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HealthRe: Doctor in the House: Free Medical Advice Available by filcast(m): 3:46pm On Oct 11, 2012
'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'.

Hello doc,i culled the quote above from your response during our interaction on 19th sept. Today a doctor prescribed the triple therapy for me but he prescribed the 'ulsa kit'-omeprazole,tinidazole,clarithromycin- 1 capsule each twice daily,for only one week (remember you said 2 weeks) while the acid reducing agent (rabeprazole) continues for 1 month.Is this adequate?
Jobs/VacanciesRe: NNPC Recruitment 2012 Is Here! by filcast(m): 6:49pm On Sep 30, 2012
pls when does the application close
BusinessRe: Profitable Jobs That Nigerians Dont Like Doing. by filcast(m): 1:02pm On Sep 25, 2012
well structured Kidnapping biz can earn you N16M average
Christianity EtcRe: Have You Praised Him Yet, Today? by filcast(m): 7:13am On Sep 22, 2012
thank you jesus
HealthRe: Doctor in the House: Free Medical Advice Available by filcast(m): 1:04pm On Sep 20, 2012
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.
HealthRe: Doctor in the House: Free Medical Advice Available by filcast(m): 12:43pm On Sep 20, 2012
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.
Thanks.i will do as u said though that will be in a few weeks time when i will be free. For now i will try to manage the symptoms
HealthRe: Doctor in the House: Free Medical Advice Available by filcast(m): 11:39am On Sep 20, 2012
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.
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.
HealthRe: Doctor In The House:Obstetrics And Gynecology by filcast(m): 5:06pm On Sep 19, 2012
ACM10: There is nothing wrong with your wife. Give her time. Her menses will flow. Take good care of your son.
HealthRe: Doctor In The House:Obstetrics And Gynecology by filcast(m): 5:05pm On Sep 19, 2012
ACM10: There is nothing wrong with your wife. Give her time. Her menses will flow. Take good care of your son.
happy to hear that. Thanks a lot.i got worried because i thought once her menses resumes after the few months following childbirth,it should continue without more interruption.
HealthRe: Doctor in the House: Free Medical Advice Available by filcast(m): 4:54pm On Sep 19, 2012
ACM10: 1. Do you feel a burning sensation at the upper part of your belly?
2. If "yes", does it come before or after meal?
3. Do you brush your teeth and tongue after meal?

You need to drink water adequately. Drink 3 litres or more everyday. Take light meal in the morning, heavy meal in the afternoon; light meal in the evening. Maintain good oral hygiene. Finally, you may need to see a doctor.
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.
HealthRe: Doctor In The House:Obstetrics And Gynecology by filcast(m): 3:21pm On Sep 19, 2012
hi doc,
My wife gave birth to our fist son 5 months ago.3 months later her menstrual cycle resume almost same dates as before she got pregnant. However,this month is different as she is yet to see her period and its already 1 week late.her pregnancy test says negative.pls i want to know if this is normal.
HealthRe: Doctor in the House: Free Medical Advice Available by filcast(m): 3:09pm On Sep 19, 2012
hi doc,for some years now i ve been having some unusual and embarasing symptoms in my gut:
-my stomach is always troubled.when is not noisy,its rumbling
-my lips are always dry especially when am talking.this seems to make me to eject saliva when i talk.
-i belch noisily too often especially when i eat or drink anything
-i seem to have bad breath
the doctors say its ulcer but all the antibiotics i ve taken have not worked as the symptoms persisted.pls advise me on what to do.
SportsRe: The Heartrending Story Of Victor Moses by filcast(m): 4:52pm On Sep 17, 2012
shame to the people dat killed his parents and even wanted to kill the young guy.shame on you all! What was their offence? Most of them will be cheering him today forgetting he was the small boy God saved from their wicked claws.
Continue o,dont stop.in fact there is a new video now on youtube,go and kill more Nigerians!Cowards! *spits*
SportsRe: The Heartrending Story Of Victor Moses by filcast(m): 4:50pm On Sep 17, 2012
shame to the people dat killed his parents
PoliticsRe: How Much Is Your PHCN Bill For August? by filcast(m): 11:59am On Sep 14, 2012
u guys should chill.in few months time the bid winners will start re-designing the power distribution networks.with more educated and better motivated workforce,most of these complaints will cease.
CelebritiesRe: Obiwon Obiora And Wife Welcome Baby Girl by filcast(m): 4:07pm On Sep 11, 2012
Soo_cool: hip hip hurrah!!! but for dat second picture, see where obiwon hand dey go for public! make e na help me tell am say im wife kinini dey protected already!
Its all in ur mind,so rotten
Jobs/VacanciesNAPTIN Graduate Trainee Program Participants Meet Here by filcast(op):
The Inauguration of the National Power Training Institute of Nigeria(NAPTIN)- NGDPS has been scheduled to kickstart by 17th September 2012 with the participants expected to arrive 16th September at various centres. Accomodation has equally been reserved for the participants.The orientation course follows immediately after this.
Pls lets make inputs on the advantages & expectations of the entire process.
For more info: www.naptin.org.ng
PoliticsRe: Obama Ordering Take-out, Eating In Resturant by filcast(m): 5:06pm On Sep 04, 2012
our leaders do it sometimes.i bumped into a senator buying garri at lokoja some months ago
Nairaland GeneralRe: What Are Your Mannerisms? by filcast(m): 1:20pm On Aug 31, 2012
~vicky~:
Otuocha!!!!!

more on the way
What does that mean in english
SportsRe: Nigeria Vs Mexico:U-20 Women's World Cup Quarter-Final (1 - 0) FULL TIME! by filcast(m): 10:18am On Aug 30, 2012
goooooooal! Oparanozie!
PoliticsRe: PHCN Workers Celebrate Barth-Nnaji's Departure by filcast(m): 3:47pm On Aug 29, 2012
afam4eva: I doubt is Nigeria will ever get out of darkness because this is the only person that came very close to solving the power problem but he lost the battle to the ever corrupt generator importers, government people and poverty stricken NEPA officials.
Ala adighi mma bu uru ndi nze
PoliticsRe: Nonso-Maduakor Wrongfully Charged For Cynthia's Murder by filcast(m): 3:38pm On Aug 29, 2012
*thinking* brb
CrimeRe: The Faces Of Cynthia Osokogu’s Alleged Murderers by filcast(m): 4:13pm On Aug 28, 2012
all of una just de form saints! Is there any girl here that has never embarked on a similar escapade? Even you guys wey dey form pope,you no de carry unknown prostitutes. Hipocrists!
PoliticsRe: IBB Threatens To Expose Buhari by filcast(m): 2:49pm On Aug 28, 2012
kayci_d77: Hey you are back here again, You must stay in Nigeria, were r u running to grin tongue
Haba! Are you this heartless? Allow the aboki to travel naa,are you not aware that maidugri is too hot?
PoliticsRe: IBB Threatens To Expose Buhari by filcast(m): 11:11am On Aug 28, 2012
let them expose themselves especially if it will affect the cost of garri in abuja
FamilyRe: Coping With A Beautiful, Loving, Helpful But A Nagging-Wife? by filcast(m): 5:22pm On Aug 27, 2012
eyenCalabar: I think you are a big nuisance here. While others are making constructive responses to issues, you own is are always to vomit rubbish. You should be ashamed of yourself. Omoko!
There he goes! Must u nag?
PoliticsRe: Kidnapped ESUT VC Finally Released by filcast(m): 10:02am On Aug 25, 2012
ebamma: seconded
Kid,which tribe is your current president?
CultureRe: What's So Special About Male Children? by filcast(m): 4:54pm On Aug 24, 2012
mimi321: my sister same happens where i am , i know a woman that has 6 beautiful daughters but want a boy badly

this same reason is why i don't want to marry a Nigerian man huh
Are u sure dats the only reason u dont want to marry(a nigerian man!)?.
RomanceRe: Why Did You Break Up With Your Ex? by filcast(m): 5:14pm On Aug 22, 2012
Tolaaaaannni: Doesn't matter how old i am, if i don't feel the relationship is going anywhere I call it off. I don't want to be played as a joke, i don't think any woman wants to be played as a joke. And no, I'm not desperate to tie the knots. I just don't like a relationship that has a potential of going nowhere. undecided
I think you are right.dont mind my jokes.

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