBO (if you do have that) but also can help reinforce a healthy digestive system. If you do decide to try them I'd recommend starting with a small dose as they can have side effects for the first week or so as your system adjusts to the beneficial bacteria.
I’m thinking of sending for the private test , did you find yours online ? I already take Probio7 from Holland and Barrett , but can’t see any improvement !
I went to Smart Nutrition for a test - all arranged on-line, no consultation needed.
In my experience it's worth trying a different formulation if the Probio7 does not work for you. It was my third probiotic brand/strain that worked for me. Also, it can take weeks to see a difference. With Symprove for the first 1-2 weeks I felt worse but after about 8 weeks I started to feel better and better. It should say on your bottle when you can expect to see results. It's often 4-8 weeks but sometimes can be as much as 12 weeks.
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