Belching Problem..I am takingClozapine& Amisulpride

Question #11566

50 days ago

198

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

Rishabh

Burping belching bloating & reflux of acid into esophagus Please tell what to do... I am tired of doing belching day & night. It occurs every twice in a minute. I am also suffering with schizophrenia & taking Clozapine & Amisulpride at night.

Age: 32

Chronic illnesses: Treatment resistant Schizophrenia

Stomach

300 INR (~3.53 USD)

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Dr. Pradeep Reddy V

I am a medical doctor with more than eleven years of practice, and in that time I had the chance to work across many different areas of medicine. Some days it was fast moving emergency department shifts, where decisions had to be taken in seconds, and on other days it was quiet long term follow ups with patients who needed steady monitoring and ongoing care. What keeps me steady is the balance—clear, safe, evidence based treatment but at the same time making sure the patient feels heard, that their questions are answered without hiding behind jargon. Many times I spend those extra few minutes explaining in simple words, because understanding brings confidence and better healing. Over the years I’ve become very comfortable taking detailed medical histories, doing full clinical examinations, and building treatment plans that are both practical and sustainable. My focus is always on what fits into the life of the person infront of me, not just what looks good on paper. During the pandemic this mindset mattered even more. Working frontline in the ED, I was responsible for identifying, investigating, admitting and managing COVID-19 patients. WHO protocols gave structure, but each case was different and needed adjustments. I also managed daily rounds in isolation wards, checking progress and keeping the team safe. That time was difficult, the system stretched, but it taught me adaptability and sharpened my decision making. My strongest areas are internal medicine and emergency care, especially emergency resuscitation where every second can be critical. I am confident with using latest diagnostic tools and modern equipment not only for accuracy in diagnosis but also for interventions that improve outcomes. Preventive care is also important for me—I try to encourage patients to build healthier choices bit by bit, rather than overwhelming them with big changes. At the core, I see a patient as whole, not just as a disease or diagnosis. Some days are harder than others, mistakes happen, pressure builds, but medicine for me is not about perfection—it is about patience, consistency and being present when someone needs help the most.

50 days ago

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

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Rishabh

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49 days ago

Hello Doctor,
Actually I am Doing a lot of Belching, a some kind of birps which is accompanied by the air every thrice in a minute.no acid but it is continuous every thrice a minute. I am suffering from Schizophrenia & I am taking Amisulpride & Clozapine at night.may be when I am stressed, the birps frequency goes higher upto 6 in a minute which looks aucward. You can think of my situation…6 belch in a minute…
Please provide me with valuable feedback …as I have taken rabraprazole & domperidone tablets for a 2 weeks/ 1 strip of it. .if u say to continue for 2 months I will do it surely if u say…

Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

46 days ago

Frequent burping, bloating, and acid reflux can be worsened by medications like Clozapine, which slow stomach emptying and increase gas. You should consult your psychiatrist and a gastroenterologist before starting any treatment, as they can adjust medications or prescribe safe acid-reducing therapies. In the meantime, eat small, frequent meals, avoid carbonated drinks, spicy/fatty foods, and try to stay upright after eating.

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Dr. Abhishek Gill

I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.

45 days ago

Hello,
Belching can be treated by these precautions and antacids.
1. Capsule PAN 40mg once daily for 10-15days
2. Syrup Mucaine 2tsp once daily for 5 days
3. Avoid spicy and oily foods.
If symptoms are not relieved, then have in-person consultation with the doctor to look out for other causes.
take care

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Dr. Perambalur Ayyadurai Rohith

I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.

49 days ago

Clozapine and amisulpride can slow digestion and worsen reflux, leading to excessive belching and bloating.
Avoid carbonated drinks, chewing gum, eating fast, and lying down soon after meals these worsen air swallowing and reflux.
Eat small, frequent meals, elevate your head while sleeping, and avoid spicy/oily foods, caffeine, and late night eating.
Medications like proton pump inhibitors (PPI, omeprazole) or prokinetics may help but need to be prescribed by your doctor.
Since you are on clozapine, any persistent reflux, bloating, or swallowing difficulty must be reviewed by both your psychiatrist and gastroenterologist for safe management.

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Dr. Divyansh Kumawat

I am a medical graduate and I completed my degree from a reputable institution where I also went through the mandatory one year rotatory internship that exposed me to almost every dept of clinical medicine. Those months were long and some days felt never ending but I got real hands on experiance in OPDs, wards, even emergency and minor procedures. What stayed with me is not only the knowledge of disease but the way patients look at their own illness. I learnt early that treating just a symptom or single diagnosis isnt enough, the real challenge is to see the patient as a whole, to understand how their lifestyle, family, stress, small daily habits all play into recovery. Sometimes the answer is simple treatment, sometimes it is a mix of counselling, preventive steps and medicine. I still carry that approach in my daily practice. When I sit with a patient I try not to rush, I want to hear the small details, the part they think unimportant. Because often those parts give the clue. I focus on holistic patient care, where general medicine overlaps with preventive health, lifestyle modification and long term well-being. The internship also gave me confidence to work under pressure, managing routine as well as complex cases. From inserting IV lines, catheters, assisting in deliveries, handling inpatient records, or stabilizing a patient in distress – each experience taught me something about both science and responsibility. My training also shaped how I communicate. I prefer using simple words, no heavy jargon, so patients and families can actually feel safe and understand what is happening. I don’t claim to know all the answers but I always try to look deeper and give care that is both rational and empathetic. For me the goal is not just to fix a lab value or acute problem, but to help patients feel they are being seen and treated as a person. That’s what keeps me grounded in medicine and also keeps me learning everyday.

49 days ago

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.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

48 days ago

Hello dear
Please be aware
See it seems deeper gastric issue with chances of gerd or ibs
I suggest you to please get in person consultation with gastroenterologist or general physician for further details
Please take any medications only after recommendation from concerned physician
Regards

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

48 days ago

Your gastric symptoms are likely due to GERD and possible delayed gastric emptying aggravated by Clozapine/Amisulpride. You should get GI evaluation + H. pylori testing, start acid suppression (Pantoprazole) and anti-gas agents, and review your psychiatric medications with your doctor to avoid worsening reflux.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

26 days ago

Belching and bloating can be quite uncomfortable and are often related to gastrointestinal disturbances. Considering your current medications, it’s possible that these symptoms could be a side effect. Clozapine and Amisulpride can influence gut motility and acid production, which might be contributing to these issues. It would help to first talk with the healthcare provider managing your psychiatric care about this side effect to explore possible adjustments or alternatives, if necessary. On the lifestyle side, there are a few strategies you might try to manage these symptoms. Eating smaller, more frequent meals instead of large ones could reduce the burden on your stomach, and avoiding carbonated beverages may help minimize gas production. Chewing food slowly and thoroughly might also help, as this can reduce swallowed air. Try to avoid lying down immediately after eating, as this can worsen reflux. Elevating the head of your bed slightly might help keep stomach acid from rising into your esophagus while you sleep. Antacids could offer temporary relief of acid-related discomfort, but they should not be overused without consulting a healthcare provider. If these measures don’t provide relief or if you notice symptoms like significant weight loss, vomiting, or if this impacts your ability to eat, it could indicate a more serious condition needing medical attention like an endoscopy. Always follow-up with your doctor for a comprehensive evaluation, which might include checking for gastritis, a hiatus hernia, or other gastrointestinal conditions, as sometimes these underlying issues could be the root cause, needing their specific treatments.

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

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