I'm really struggling with a mouth ulcer that's been bothering me for a week now and the pain's becoming unbearable. I first tried smily cream for a couple of days but it didn't help at all. Then a friend gave me some kenacort gel and I've been using that for a couple of days along with taking a B complex capsule. Just today, an MBBS friend of mine suggested I try pantop 40 and BBiotic capsule, plus apply zytee gel. I started this new treatment tonight, on the 15th of September. Is there anything else you would recommend? I've never had an ulcer last this long, usually it gets better within a day or two. The pain's really affecting my ability to eat and now my stomach's been off too. I'm just wondering if there's a better way to tackle this.

Dr Chandra P

General Practitioner

• MBBS
• 5+ Yrs

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Excessive Belching (Burping)_ 1. _Swallowing air_: Gulping down food, drinking carbonated beverages, or eating too quickly can lead to swallowing air, which contributes to belching. 2. _Digestive issues_: Conditions like gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), or small intestine bacterial overgrowth (SIBO) can cause excessive belching. 3. _Food intolerance_: Lactose intolerance, gluten sensitivity, or fructose malabsorption can lead to belching, bloating, and discomfort. 4. _Hormonal changes_: Hormonal fluctuations during menopause, pregnancy, or thyroid disorders can affect digestion and lead to belching. _Stomach Protrusion (Protruding Abdomen)_ 1. _Visceral fat accumulation_: Excess fat around the abdominal organs can cause the stomach to protrude. 2. _Muscle weakness_: Weak abdominal muscles can contribute to a protruding abdomen. 3. _Digestive issues_: Conditions like ascites, hernias, or intestinal obstruction can cause abdominal swelling. _Recommendations_ 1. _Consult a gastroenterologist_: Schedule an appointment to discuss your symptoms and determine the underlying cause. 2. _Dietary changes_: Avoid trigger foods, eat smaller meals, and incorporate low-FODMAP foods to alleviate digestive discomfort. 3. _Probiotics and digestive enzymes_: Consider adding probiotics and digestive enzymes to support gut health and digestion. 4. _Exercise and physical activity_: Engage in regular exercise, such as core strengthening and aerobic activities, to improve overall health and reduce visceral fat. 5. _Manage stress_: Practice stress-reducing techniques like meditation, yoga, or deep breathing exercises to help alleviate digestive issues.

Answered 20 days ago