Q. Can you tell the reason for crampy stomach and belching when the scope tests are clear?
Hi doctor,
I am in my early 60s. For the last three months, after dinner, I feel indigestion for 2 hours and have a crampy stomach with lots of belchings. Because of this, I am not on regular food. Earlier, I had a few issues, but that was manageable and not so intense. Now, even when not taking food, I get belching and wake up in the middle of night. I had gallbladder removal around 20 years back. When I visited a doctor, he advised for endoscopy and colonoscopy. Both the results were good. Why then the cramp and belching did not go off? Incidentally, I had a reducible right groin inguinal hernia before three months. I feel very anxious with my heath problem. Can you tell the reason for crampy stomach and belching when the scope tests are clear?
Hello,
Welcome to icliniq.com.
I can understand your concern for your symptoms.
- Having normal endoscopy reports does not eliminate other small intestine related causes for indigestion.
- Constipation itself cause heartburn and belching related to incomplete evacuation due to slow intestinal movement. The treatment of constipation correct this problem.
- Sometimes inflammation in the small intestine due to irritation or food allergy to a particular food can cause indigestion related symptoms and occasionally diarrhea. Neither colonoscopy nor upper GI endoscopy able to access the small intestine.
- Having the habit of smoking since a long time and the symptoms of belching with occasional diarrhea may require to rule out pancreatitis, and thus you might require CT scan of the abdomen with contrast.
- To relieve symptoms, you can take intestinal digestive enzyme supplements (to promote digestion) and antispasmodic medication (to control pain).
- It is recommended to undergo further tests to identify the cause of these symptoms and so appropriate treatment can be started.
For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist
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