Copyright (c) 2020 D.N.Tripathi
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Achlorhydria and Cirrhosis of Liver
Corresponding Author(s) : D.N.Tripathi
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 2 No. 4 (2014): 2014 Volume 2- Issue -4
Abstract
When a person suffers from repeated indigestion he goes to a doctor for help who examines him and gives a prescription. In medical practice it is a common occurrence to think of the ailment as peptic ulcer due to hyper-acidity and prescribe at first an alkaline drug. But a person with achlorohydria gets no relief and he is advised to continue it for days and months as a resistant case of a very active duodenal ulcer.An achlorohydria patient usually gets now and then due to helicobacter infection diarrhea with loss of protein digestion resulting in weight loss and discomfort. To order for a Fractional Test Meal is a hard task as such facilities do not exist in even Medical College Hospitals and all doctors are biased that such a condition mentioned in text books do not really exist. He visits some more doctors but the verdict remains the same. Ultimately after some years he is an established case of cirrhosis liver. Failure of protein digestion with severe loss of nutrition and body mass has reached its end. Even some have done gastro jejunostomy.
Keywords
: watery diarrhea
Hashimoto’s Thyroiditis
proton pump inhibitors
Atrophic gastritis
Heidelberg pH capsule and radio
gastric polyposis
carcinoma stomach
Fractional Test Meal
References
-
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[2] Oxford Text Book of Medicine, Vol.I & 2, 3rd.edn. 1996, Oxford Medical Publications.
[3] Cecil Text Book of Medicine, Goldman Bennett,Vol.I & II; W.B.Saunders, Harcourt Asia 21st.Edn. 2000.
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[11] W.G.Thompson, Canadian Medical Association Journal 1974;111,1240.
[12] Enteric Escherichia coli Infection; Richard Guerrant; Cecil Text book of Medicine, Goldmann Bennett.
[13] Tracey.L, Hull and Victor W.Fazio; Surgery of Toxic Megacolon; Master of Surgery, vol. II, Baker and Fischer, Lipincott.
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[19] Textbook of Surgery; Davis-Christopher, 11th. Asian edn. Saunders Igaku Shoin; 1978.
[20] Encyclopedia of Human Nutrition, Edited by M.Sadlar et al In four volumes; Academic Press,1997, San Diego, U.S.A.
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[22] Fleming Richard M; How to Bypass Your Bypass; Rutledge Book Inc. 107 Mill Plain Rd. Danbury, CT-06811, U.S.A.
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[26] Gastro-enterology, Clinical signs and Practice, Edited by Bouchier, Allan, Hodgson, Keighley; 2 vols. ,1991,; Saunders.
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References
[1] Manson’s Tropical Diseases; Gorden Cook, 20th.edn.;W.B.Saunders, E.L.B.S. Edition.1996.
[2] Oxford Text Book of Medicine, Vol.I & 2, 3rd.edn. 1996, Oxford Medical Publications.
[3] Cecil Text Book of Medicine, Goldman Bennett,Vol.I & II; W.B.Saunders, Harcourt Asia 21st.Edn. 2000.
[4] Diseases of Gastro-Intestinal Tract and Liver; Edited by Shearman Finlyason,Camillen and Carter,3rd edn, 1997, Churchill Livingstone.
[5] Oxford Textbook of Clinical Hepatology,vol.I & II; 1999, 2nd.edn. Oxford Medical Publications.
[6] Gastro-Intestinal and Liver Diseases.Sleisenger and Fortran’s 6th edn, 1989, vol. I & II; W.B.Saunders.
[7] Surgery of the Anus,Rectum and Colon, by John Goligher, 5th.edn, Vol. I & II, Balliere Tindall.
[8] Textbook of Medical Physiology; Guyton and Hall;10th.edn. W.B.Saunders, Harcourt Asia.
[9] Diseases of Liver and Biliary System; Shella Sherlock and James Dooley,11th.edn.;Blackwell.
[10] Towards Positive Diagnosis of Irritable Bowel ;A.P. Manning, W.G.Thompson, K.W.Heaton, A.P. Morris; Brit. Med. Journal,1978,2, 653. New Discovery on the Causes of IBS 75
[11] W.G.Thompson, Canadian Medical Association Journal 1974;111,1240.
[12] Enteric Escherichia coli Infection; Richard Guerrant; Cecil Text book of Medicine, Goldmann Bennett.
[13] Tracey.L, Hull and Victor W.Fazio; Surgery of Toxic Megacolon; Master of Surgery, vol. II, Baker and Fischer, Lipincott.
[14] Tony Lembo and Emeran A. Meyer; Clinical Practice of Gastroenterology, vol. I & II., p.605; Lawrence J. Brandt, Churchill Livingstone 1999.
[15] Reviews of Medical Physiology; William F. Ganong 20th.edn. International McGraw-Hill.
[16] Gastro-Intestinal and Hepatic Infections;Surawicz Owen Saunders 1995.
[17] Human Nutrition and Dietatics; J.S.Ganow ^ W.P.T. James 9th.edn., Churchill Livingstone.
[18] Textbook of Natural Medicine; Joseph E. Pizzomo Jr. and Michael T. Murray; 2nd.edn. vol. I; Churchill Livingstone,1999.
[19] Textbook of Surgery; Davis-Christopher, 11th. Asian edn. Saunders Igaku Shoin; 1978.
[20] Encyclopedia of Human Nutrition, Edited by M.Sadlar et al In four volumes; Academic Press,1997, San Diego, U.S.A.
[21] Textbook of Natural Medicine ; Joseph Pizzorno Jr. and Michael Murray 2nd.edn. in 2 volumes; Churchill Livingstone.
[22] Fleming Richard M; How to Bypass Your Bypass; Rutledge Book Inc. 107 Mill Plain Rd. Danbury, CT-06811, U.S.A.
[23] Silhouettes of Chemistry: D.N.Trifonov and L.G. Vlasov, 2nd. Edn. 1987, Mir Publishers Moscow.
[24] Gray’s Anatomy, Edited by Peter L. Williams; Roger Warwick; Mary Dyson; Lawrence H. Baannister; ELBS ;37 th Edn 1993 Jarrold Printing, Norwich.; Churchill Livingstone.
[25] Intestinal Ischemia by Adrian Marston; Edward Arnold London,1977.
[26] Gastro-enterology, Clinical signs and Practice, Edited by Bouchier, Allan, Hodgson, Keighley; 2 vols. ,1991,; Saunders.
[27] Essential Surgical Practice; by A. Cuschieri, G.R. Giles and A.R.Moosa ,3rd.edn., K.M.Verghese & co; Bombay.
[28] New Discovery on the Causes of IBS and Flatus by Prof. D.N.Tripathi, Graphic Art Offset Press, Nuapatna,, Cuttack, 753001, INDIA.;December 2013.
[2] Oxford Text Book of Medicine, Vol.I & 2, 3rd.edn. 1996, Oxford Medical Publications.
[3] Cecil Text Book of Medicine, Goldman Bennett,Vol.I & II; W.B.Saunders, Harcourt Asia 21st.Edn. 2000.
[4] Diseases of Gastro-Intestinal Tract and Liver; Edited by Shearman Finlyason,Camillen and Carter,3rd edn, 1997, Churchill Livingstone.
[5] Oxford Textbook of Clinical Hepatology,vol.I & II; 1999, 2nd.edn. Oxford Medical Publications.
[6] Gastro-Intestinal and Liver Diseases.Sleisenger and Fortran’s 6th edn, 1989, vol. I & II; W.B.Saunders.
[7] Surgery of the Anus,Rectum and Colon, by John Goligher, 5th.edn, Vol. I & II, Balliere Tindall.
[8] Textbook of Medical Physiology; Guyton and Hall;10th.edn. W.B.Saunders, Harcourt Asia.
[9] Diseases of Liver and Biliary System; Shella Sherlock and James Dooley,11th.edn.;Blackwell.
[10] Towards Positive Diagnosis of Irritable Bowel ;A.P. Manning, W.G.Thompson, K.W.Heaton, A.P. Morris; Brit. Med. Journal,1978,2, 653. New Discovery on the Causes of IBS 75
[11] W.G.Thompson, Canadian Medical Association Journal 1974;111,1240.
[12] Enteric Escherichia coli Infection; Richard Guerrant; Cecil Text book of Medicine, Goldmann Bennett.
[13] Tracey.L, Hull and Victor W.Fazio; Surgery of Toxic Megacolon; Master of Surgery, vol. II, Baker and Fischer, Lipincott.
[14] Tony Lembo and Emeran A. Meyer; Clinical Practice of Gastroenterology, vol. I & II., p.605; Lawrence J. Brandt, Churchill Livingstone 1999.
[15] Reviews of Medical Physiology; William F. Ganong 20th.edn. International McGraw-Hill.
[16] Gastro-Intestinal and Hepatic Infections;Surawicz Owen Saunders 1995.
[17] Human Nutrition and Dietatics; J.S.Ganow ^ W.P.T. James 9th.edn., Churchill Livingstone.
[18] Textbook of Natural Medicine; Joseph E. Pizzomo Jr. and Michael T. Murray; 2nd.edn. vol. I; Churchill Livingstone,1999.
[19] Textbook of Surgery; Davis-Christopher, 11th. Asian edn. Saunders Igaku Shoin; 1978.
[20] Encyclopedia of Human Nutrition, Edited by M.Sadlar et al In four volumes; Academic Press,1997, San Diego, U.S.A.
[21] Textbook of Natural Medicine ; Joseph Pizzorno Jr. and Michael Murray 2nd.edn. in 2 volumes; Churchill Livingstone.
[22] Fleming Richard M; How to Bypass Your Bypass; Rutledge Book Inc. 107 Mill Plain Rd. Danbury, CT-06811, U.S.A.
[23] Silhouettes of Chemistry: D.N.Trifonov and L.G. Vlasov, 2nd. Edn. 1987, Mir Publishers Moscow.
[24] Gray’s Anatomy, Edited by Peter L. Williams; Roger Warwick; Mary Dyson; Lawrence H. Baannister; ELBS ;37 th Edn 1993 Jarrold Printing, Norwich.; Churchill Livingstone.
[25] Intestinal Ischemia by Adrian Marston; Edward Arnold London,1977.
[26] Gastro-enterology, Clinical signs and Practice, Edited by Bouchier, Allan, Hodgson, Keighley; 2 vols. ,1991,; Saunders.
[27] Essential Surgical Practice; by A. Cuschieri, G.R. Giles and A.R.Moosa ,3rd.edn., K.M.Verghese & co; Bombay.
[28] New Discovery on the Causes of IBS and Flatus by Prof. D.N.Tripathi, Graphic Art Offset Press, Nuapatna,, Cuttack, 753001, INDIA.;December 2013.