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Why do I have severe gas and belching despite treatment?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a severe gas problem, but no pain. I also have belching with reduced taste and appetite. I have been prescribed Vino 20, Itorax, and Cizaspa-X, all twice daily. Now my stomach feels hungry all the time, and I also feel very drowsy. Should I stop Cizaspa-X?

Kindly advise.

Answered by Dr. Ashraf Ghani

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I am sorry this is causing discomfort. Severe gas, belching, reduced appetite, and constant stomach discomfort can be very frustrating, especially when the medicines themselves may also be causing new symptoms.

A constant sensation of hunger and drowsiness can sometimes occur with medications used to treat stomach motility or abdominal spasms. Cizaspa-X (a combination drug of Mebeverine 135 mg and Chlordiazepoxide 5 mg) may cause drowsiness, dizziness, or dry mouth in some people. Itopride is used to improve stomach motility and can occasionally alter hunger sensations or digestion patterns. Vonoprazan is generally used to reduce acidity.

However, prescribed medication should not be stopped abruptly without consulting the doctor who evaluated the condition, especially since this combination may have been prescribed for gastritis, acidity, functional dyspepsia, or gas-related stomach irritation.

Since unusual sleepiness and changes in symptoms have developed after starting treatment, it would be reasonable to contact the prescribing doctor to ask whether Cizaspa-X should be reduced, replaced, or discontinued. In the meantime, smaller frequent meals, avoiding oily or spicy foods, reducing tea, coffee, and carbonated drinks, and avoiding lying down immediately after eating may help.

If vomiting, black stools, significant weight loss, severe abdominal pain, persistent loss of appetite, or worsening weakness develop, prompt medical review is important because these symptoms may require further evaluation.

I hope this is clear, and if you have any questions at any time, please feel free to ask

Thank you.

Medically reviewed by iCliniq medical review team
Published At June 15, 2026
Reviewed At June 15, 2026

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

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