instruction: hello doctor I have been suffering from gas for the past three years I have bloating after meals for about 15 minutes after which it passes away I can eat normally but some times I feel bloated and cannot eat I keep burping like once in 20 minutes is that normal and also bloating increases when I have anxiety I am taking sompraz esomeprazole 40 my and levosulpiride 75 my once in an empty stomach daily whenever I try to leave the medicine I have gas and acidity on the second day I also take alcohol like 90 my regularly for three years there is no pain or anything but only burping and bloating I wonder is it just anxiety or something serious I am also very much afraid to visit a doctor least they prescribe endoscopy I am feet inches tall and weighs 78 keg I had an ultrasound about one and a half years ago and it was normal please suggest
output: hello well the burping while having meals or just after the meals is a normal phenomenon and I assure you it is not alarming in your case however it may cause trouble if gas trapped excessively and result in belly swelling the reason behind this excessive bloating in your case may be aerophagia engulfing air while taking meals that commonly occur in one who keeps speaking while having bolus can be due to supragastric belching and may be due to excessive gas production after meals the last group of people in medical science are termed as bloater some are early floaters where bloating occurs within 15 minutes of meal and some are late floaters where bloating occurs after two hours of meal this whole explanation is just to make you understand your own condition well you seem to be late bloater and cause seems to be excessive gas production plus aerophagia I want you to take a three week course of antibiotics to reduce the excessive gas production within your bowel the antibiotic is safe without any side effects except in some may cause diarrhea of mild intensity silo small intestinal bacterial overgrowth tablet rifxamin 200 my thrice daily for three weeks and then stop tablet digestive metaclopramide 40 my half an hour before meals for one week and then as per need you can stop sompraz as tab digestive will work in more effective way than this