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What to do for supragastric belching that occurs every minute while on schizophrenia medications?
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Digestive Health
Question #29728
45 days ago
112

What to do for supragastric belching that occurs every minute while on schizophrenia medications? - #29728

Rishabh

Supragastric Belching or repetitive movment of Throat Hello I am patient of treatment resistant schizophrenia.taking Amisulpride 200 mg & clozapine 25mg . I am suffering from belching problem which happens every 10 times a minute. I went to gasterologist he gave me antacid named dexlansoprozole,Cinitapride,Dulexotine & Herperidol. But saw no change after eating medicines.Then he suggested me to go psychiatrist he suggested me with proponolol hydrochloride. But still there no change in belching Please help

How long have you been experiencing the belching problem?:

- More than 6 months

How would you describe the severity of your belching?:

- Very severe — unbearable

Does anything seem to trigger the belching?:

- Stress or anxiety

Have you noticed any other symptoms accompanying the belching?:

- No other symptoms

How is your appetite and digestion overall?:

- Occasional bloating or gas

What is your current stress level like?:

- High — very stressed

Have you tried any lifestyle changes to relieve the belching?:

- Dietary changes
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Doctors' responses

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.
44 days ago
5

Hello dear Yes it seems to be due to current medication Basically they inhibit the medulla oblongata which controls movement of bolus It causes Hiccups Vomiting Irritation Nausea You can take any of following medication Ondestron Domperidome Baclofen Please consult the concerned physician only for better clarity Regards

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Supragastric belching can be quite bothersome, especially when it overlaps with the complexities of schizophrenia, and the medication you’re taking might complicate things a bit. First, let’s consider that supragastric belching is mostly a behavioral issue, often related to air swallowing or upper GI dysfunction, than one linked to gastric acid or your stomach itself. The meds you’re on might affect this indirectly, possibly by affecting neural pathways or gastrointestinal motility, especially given how medications like clozapine and amisulpride interact with your body. Given that the standard approaches like antacids and prokinetic agents didn’t seem to work, and considering you’re already in touch with a gastroenterologist and psychiatrist, there may be alternative strategies to explore. Behavioral therapy like speech therapy or cognitive-behavioral therapy can help retrain diaphragmatic breathing patterns and reduce air swallowing. Some find that focusing on diaphragmatic breathing techniques or engaging in relaxation exercises can help, as it reduces the involuntary swallowing of air that might be contributing to the belching. Concurrently, exploring any possible stress or anxiety triggers and managing those through therapy or suitable adjustments in your psychiatric medication could indirectly mitigate the belching. Though challenging, working closely with your psychiatrist to ensure the psychotropic medications are optimized for your psychiatric needs while monitoring any side effects is crucial as adjustments here might alleviate the secondary issues like belching. If self-management techniques and therapy don’t help, pursuing specialized clinics with focus on gastrointestinal motility disorders or reaching out to a neurologist could be beneficial avenues. They might explore any less obvious neurological or neuromuscular contributions to the behavior and suggest alternative therapeutic strategies or adjust medication. Given the persistent nature of your belching, documenting all occurrences as accurately as possible – noting what makes it better or worse – could also provide valuable insights for further consultations.

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