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Get your stomach in order
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April 10, 2007

Part IPlagued by tummy upsets? Read this

How does one tackle an inconsistent bowel and gas?


Gastroenterologist Dr Jose Filipe Alvares says the best thing to do is avoid milk, cheese, milk sweets, chappatis, and chana. "Providac 1-0-1 for a month, and Normaxin 1-1-1 and Prothoidine (25 mg) after dinner will help ease the symptoms," says the good doctor.


Dr Jose Filipe Alvares answered these and other related questions during a chat on March 29.


For those who missed the chat, here's the transcript.



johnbook asked, Dr Jose, in fact, i would like to help patients of IBS / colitis with specific information about urine therapy, and if they can benefit from it, nothing will make me happier. As you are aware, Allopathy is very poor in control of such chronic digestive diseases, and the side effects of drugs/medicines/steroids are worse than the disease. Let me know what you think, and we could interact on email.

Dr Jose Filipe Alvares answers, I would not recommend it.


ajay1958 asked, Hi Doctor, Bitter taste in the mouth and dryness with upset stocmach. What should I do?
Dr Jose Filipe Alvares answers, Take Pantocid-DSR 1-0-0 before breakfast for a month. Use a pillow while sleeping.



vikram_kt asked, Sir i generally eat at home but still i have slight pain and gestric always and this problem is severe in summers
Dr Jose Filipe Alvares answers, Get an ultrasound of the abdomen done. Start on Pantodac (40 mg) 1-0-0 before breakfast for a month.

amiitg asked, hi doctor,i suffer frm loose motion almost every month and have to take ofloxamin for temp bowel conditions are not regular too.I do sleep late at night and have atleast 6 meals outside out of 14 in a week. Please help.
gastroenterologist Dr Jose Filipe Alvares answers, Start eating home made food. Get a thyroid function test and a stool routine test done. Meanwhile, start on Providac 1-0-1 and MEVA-SR 1-0-1 for a month. Deworm with Zentel (400 mg) 1 stat and Secnidazole (2 gm) stat.


987654321 asked, i have some problem in stomach Ultrasound,Blood test all test has carried by doctor but no result almost once a year i have pain for 1 hour than i ahve temp after that some uneasyness for 5 to 6 days in stomach than no problrm
Dr Jose Filipe Alvares answers, For abdominal pain, take Pantodac (40 mg) 1-0-0 and Meva-SR 1-0-1 before meals. I don't understand what you mean by temp. Is it fever? If so, it may require further investigation.



vinay asked, hello sir i am suffering from acidity from past couple of years,always i feel bitter taste in tongue..when it is peak i wil get headache and it wont go for two days..i shown it to homepathi doctor but he told it wil take 1 month ther any permanet remeady in alopathy?
Dr Jose Filipe Alvares answers, Unfortunately, there is no permanent medication. You could try taking Pantocid-DSR 1-0-0 before breakfast for two to three weeks. Kindly note that this will not take care of the headaches.



hitesh123 asked, Doctor, I have been doing exercise in some form or other for last 2 yrs but I have been irregular.. I do it for 2 months then quit for 3 months like that.. I find that my tummy has increased from 30 to 35 in last 2 yrs and I am a regular drinker also. Could u suggest something..
Dr Jose Filipe Alvares answers, Stop and be regular with exercises.



navendugoswmai asked, My amoebic infection reccur frequently and I suffer from pain in stomach.
Dr Jose Filipe Alvares answers, I don't believe it is an amoebic infection. You may be suffering from an Irritable Bowel Syndrome. Get the following tests done -- ESR, stool routine microscopy and HB (Haemoglobin). Meanwhile, you could start on Normaxin 1-1-1, a tablespoon of Cremadiet mixed with water after dinner and Pantodac (40 mg) 1-0-0 before breakfast.


parul asked, during the past three months i hav had severe stomach infections.i was given antibiotics but the pain has not subsided times i feel the abdominal pain which leads to loose motions!i cannot digest food now as i used to do before!
Dr Jose Filipe Alvares answers, You probably have an Irritable Bowel Syndrome. Kindly start on Normaxin 1-1-1 before meals, Providac 1-0-1 and Pantodac (40 mg) 1-0-0. I do hope the following tests -- HB, peripheral smear, ESR, USG abdomen, stool routine, thyroid function tests -- are all normal. Avoid milk and milk based products other than curds for the time being.



umapathy asked, My wife undergone colonoscopy and found having ulcerative colitics in Sep 2006. She had Medrol,Mesacol,folvite,Shelcal,polybion for 2 months. Then started Imuran instead of mesacol. As she had 'Chikungunya' fever the treatment was given for that. Since the ulcertaive colitics got aggrevated again in January 2007, based on Gastoenterologist suggest, she had wysolome 60 mg per day and slowly withdrawn in last month. Now she is taking 600 mg Mesacol and Folinz 40 mg per day. But frequently she is suffering from loose motion, gastric problem. Milk foods and high fibre content foods are totaly avoding. please let me know permanent cure and how to proceed towards to achieve this. we are struggling. 
Dr Jose Filipe Alvares answers, Permanent cure is Colectomy, which is not advisable, except in severe or refractory cases. The way to avoid relapses is to avoid getting infections. There is no Mesacol dose of 600 mg; it is available either in 400 mg or 800 mg doses. The steroids will be tapered and then stopped. If she tolerates it, the doctor will continue only with the Mesacol. Dose of folic acid is 5 mg and not 40 mg. She has to avoid milk and milk-based products for the time being. She can also add Providac 1-0-1 to her medication. She can try yoga to relieve stress.



BSV asked, I am a victim of acidity and heartburn. does the water intake any thing to do with this?
Dr Jose Filipe Alvares answers, No.

RN asked, Stomach fills with the gas in evenings and in early mornings
Dr Jose Filipe Alvares answers, Avoid milk, cheese, chappatis, grams and butter. Try Pantocid-DSR 1-0-0 before breakfast and MEVA-SR 1-0-1, Providac 1-0 and Itokine (50 mg) 1-0-1 before meals for a month.



adtomar asked, Hello Sir, I am having a weak liver which results in constipation and indigestion .Normally I ahve un-digested particles in my stool. Please suggest me what practice should I follow to avoid such problem.
Dr Jose Filipe Alvares answers, Avoid milk and milk-based products like cheese and butter, sweets and deep fried foods. Take a tablespoon of Cremadiet mixed with water after dinner and Pantocid-DSR 1-0-0 before breakfast for a month.


astro23 asked, hi sir. i get a lot of acid reflux after food. had got that test done where u put a pipe inside the stomach. it showed everythin normal. took a lot of medicines too. i tried EVERYTHING possible like controlling my food habbits, not sleeping after food for a couple of hours etc. but nothing seems to cure or suppress the reflux. what do i do? thanks.. 
Dr Jose Filipe Alvares answers, Use two pillows while sleeping and don't sleep immediately after eating. Avoid citric and very spicy food, chocolates, smoking and alcohol. You can take HAPPI-D 1-0-0 before breakfast for a month.



ksash asked, I often get mouth ulcers accompanied by indigestion, and running nose. Please suggest remedy to this problem 
Dr Jose Filipe Alvares answers, I hope they are benign and not due to Crohn's disease or Celiac disease. Get a stool routine microscopy, HB, ESR and Tissue Transglutaminase Antibodies (TTG) tests done. Meanwhile you can start on Providac 1-0-1 for a month, Zentel (400 mg) 1 stat and Seczol (two gm) stat. Apply Zytee to your mouth and take a multivitamin. Also try to avoid stress.



ajay1958 asked, Hi Doctor, I have a constant dry mouth with a bitter taste. I take tablets like panparozole but they do not seem to have any effect.
Dr Jose Filipe Alvares answers, Instead of plain Pantoprazole, use Pantocid-DSR 1-0-0 and GI-tune SR 1-0-0 before breakfast.



Hari asked, Hi doctor: I am a bachelor and 28, and most of the time . I et outside and regular including non veg etc. I have inconsisted bowel and gas etc. I really need help. Tell me what is the best diet for people like me should have . what should be avoided and what should be taken. Lot of people say curd is good for digetsion ..please clarify..
Dr Jose Filipe Alvares answers, Curd is good. Avoid milk, cheese, milk sweets, chappatis, and chana. Take Providac 1-0-1 for a month, and Normaxin 1-1-1 and prothoidine (25 mg) after dinner.



amey asked, Dear Doctor, I am Amey I am 48 years old with a problem that i have to fart atleast 40 t0 50 imes a day suggest remedy
Dr Jose Filipe Alvares answers, Avoid milk and milk-based products Take Providac 1-0-1, MEVA-SR 1-0-1 and Folvite (5 mg) 1-0-0 for a month. Take a stat dose of Zentel (400 mg) and Seczol (two gm) stat.


nitz asked, hello doc, i am 30 yrs old..i hv a prob that digestion is quite weak and i cannot take hot food and freshly prepared food..and my stomach remains upset..and i am not able to clear stomach in one time and eaily.
Dr Jose Filipe Alvares answers, Take Pantocid-DSR 1-0-0 before breakfast for a month.



Panchali14 asked, After taking antibitoics for a throat problem I developed severe gastritis. I underwent gastroscopy which conformed that I did not have any ulceration and also H.Pylori test was negative. I have been taking Ompeprazol 40mg for nearly two months now. Thins have improved but cure is not 100%. I feel discomfort in the night or more towards dawn.I am unable to stay in an empty stomach for long.Is this problem not curable? Do I have to be careful with my diet?
Dr Jose Filipe Alvares answers, Rather than taking Omez, you can take a lighter medication like Gelusil (2 teaspoons) 2-2-2 and MEVA-SR 1-0-1 before meals.



Amir asked, I had acidity problem. I took homeopathy to cure this problem and last 4 Years I didn't face any problem. But from few days the problem again started. I feel acidity when I eat curry made of dal. Often I feel very much hungry after 1-2 hour of taking food. I feel some thing is burning in my stomach and had tremendous heart burn. Also I have gasses problem and kidny stone problem. How to cure all this. How to reduce heart burn. Please help Doctor
Dr Jose Filipe Alvares answers, Happi-D 1-0-0 before breafast, MEVA -- SR 1-0-1 and Itokine (50 mg) 1-0-1 all for a month. Avoid milk and milk-based products, dal, chana and chappatis. Consult a urologist for the kidney stones..



jyothi asked, is it safe to eat apple empty stomach in the morning. Also is it safe to have warm water?
Dr Jose Filipe Alvares answers, Yes.


Part IPlagued by tummy upsets? Read this

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