filcast:
Am so grateful for your response.
-yes i do feel burning sensations in my abdomen and its worse before meals and when i take fried or spicy food.most times i feel relieved after defeacating.i suspect its ulcer because of the burning sensations but my worry is the dry lips and the belching.
-i brush twice a day: b4 breakfast and after dinner.i dont brush in the afternoon.
Doctors seem not to believe me when i narrate my story.i think they feel its psychological.
I will try your instructions on meals and fluids. Thanks a lot.

qatar13: Hello doctor, I have just been told that I have diabetic type 2 pls what drug should I be taken and what food should I avoid and which food I should be eating.

optimus30: Hello doc,good friend of mine has a very strong phobia 4 hiv which has affected his day to day life,according to him it all started after discussing abt hiv with his friends during his sec.,sch days(now in uni),he washes his hands like mad,gets scared when he cms across used condoms on d street cos at dat point he believes he stepped on it,he doesn't go anywhere except sch,gets freaked out when he touches anything which he cn't identify d source eg water may seem like body fluid to him unless he's convinced is nt by sme1,he washes anything he cmes bck with as a result he doesn't go out with his phone or laptop n also anything he believes he touches when he gets bck 4rm sch is also washed or cleaned,i've tried 2 mk him stop bt cn't,after much research,i discovered it cld b OCD(obsessive compulsive disorder)n so far no available drugs 4 it,with leads 2 ONE question,will he ever stop?,his a very brilliant guy,pls nid ans.Thnks

Stevecares: Please doctor, i notice have been frequently urinating mostly at night. I was thinking i should take lesser water daily, but my dad said it is because of the cold weather, especially at night; But i do not want to be ignorant, what could be the possible cause and what can i do to stop it?

ACM10:

You gave a clearer description of your symptoms now. The physician who diagnosed peptic ulcer can't be wrong. In western countries, diagnosis of peptic ulcer involves both invasive and non-invasive investigations, of which endoscopy is the gold standard. But in Nigeria, we only depend on our clinical acumen and the progression of the symptoms to make diagnosis of peptic ulcer. So our diagnosis is blind at best.
The current treatment of peptic ulcer is called "triple therapy". It involves two different antibiotics and one acid-reducing agent. Treated for two weeks, while the acid reducing agent is continued till one month. I expect your physician to know about this protocol.
Other older regimen has high rate of treatment failure. Yours might be a case of treatment failure.

Finally, the micro-organism that causes peptic ulcer disease is ingested along with food and water. Just like the organism that causes typhoid fever, it thrives in an unsanitary environment. To avoid recurrence/re-infection after treatment, your foods should be warm; fruits should be washed with clean water, your hand should be washed with soap before eating, wash your hand with soap after using using toilet. Maintain a high degree personal hygiene.

filcast:
Thanks a lot.i will ask my doctor about the triple therapy or maybe see a different physician.i recall i got some antibiotics and GESTID antacid then.
But Doc can ulcer also cause persistent bloating,burping,belching,farting and the dry,scaly,gumy,sticky lips that i also experience?note this is even when the inside of my mouth has adequate saliva-just the lips are dry,scaly,gumy,sticky. The sensation is close to what i feel in my lips during harmattan season or when i just wake up in the morning.

ACM10:

I hope that fresh fruits and vegetables are part of your daily diets. I will still refer you back to my advice in my earlier post.
Gestid is not one of the drugs used in the "triple therapy" for the cure of peptic ulcer. Gestid can only alleviate the symptoms of peptic ulcer, but cannot cure it. Some of the symptoms you mentioned are side effects of gestid. Maybe, you may need to go to a Teaching Hospital to meet a gastroenterologist.

ACM10:

I hope that fresh fruits and vegetables are part of your daily diets. I will still refer you back to my advice in my earlier post.
Gestid is not one of the drugs used in the "triple therapy" for the cure of peptic ulcer. Gestid can only alleviate the symptoms of peptic ulcer, but cannot cure it. Some of the symptoms you mentioned are side effects of gestid. Maybe, you may need to go to a Teaching Hospital to meet a gastroenterologist.

qatar13: Hello doctor, I have just been told that I have diabetic type 2 pls what drug should I be taken and what food should I avoid and which food I should be eating.

ACM10:

Oh yes! Get in touch with a psychiatrist. He needs to be counselled on his unwarranted fear of HIV. Actually, HIV is a very weak virus, unlike its stubborn counterpart like Hepatitis B. HIV hardly survives for more than one hour outside its human host(Hepatitis B can survive for more than 9 months). If HIV is as stubborn as Hepatitis B, then we would be dealing with a much larger epidemic by now. He really needs to be counselled.

Cool83: Helo doc,i was treated of tb spine in 1999,but recently i started having severe pains at waist,i went to hospital,i did blood test(wider) i was told that i didnt have tb,but within me i feel like am stil havn it,the tb spine was detected through xray,and my new doctor(white man) didnt ask me to do xray.someone told me that someone might have tb and it will not be in the blood.i need your advise