### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello, I am 21 years old, 120lbs. and a female.  I  have been having a health problem that I cant seem to get resolved by any of the doctors I have seen. About a year and a half ago, I have been extremely gaseous.  It feels like I have suppressed gas trapped in my chest and I am constantly burping or trying to burp to relieve it.  However, as soon as I do so, the suppress gas returns.  I am gaseous at both ends.  I never had my tonsils out and I also notice that when I get run down, I have swollen lymph nodes in my throat and my voice gets hoarse.  I have been to an ENT doctor and they told me that I do not have a deviated septum even though I sleep with my mouth open.  I also am now seeing a gastroenterologist and they said it is not reflux etc.  Do you think my sinuses are causing me all of my problems?

### output:

His, you said you have had gaseous feeling since one and half years, from what I understand it can be gastritis or acid reflux both of which can be relieved by taking antacids. If I were your treating doctor, I would have suggested you tab. Omez 20 mg or tab. Panto 40 mg once daily on empty stomach. If these doesn't relieve the symptoms, combination of an antacid with McCain gel is better in relieving gastritis. Avoiding spicy foods and having proper meals at regular intervals can greatly decrease the gaseous feeling. Lymph node swelling usually can occur in minor bacterial or viral infections of throat even though there is no septal deviation. Sinusitis (infection of sinuses) also causes lymph nodal swelling sometimes. I would suggest you to get a X-ray of para nasal sinuses which gives a clear picture if the problem is with sinuses. These conditions can be treated with taking antibiotics like amoxicillin 500 mg twice daily when u have episodes of swelling.  I hope my answer helped you in clearing your doubts. Thank you.