Unlike ordinary sulfur burps, gastroparesis often involves: Severe, persistent, or worsening burping that doesnt improve over weeks Nausea and vomiting, particularly after meals A feeling of extreme fullness, even after eating very small amounts Abdominal pain or pressure Unintended weight loss beyond expected levels Inability to tolerate food or liquids (Source: Medscape) If you experience any of these symptoms, reach out to your provider as soon as possible
Their role in the management of patients with ESKD on maintenance dialysis and after kidney transplantation, while less evidence-based, is also discussed
And then if you add the extra burden of prior authorization you know, the paperwork required, dealing with insurance companies many of them may want to get involved but stay away from it completely because it's just beyond their bandwidth to take care of it
However, its essential to note that these responses can be highly individualized, with some patients tolerating higher doses without significant reflux issues
While the rotten egg smell is unpleasant, it is a sign that the medication is doing its job by slowing down your stomach to keep you full