Belching Problem..I am takingClozapine& Amisulpride - #11566

Hello Good morning

It’s is GERD Please follow the instructions and medication 1. Avoiding spicy, fried, and acidic foods Reduce stress and get adequate sleep 2. Avoid drugs that can irritate the stomach lining, such as Brufen or Aspirin Don’t skip breakfast, lunch or dinner. 3. Skipping meals causes more acid exposure and irritate stomach lining more. 4. Please avoid smoking and alcohol consumption both of which worsen the stomach irritation 5. Soft bland and easily digestible foods until symptoms subside 6. Have small frequent meals. 7.Have soft Walk post food for 10-15 minutes

Tab rabiprazole 20 mg early morning empty stomach for 2 months

1. Clozapine and amisulpride can slow digestion and worsen reflux, leading to excessive belching and bloating.

2. Avoid carbonated drinks, chewing gum, eating fast, and lying down soon after meals these worsen air swallowing and reflux.

3. Eat small, frequent meals, elevate your head while sleeping, and avoid spicy/oily foods, caffeine, and late night eating.

4. Medications like proton pump inhibitors (PPI, omeprazole) or prokinetics may help but need to be prescribed by your doctor.

5. Since you are on clozapine, any persistent reflux, bloating, or swallowing difficulty must be reviewed by both your psychiatrist and gastroenterologist for safe management.

Hi rishabh, I can see your problem. As my senior has already addressed your problem I would like to add to it. I can see that you are quite frustrated about the burping and the frequency is quite high considering your history of schizophrenia and the medication. I can think of a variety of reasons. Firstly, if you don’t have burning sensation down your throat or in the chest then it isn’t acid reflux it looks like more of psychogenic aerophagia if I consider your history. Secondly it could be due to your medication history of clozapine and amisulpiride these medications may cause similar s/e. Third it can be functional dyspepsia, means it can be behavioural ( don’t think that I’m implying that you’re making it up voluntarily) but we should consider every possibility. If you have been taking rabe+ domperidone for long time then you should stop. If they aren’t heling you. Add some breathing exercises and try taking psychiatry opinion too. As my senior has already mentioned the other precautions do the same and even if your condition doesn’t improve keep a record of all the medical history, the treatment everything and get a full evaluation from an experienced physicians in the field. In a summary I’d say that it looks more of a functional issue than an organic one but should be carefully ruled out. Have a nice day.