Gastroenterologist, Gastroenterology Journal

Question: I have for about 2 years of use means "Zener" for the treatment of acne (acne). I take one or two times a day by applying to the skin. The effect is very good. But as far as I know it contains erotrimitsin. At the moment I have the intestinal bacteria overgrowth (excess of fungi Candida: 15×10 in the fourth degree and E. coli: 36×10 in 7 degrees). I would like to know from you, whether priniknovenie erotmitsina through the skin, and could it cause dysbacteriosis? Or is it unlikely? Thank you.

Answer: In the instructions, which you are fitted together with the drug, nothing about it says. If you are using to wipe the day 0. 5 ml of the drug, it is only 20 mg of erythromycin. Dose, by the way, that when administered well stimulate gastric motility. For effects on intestinal microbes into the use of doses much higher. P. S. Homeopaths call lapping and rastirki elegant word "opodeldoc

Question: Help please! Suffer from subcutaneous mite already 5 years! Doctors do not help, ointments useless! Only once the face is cleared when due to illness teeth ate only dairy products. Acquaintances said – meaning that bacteria overgrowth. How does this relate, what is it? How treated? Write anything about my problem! Living with acne is very hard !!!!!! Neither did not go to the beach or in the sauna, anywhere. . . Help !!!!!!!!!!!

Answer: Familiar wrong (http://doktor. ru / qa / gastro / article. html? id = 52173). About demodicosis popular: http://www. aif. ru/health/382/06_01. php – http://www. aif. ru/health/400/14_01. php – http://www. aif. ru/health/354/15_01. php. About treatment: Russian Medical Journal (rmj. ru) Volume 8 number 6 "Parasitic diseases of the skin.

Question: Over 2 years underwent 2 operations and infected with angina (treated pinitsilinom). Throughout adult life, my body can not tolerate milk and milk products, after receiving diarrhea starts, on this, these products from my diet excluded. I'm concerned about: frequent constipation, diarrhea, bad breath, bloating and flatulence. Q: What tests would you recommend me to pass, that would put At least a preliminary diagnosis?

Answer: The preliminary diagnosis: irritable bowel syndrome with intolerance to cow's milk or milk sugar.

Question: Help, advise! The child lives in the light of six months, not getting out of problems. In our city the most powerful doctor on these problems for six months already can not cope! "The child secondary lactose deficiency on the background dysbacteriosis. From 4 months, switched from breast-feeding on the mixture. Tried different, because almost all of an allergic reaction. Now eat Nutrilon-hypoallergenic. Allergies to this mixture there is little, but frequent and liquid stools, with mucus. I read that a mixture of hydrolyzate contraindicated in lactose deficiency. Can we continue feeding this mixture? And if not, what would you advise? For a while we drank Nutrilon lactose, a chair with a good, but the doctor said that such mixtures can not drink more than 2 to 3 weeks. What do we do?

Answer: You'd better go directly to the site Mom. En – http://mama. ru /. Because I would be interested in some simple things: whether the child is first born, whether he sleeps at night, in what is usually the mood, what is its activity, growth-weighted index. And often it turns out that practically no problem. I do not have a special pediatric education and therefore do not understand why not use some of the mixtures more than 3 weeks. In severe allergies in infants and young children (usually to cow's milk) is used – as products with reduced antigenic properties – a mixture of nutrients based on hydrolyzed milk protein. Mixtures are divided depending on the degree of hydrolysis of protein substrate on the therapeutic, preventive and prophylactic. Allergenicity of the protein component products based on vysokogidrolizovannogo protein (therapeutic mixture) reduced to 10 000 – 100 000 times, partially hydrolyzed – in 300-1000 times. For therapeutic mixtures include: Alfaro, Nutrilak Peptides SCT, Nutrilon peptidyl TSC, Nutramigen, Pregestimil, Tutteli peptides and Frisopep. For treatment and prevention: Damil peptidyl, Nutrilak GA, Hipp HA 1 and 2, Humala ha 1 and 2. Stress that it is often recommended Nan HA 1 and 2 (as well as Nutrilon Omneo 1 and 2) do not apply to treatment and to preventive mixtures. When an allergy to both cow's milk proteins and soy with secondary lactase deficiency: Alimentum pr-va Abbott Laboratories, Alfaro Nestle, Nutramigen, Mead Johnson, Nutrilon peptidyl SCT "Nutricia" Pregestemil "Mead Johnson" prevention "AAK Abeme.

Question: 1.5 years ago after the treatment of bronchitis, I started coleitis, later I noticed that bothers me and bloating in the late afternoon. Coleitis cured 6 times did not help: (the doctor said that maybe in the intestines to blame). From the swelling has bifiform – yet has all the good, and a week later again the same thing, saving me more milk products with bifidobacteria. I am married 7 years, my husband very much wants a child, but I kept putting it off, then because of the moral is not ready, then because of the drugs being taken. We do not even know what to do, whether to run again in the consultation, whether to the gastroenterologist, and can just 'make a child ": delay no forces (her husband does not understand) nor the desire (if not now, as agreed, then I more about 7 years will be collected, very afraid of childbirth). What advise. : I would like to know what you think about Bade Lacto-Lactofiltrum in my case?

Answer: I think so set aside the main domestic issue. What about Badakhshan thought – said: "Yogurt against dietary supplements" – http://doktor. ru / qa / gastro / article. html? id = 48528.

Question: I am worried about one and a half years from severe acne on the face (mostly along the contour of a person on the cheeks), chest and back. . even slightly dry skin, and acne involved skin and hurt. I applied to TSNIKVI: to make the analysis of hormones (okay), but found dysbacteriosis. Reduced Number of total coliform (260 billion / g) and hemolytic E. coli 13%. I cut koliproteyny bacteriophage and bifiform. the person, nothing has changed. Now more and began pain in the gut (aching), puchit, bloating, disorders of the chair. course bacteriophage told me not to repeat. appointment at Gabrichevskogo, but only a month! take hilak because in principle I do not know what to take. There are some improvements: the pain passed, but the chair is still the problem. please tell me whether hemolytic bacillus cause such severe skin problems. I can still repeat the course bacteriophage (apparently the last of me will never be affected, saw 2 months ago)? I often get nervous and just recently nootropil cut, it has some influence? that this be? Help, please!

Answer: At 10 times on the day the same questions from young people: http://doktor. ru/qa/16264/qa. html? id = 90202 – http://doktor. ru / qa / gastro / article. html? id = 52173. . .

Question: Dr. I am 24 years, to bother me, the problem was somewhere six months ago can not eat nothing that is connected with malochnymi products. Even if that is cooked in milk or whey is my stomach. Please'll show what I do to someone will ask

Answer: Nothing can do about it, but all can pass by itself. The only thing you can do – if everything is due to deficiency of lactase – take lactase or add it to the liquid dairy products. Lactase – food additive.

Question: Solving a dermatologist my skin problems (acne) found that the problem is largely due to food found dysbacteriosis. I'm fairly strict diet, eliminated wheat, fat, fried. Gastroenterologist advised every six months guzzle course bififorma and hilaka. The latter was about two months ago. However, in the last week saw again started having problems with a chair. A delay in one day a very negative effect on the skin, so wanted to ask if I could drink away Filtrum course, for example, to establish the bowels, in the intervals between courses and Bififorma Hilaka?

Answer: You can drink. Excuse me, but appointed by other doctors do not discuss treatment in absentia.

Question: Vladimir! In the past few months, I was often sick. Moreover, roughly speaking, all in a row (but mostly virus infection). Treating each zabolevniya separately given, of course, their results, but after that comes a new attack. The last thing that I was finally put out of balance – is the appearance of warts on the hands and feet. I suspect that all my misfortunes occur against a background of general decrease in immunity, but considering that about 4 months ago my ex put dysbacteriosis, but it seems so its not getting completely healthy, the only thing that I can not sin – it is a violation of the balance in the gut . Show you how to CORRECTLY diagnose it? How long this takes time and the average is complex examination-treatment "you? Pre grateful, Catherine, 23 years

Answer: I'm not interested. Dysbacteriosis: how to treat a nonexistent disease – http://doktor. ru / qa / gastro / article. html? id = 52173.

Question: I would like your advice. Where a year ago I started having skin problems – appeared sweating, unpleasant odors, was often ill common cold, allergies, skin covered in pimples and somewhere showered, somewhere – very fat. After some time to add weight in the stomach, diarrhea, increase in the number of chairs, meteoriozm, bitter taste in the mouth. A long time I copied it to the wrong food, then went to the doctor – and prescribed bifidobak atsidobak – Saw 2 months – diarrhea became less frequent, but other problems remain. Then he went to the gastroenterologist – first prescribed Creon, de-nol and meteospazmil, but they became even worse – continuously puchilo and smells from the body, have become intolerable. He made gastroscopy and analysis dysbacteriosis. Gastroscopy showed antral Helicobacter in-one little plus, and 3 in the same erosion, acidity is normal, diagnosis – chronic gastritis. Prescribed course of antibiotics for 7 days-fromidid, flemoksin, de-nol, plus dyuspatamin, Epicure and enterol. During the reception there were very severe pain in the left hypochondrium. The severity of the stomach disappeared, the rest remained. Analysis of disbacteriosis showed that very few E. coli (160), 16% and 90% of hemolytic Staphylococcus aureus, 10 * 8 bifidobacteria, lactobacilli – less than 10 * 5. When antibiotics were prescribed meteospazmil 1 week with de-nolom, and 3 weeks colibacterin. Diarrhea became smaller, but remained bitter taste in the mouth, and pains in hypochondrium and in the intestine. Uzi abdomen done – all normal. After 6 weeks did again gastroscopy – erosion healed, but Helicobacter remained. Analysis of disbacteriosis showed that the staph was gone, but E. coli was even less (60), and hemolytic same. Cut another course of antibiotics – de-nol, omeprazole, tetracycline, tinidazole – week. Again there diarrhea. Now I drink lineks, odeston, omeprazole, nemozol (the latter itself had decided to drink away, just in case). We remain concerned about skin problems – terrible smells from the feet, no creams, ointments do not save, the poor condition of the skin, cramps in the gut, frequent unstable stool, sometimes bitter taste in the mouth. I do not know whether that was due to gastroenterology, but also in the last year concerned about pain in the joints – legs, back, and palpitations and heart pain, especially in the evenings, although the latter may be on the nervous system. With pain in the bones of the feet – a problem since childhood – calcium deficiency, but is now receiving his tablets almost no help as before. Do you think, can these problems be associated with gastritis and dysbiosis, and that you recommend? I suffer from this problem for a year, very tired. . Age – 25 years. Thanks in advance for the answer!

Answer: Too many problems, so it needs further consultation psychiatrist.