Gastroenterologist, Gastroenterology Journal

Question: dear doctor. I have a terrible problem – every evening I begin abdominal pain, severe swelling, about three hours start to depart gases. 5 years ago after the poisoning was diagnosed with Gastritis, acidity rather high. Once propisanymi treated with drugs, then with exacerbations has gastal, mezim or smectic. Feeding often in suhomyatku, but fatty, fried and very spicy not drink, carbonated beverages, cabbage, too. I tried to eat differently – and porridges and soups, the result is the same – pain and swelling in the evening. Sometimes accept Espumizan, but it helps only once. I am 25 years old, have problems with a large overweight, do sports, weight control and restrict in food. Counsel me please how to get rid of my problems as the review board, may be on drink course of a drug, often stomach aches from all the food, it does not bother me only if you do not have. . Thanks

Answer: You do not contraindicated limotherapy. Sulgin try to take 5 days to 2 tons to 4 times a day.

Question: help me, please! I am 29 years old. Several years ago I started having problems with the intestines. The hospital did not go, took place all by itself. But now so acute, no strength. Nagging pain in the abdomen as if it pulls strongly, especially at night (in gynecology everything is OK). Then began not in great pain right abdomen, pressing the elastic, as if stuffed intestine. Chair 1 every 2-3 days, sometimes constipation. Appeared patches on the tongue, feeling scalded tip of the tongue. Continues almost a month at a time abdominal pain subside, but very concerned about the tongue (embossed, overlaid bloom and feeling scalded tip). Such deterioration occur in the autumn-winter period. If you can, help, how can I be? What can it be? Which doctor should I go? What to take a medication and whether you need to adhere to any diet. Best regards, Marina.

Answer: Use a rectal suppository of belladonna and sucking tablets Sebidin. They stimulate the bowels: black bread, raw vegetables, fruits, dried fruits (prunes, dried apricots, dried apricots), white bread, bran, beans, crisp cooked buckwheat, barley, oat groats, meat with lots of wires (connective tissue), pickles, marinades, beer, kvas, fat, cream, cream, kefir, yogurt, candies, organic coffee.

Question: I have a problem – occasionally stomach ache, 4 times a year, winter, spring, summer and autumn. It hurts just below the navel in the center, aching pain about 2-3 days. And on day 2 is usually the hardest, even sleep hard. As a child, put the diagnosis dysbacteriosis, maybe it is associated with it? What?

Answer: The reasons are unknown, treatment is not developed:)

Question: For more than 2 months. is alternating constipation and diarrhea. In the early going a week without any pain, only a few times was a little blood, I was at the doctor, thinking am used. hemorrhoids but the doctor said no what gemoroya no. Now is the alternation of almost every 2 days with severe cramps in the lower. part of the exit gases. Please advise what to do and that because of illness. Thanks

Answer: Start with candles (rectal suppository) with herb and dietary http://doktor. ru/qa/14941/qa. html? id = 60159.

Question: I'm 48 years old, name is Galina. Doctors just can not make a diagnosis, but a symptom of my all clear, gastrointestinal reflux disease. The fact is that in 1983, I removed the gall, and now I understand it all because of this. Voobshchem runs it all this: the dryness and bitterness in the mouth, pain in the intestines and stomach, then constipation is diarrhea, weight in the gut. She has recently Donperedon, proksium, mukogen-of these drugs started something awful, intolerance of drugs. I stopped taking them. Now I want to try Pariet. Tell me what you could advise me. Thank you very much!

Answer: Try pariet, no harm. Condition can be called postcholecystectomical syndrome.

Question: It began, as I realized later, about two and a half months ago – at first not very drawn attention, was the feeling of movement in the stomach + weight + unhealthy desire to go to the toilet (which ended (there, in the toilet ) mostly loud waste gases) – 1-2-3 times a week, at the end of the day in the evening. Then it became sometimes accompanied by a rumbling – slightly, rhythmic sounds, if left to right. when it became impossible to ignore, I decided that it was from eating too much and started to eat less and substitute yogurt dinner – the gravity has passed, but at some point – about a month ago – rumble (different nature, different volume, frequency, height) and movement (twitch, twitch large, the feeling of reaching the bubbles and stuff) (+ morning and evening, were to continue throughout the day and night – there were days when it was better, the symptoms lasted for, say, 2-3 hours closer to the morning, then break, then 2 -3 hours in the late afternoon, from two weeks ago, the nature of that – the morning after waking up colossal waste gases without sound and without the odor (smell, strangely enough, never was), but a lot, then hike to the toilet – like a chair not very liquid or solid or some more morbid, but still not quite normal and is accompanied by abnormal sensations, and then until bedtime – the above symptoms, the desire to go to the toilet or anything ending a pea. in the morning all over again. at the end of last of the week – Saturday – decided in the morning nothing has been better eaten in the evening – did not become worse, the next day as well. on Monday decided to go on a diet of oatmeal – felt good, I thought everything will go. then decided to heighten the effect go to the biological (and not from the supermarket – I live in Holland in September), oatmeal and a cup of soothing drops – say is that it is nervous – as a result (and maybe not because of) the next day was just horrible, a lot of fabulous sounds and sensations. went back to oatmeal for microwave and feel, with varying success but oschem bad so far. yesterday bought the local media Deflatine, which contains 25 mg simethicone per tablet (taken 1-2 2-3 times a day). this content is less than espumizane? the first day I took Max. dose after the first time all over, but after the second and the third started again, albeit slightly. the same today. before any problems with the bowel was not, although the latter two years, felt at times gravity (although it could eat nothing, I did eat a little something that I have here called overeating – it is, by my standards). I'm sorry for the long description, please please more detail, and then even then I did not really consult who – help emigration wave of the thirty-fifth (!).. SA, 21.

Answer: question frequently (http://doktor. ru/qa/15430/qa. html? id = 83802). Must actively engage in physical exercise. Delete at the time completely Gaseous products. Can 5 days poprinimat intestinal antiseptic nevsasyvayuschiysya (type ftalazol / sulgina). In espumizane 40 mg simethicone, and in sub simplex as much as 70 mg / ml. P. S. For us, you – not immigrants, and immigrants Then – commandments. Grumbling stomach. He can give a lot of unpleasant surprises everyone knows: the way to a man's heart is through his stomach. Yes, and a woman, and a business partner markedly dobreyut after a good dinner or lunch. But the successes achieved by cardiac stomach can be reduced to nothing if you do not follow certain rules. What surprises should be expected from the gastrointestinal tract? Gas attack Bloating due to the increased formation of gas in the intestines called doctors flatulence. In meteorites is a disorder does not have the slightest relation – cause of "space" disease are looking for is not in orbit, and in itself. Swelled up like a balloon after eating? Keep a food diary and notes in its products, causing a "revolution" in the gut. This reaction is very individual. One is enough for a cup of milk or a glass of grape juice, others do not suffer from flatulence, even after the kasha with beer. Keep in mind: how explosive mixture effect on most people's meals of beans that enhance gas formation 10 times, as well as corn, cabbage, radish, spinach, sorrel, roast potatoes, fresh brown bread, raspberries, gooseberries, raisins, dates and apples in combined with other fruits and vegetables. Particularly explosive assorted raw vegetables and salad, which does not manage any holiday table. Make blacklisted sugar and sweets – they cause fermentation, which produces a lot of gas. The actual advice: elevated propensity to gassing Prefer protein diet, including meat, cheese, fish. Tomatoes, cucumbers, onions do not eat in a salad, and sliced separately. Other vegetables boiled or baked. Keep in mind, and such a fact: beans, peas, beans and lentils are losing up to 90% of its specific properties if they are soaked for at least 12 hours or sprouted in a wet towel day. Quench your thirst kvas, beer, mineral or carbonated water, drank a glass of champagne? Carbon dioxide contained in these drinks, bursting the stomach and intestines, and the sugar and yeast, in which are kvass, beer and champagne, encourage fermentation. The actual advice: always let go the bubbles from sparkling wine (for that it is bottled in a specially wide as saucers, glasses), mineral and carbonated water. If you have a choice, preferring fruit drink soda, juice or juice. Buy drinks marked as «light», meaning that they have no sugar. Drink them not for food, as well as an aperitif – up to a feast or after a moment after, – gases in the intestine will be less. Lively conversation at the table? People who have the habit of talking while eating, with food swallowing 10 times more air than when eating in silence. This number does not have time to fully be absorbed into the blood from the digestive system, and the stomach begins to behave in an inappropriate manner: swells, urchit, responds pricking pain in the right and left hypochondrium – the field of anatomical distortions of the colon, extended gas passing through it. The actual advice: first, to satisfy his hunger, and only after this, turn to the table talk. If you have something to ask when you sent in your mouth the next piece, to live it thoughtfully, and then the answer to the other party. He certainly appreciate your thoughtful attitude to the topic of conversation. Nervous, very upset or, alternatively, feel exhilarated from communicating with interesting people, excited about good news? Strong emotions intensify education gases in the digestive system in susceptible individuals. With nervous excitement food passes more quickly through the stomach and small intestine and enters the large intestine in an insufficiently digested form with all the ensuing consequences. The actual advice: as long as possible savor the food in your mouth! According to psychologists, measured chewing movements soothe, help get rid of problems and to cope with the turbulent emotions. Take the example of the cows – they eat coarse fiber, but not windy, because chewing night and day. In order not to feel discomfort during a dinner with a responsible business partner or a romantic dinner, half an hour before meals drink a suspension of activated charcoal, 5.6 tablets dissolved in 1 / 4 cup of boiled water. Education gases on the eve of the monthly increases in the critical days? Similarly, the intestine responds to changes in hormonal profile of the female organism in the second half of the menstrual cycle. The actual advice: in an unfavorable period for intestinal accept carminative infusions. Herbal medicine does not bring relief? Refer to the gynecologist, who will recommend a comprehensive treatment of premenstrual syndrome: bloating – one of the most frequent manifestations. You are at least 50 years? Elderly people often suffer from flatulence due to age atony (weakness of muscles) intestine. The actual advice: Observe carminative diet, gymnastics, swimming, walking on foot: the movement helps to disperse the gas in the intestines. Gas "emissions" occur regularly and are not affiliated with a specific reason? Perhaps you have dysbiosis, gastritis, enterocolitis, pathology of the pancreas, liver, gall bladder or any other disease, with flatulence. The actual advice: contact your gastroenterologist and go through a comprehensive survey digestive system. Warning If the belly swelled suddenly and very quickly, in any case do not try to cause discharge of gases by means of enemas, laxatives, or heating pads: this you will only exacerbate the problem. Carminative recipes Traditional medicine offers many tools from the "bad wind". With their help, the peasants, fed for centuries on the infamous saying "soup yes porridge – our food, protected the closed space of the Russian huts carminative effect of national cuisine. Pour a tablespoon of herbs sage or lemon balm (lemon mint) or chamomile flowers pharmaceutical glass of boiled water, 20 minutes, cool, strain. Drink the infusion of small sips a glass 3 times a day in between meals. Prepare the same way carminative tea made from equal parts chamomile flowers and immortelle, dill seeds, peppermint leaves and yarrow. Grind in a coffee grinder calamus root. Soak incomplete teaspoon of powder in a glass of cold boiled water for 12 hours. Drink the infusion of 6 doses over the day. Before use, warm each portion in a water bath. Mix the chamomile flowers, fennel seeds, peppermint leaves, licorice root Althaea and naked (1:1:2:2:2), brew a tablespoon of the mixture with a glass of boiled water, 40 minutes in a warm place under the lid. Strain and drink throughout the day. Mix equal parts lemon balm herb, chamomile flowers, and oregano. Pour a tablespoon of collecting glass of boiled water, a thermos of 30 minutes, drink a glass 3-4 times a day. Mix equal parts chamomile flowers, peppermint leaves and root of valerian, prepare the same way as the previous infusion. Take 1 / 2 cup 3 times a day. This collection is particularly useful for diarrhea, which is often accompanied by increased gas formation. Pour a tablespoon of carrot seeds boiled water, heated on a water bath for 20 minutes, cool, strain and drink a glass 3 times a day. You can grind the seeds of carrots in a coffee grinder or pound in a mortar. Take incomplete teaspoon of powder 3 times a day. Periodically, massage the abdomen in a clockwise gentle pumping movements, and then Warm dry heat – a woolen scarf or handkerchief. Massage reduces pain in the stomach and facilitates the discharge of gases. Sew small cotton bag size 20×30 cm, fill it evenly with a mixture made of inflorescences yarrow and chamomile flowers, Warm fragrant aromas of healing pad for electric heaters, in a warm oven or on the battery, put on your stomach, take cover with a blanket and lie down for 30-40 minutes. Evaporating essential oils soothe the pain. Repeat the procedure once more during the day and before bedtime. Colon locked in recent years has become more urgent problem of constipation. In the list of factors contributing to this disorder, a sedentary lifestyle, refined foods (especially fresh white bread, cakes and other pastries on baking, soda and margarine, salt fish, sausages, cheese, chocolate, boiled milk, tea, coffee), stress , pregnancy, and lack of fluid in the body. To intestine worked like clockwork, every day drink at least 8 glasses of stewed fruit, fruit drinks, juice (especially prune), yoghurt, mineral or plain water, which best avoids this problem. A glass of cold water on an empty stomach for many acts stronger than the tablet laxative! Coffee, tea and beer for such a purpose are not suitable. They have a diuretic effect, that is, deduce the fluid from the body, drying the contents of the intestines. To wash down the second dish of water or juice. Chew: This process stimulates secretion of saliva, impregnating everything that came in his mouth. Immediately after the meal, use of chewing gum. Add soaked bran to eat. Some manage with 2 tablespoons a day, others require a full glass. Since ancient times in Russia from bran prepared broths and Kiselev, and in America they are added to orange juice and dough fritters. The same effect as bran, produces fiber that contains a grain of coarse flour, fruits, vegetables (such as baked potatoes), fresh herbs and sea cabbage. Do not neglect the needs of the organism. Felt the need to visit a certain place for you next door to the bathroom? Go there now! For lack of attention to their needs intestine revenge constipation. Some prefer to go and see the toilet at certain times of day, and rightly so. Ideally, the intestines should be removed from the "fruit" of his work every morning. To remind him of this important matter, do some sit-ups or a couple of exercises for the abdominal muscles. Use laxatives mixtures. N 1. Oshparte boiling water and rinse thoroughly in half a cup of raisins, prunes (pitted), dried apples, dates, figs, dried apricots or dried apricots. Turn the dried fruit in a meat grinder, and then break the blender into a puree. Add half a cup of ground flax seed extracts, crushed nuts, liquid honey and thoroughly mix everything in a viscous mass. Take the "medicine" to 1 / 2 teaspoon (or if the effect will not be – for dessert) in the morning on an empty stomach at night, half an hour before lunch and at night before bedtime. Keep in refrigerator. N 2. Fill in the evening 1-2 teaspoons of flax seed polstakanom cold boiled water. In the morning add the grated apple or carrot, washed and steamed raisins, honey to taste. Eat on an empty stomach with 1-2 tablespoon. N 3. Fill in the night 1-1,5 tablespoons flaxseed polstakanom cold water, mix in the morning with yoghurt, honey and juice – to taste. Take half a cup of fasting. N 4. Oshparte and wash a handful of dried fruit, cover with water in the evening. In the morning, add 2 tablespoons dried in a pan milled bran and a tablespoon of ground sprouted wheat and honey to taste. Eat on an empty stomach with 1-2 tablespoons. Try to do without enemas and laxatives. After a transient effect they lead to chronic constipation. Leave these funds for emergencies. Irina Kovaleva (source not remember)

Question: My name is Natalia, I am 23 years old. My point is that, as I realized-running form "Enterobiasis", and my doctor has ordered me a pill "Worm" by 1t. , 1 time a day, and so to drink for 5 days, 14 days later said, repeating the same pattern. But that diagnosis I have put herself on all featured just because it turns out that Enterobiasis, but tests have not rented. Voobshchem I cut all of this scheme and result in the disappearance of parasites, did not see! Tell me what type of parasites may be more, cause terrible itching in the anus? And how to deal with them? Even in my sleep greatly acne face. 'll Show what medicine the most effective, and what is the correct treatment? Local doctors, I do not trust it, so I write to you. Thank you!

Answer: There are other causes of itching in the anus. Here are the answers were already on this topic. Anal itching can be conditionally primary (non-compliance with personal hygiene, vegetonevroze with local sweating) and a secondary with a number of skin and the majority of parasitic diseases (worms). You may already have appeared changes in the skin, which prevent a rapid cessation of itch (irritation, maceration, lichenification). Try to handle the anal area with ointment "Gepatrombin G". * Anal itching can be signs of allergies (and treatment) and then hormonal creams quickly eliminate discomfort. * Anal fissure – a problem though, and "delicate", but it would be better if proctologist looks at her and appoint an appropriate topical treatment. If this thing to run, then chronic fissure in other cases have excise. Self candles can be used with glycerol (before defecation).

Question: I am 24, learned about the disease about half a year ago, after the survey. Now I am in remission, I accept sulfosalozin on 1t. 3p. day. Engaged in self-medicate, took the honey and pollen, such as helped. About a month nebylo even blood in the stool, there is now again, my opinion because of violations of the diet. Question: In addition to sulfonic at whether you can take any herbs or something from the "folk medicine"? Even the doctors said that I had an enlarged liver, in recent days, from morning appeared bags under his eyes, although the liquid before bedtime drink a little. Could this be caused by taking sulfasalazine? The children I have not yet, but would like. Can I save them from the bad "heritage" and there are known cases of recovery from wheatgrass? Thank you.

Answer: You can not engage in self-medicate without informing your doctor – can provoke an exacerbation of the disease. Ulcerative colitis is not inherited. For full recovery – the opinions are contradictory.

Question: Здравствуте, doctor! I am very concerned about the constant pain in the abdomen on the right, sometimes they have piercing-cutting, sometimes grilling. And, it hurts at the bottom, then the center (right of the navel), and sometimes above the waist. sometimes gives up. Has a doctor after the first very strong attack. They made ultrasound kidney, gall bladder, urinary bladder – normal (well, only slightly kidney omitted). Blood test – normal. Urine – traces of yeast? Almost no nausea, heartburn, too. Not feel bitterness. Very strong flatulence, transfusion and gurgling, is a frequent belching air. When gas is not – even worse, the stomach becomes hard, tensed up to the groin area. But at night, during sleep – I do not feel any pain. Stool is normal, after going to the toilet even easier. Language is constantly coated in spite of brushing. They were ordered to take Lineks, Hilak forte, Espumizan, Hollin. Special improvement is not noticeable (the past month and a half). Prior to this, within a couple of years, six times in the clinic prescribed me a course of antibiotics from the throat and otitis media. Time to complete a survey just no work to go hard. Yes, and I was very apprehensive! What do you advise me?

Answer: 48 years. Candles with belladonna in the morning. Swimming in the pool 3 times a week. Course of massage.

Question: Belly worried already about 5 years. Approximately 4 years ago found ljamblii. Was treated "trihopolom. Re-analysis showed that giardiasis is not detected. Just been erosion of the stomach, which also took place after the treatment. The latter half of the year concerned the constant bloating, fatigue, periodically (about once a month) severely hurts the entire abdomen for about 2 days, (like cramps all over his stomach), as well as the "pit of the stomach, the stomach is constantly hard. A week ago, made a gastroscopy, conclusion: bulb, chronic gastritis, duodenitis-gastral reflux. Doctor appointed kvamatel and dyuspatalin. Pugh 5 days until no changes. Can you please tell me what to do? In advance, thank you for your reply.

Answer: 28 years. If concerned about the constant bloating and related problems (hard stomach, occasional cramps), then measures should be aimed at reducing gas formation and facilitate the absorption and release of gases. In the first place Training (any exercises, a daily morning exercises, self-massage the abdomen) and the selection of a balanced diet, normalization of body weight, on the second – OTC medicines. Simple measures against bloating – http://doktor. ru/qa/14071/qa. html? id = 59076. Of the medications you can try to start the usual ftalazol to 2 tablets 4 times a day for 5 days. If the effect is not, then it is not in excessive gas formation. Of the funds are released to the pharmacy, with abdominal distension usually recommend: Fenhelevoe oil (10-15 drops per dose), dill water (= solution dill butter, and 1 tablespoon of up to 6 times a day), Karbolit (Table of 0. 25 and 0. 5 g, capsules 200 mg, powder), Sab simplex Meteospazmil. From collywobbles can try pills to make fizzy drinks Pepfiz. "If suddenly there was sound" – http://doktor. ru / qa / gastro / article. html? id = 52178. "Giardiasis – got seriously!" – Http://doktor. ru / qa / gastro / article. html? id = 57689.