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 04/07/2025