<s>[INST] hello. hopefully you can help..ive had extreme gas, burping& flatulence , daily for almost 2yrs.It starts with bad pains in my back,around back shoulder blade and then a few sec.s or minutes , i relieve it by letting out gassy air.im on tecta once daily and take gas x .. no relief!!i try changing diet and no milk but it keeps persisting.like ... even now.!!why so much back pain ...then followed by gas?? [/INST] Hello. Thanks for writing to us. The pain in the back is usually associated with gas and indigestion. You need to do some dietary modifications and avoid having foods causing gas. Taking few drops of peppermint oil will also help in expelling the gas and reducing the discomfort. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com </s>