1. Avoid oily foods. Avoid aerated drinks. Avoid smoking and Pan chewing. Avoid overeating. Avoid onions, peas, beans, dals.
2. Tab. Bestozyme 1bd x 15 (Digestive enzymes)
3. Tab. Gastractive 1 tds x before meals.
4. Tab. Albendazole 400mg. 1 stat.
5. A teaspoon full of soda or ENO salt in water after meals.
6. If mucos stools, Tab. Flagyl 200mg. tds x 5.
7. If contispation, Liq. Paraffin 15-30 ml.
8. Regular Exercises to improve the tone of the abdominal muscles.
9. Regular moderate meals. Avoid over eating.

Other drugs to try:

1. Gelusil MPS tsp tds (Antacid with MPS)
2. Tab. Livomyn 1 tds (Ayurvedic Liver Prep)
3. Sorbiline tst tds.
4. Carmicide liquid tst tds.
5. Tab. Enteroquinil 1 tds x 10.
6. Tab. Gasex 1 tds or Kayam churn

Investigate for

Stools (for amoebiansi, Giardisis, Tapeworms etc.)

Hb% (for anemia)

Ultrasonography-Gall bladder.

Sigmidoscopy and Gastroscopy if indicated.

Abdominal exercises are very useful for chromin flatulence and chronoc contispation.

Eating a little less, than demanded by apetite is very important.

EPIGASTRIC PAINS

1. Avoid chillies and sour food, smoking and alcohol.
2. Stop irritant drugs like NSAID’s, if patient is taking them.
3. Gelusil MPS 2 tst x tds x 5 days.
4. Tab. Histac 150mg. bd x 5 days.
5. Tab. Baralgan 1 tds if spasmodic pain.

If pain is not relieved completely

Ask for investigations –

1. Gastroscopy

2. Ba meal.

3. Stool Examination.

4. Gastric Analysis.

If there is mucus or E. Histolytical in stools,

Tab. Flagyl 400mg x tds x 7 days

Tab. Secnil 1gm x 2 tabs single dose

Tinidazole or combination drugs.

If liver is palpable and tender

Is there Jaundice?

Infective Hepatitis?

Is there C.C.F.?

Heart murmur, neck veins or edema?

If not ask for ultrasonoscopy of Liver and GB.

Tab. Bestozyme

Tab. Gastractive

Tab. Albendazole

Tab. Flagyl 200mg

Liquid. Paraffin

Syp. Gelusil MPS

Tab. Livomyn

Syp. Sorbiline

Carmicide liquid

Tab. Enteroquinil

Tab. Gasex

Tab. Histac

Tab. Baralgan

Tab. Flagyl

Tab. Secnil