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Questions and Answers Segment

Your questions answered every 2 weeks. If you have a question for Dr Elstein, click here.


QUESTION 1:  I have had a lower sore throat for six months. The ENT has looked at my vocal cords, and another doctor has looked at my oesophagus and stomach.  The only problem found was a bad case of acid reflux.  I have changed my diet and been put on prevacid, nexium and protonix which all seem to slow the reflux down but do nothing to heal my sore throat. My newest symptom, which may or may not be related, is my tongue. The back half has a heavy brown coating on it. I have a metallic taste in my mouth and the taste buds especially in the centre are very large.  I have been on nystatin for a week but am not getting better. Any suggestions as to what might be going on would be greatly appreciated.

  Answer:  The formation of a heavy brown coating on the back of your tongue suggests that you have excess acidity in your body.  Acid forming foods include meat, dairy, grains and refined sugars.   To make it simple fruit and vegetables are alkaline and all the rest are acidic. It might help to change to a more vegetarian pattern of eating including fish and eggs if you so desire.  Aloe vera juice can have an alkalinising effect on your digestive system.  It is also possible that you have a candida infestation or yeast overgrowth even though the nystatin is not helping you.  A yeast free diet would be a good idea as well and you can find lots of tips on how to go about this on the web. The other area you need to explore which is in this vain is the presence of food intolerance.  Gluten found in wheat, rye, oats and barley is a common offender.  I had one patient with problems very similar to yours who improved dramatically when it was discovered that he had a problem with gluten, which we uncovered by assessing his gliadin antibodies on a blood test.  Dairy is another food item that can cause problems.


QUESTION 2:  I have recently taken Vioxx and have lost my sense of smell.  Is this unusual?  Will it come back?

  Answer: I’m not aware of any evidence that indicates that Vioxx does this.  You might try coming off Vioxx and noting any improvements.  Remember that there are natural alternatives to Vioxx including the herbs ginger, turmeric and boswellia as well as fish oil, New Zealand green-lipped mussel extract and glucosamine.


QUESTION 3:  Is there a solution to the bad taste left in one's mouth from chemotherapy drugs?

  Answer:  This can be the result of a zinc deficiency or the body’s attempts to deal with toxins.  Herbs such as st mary’s thistle, globe artichoke and dandelion, which boost liver function, might help your body to detoxify more efficiently.  Drinking peppermint tea might help to reduce the bad taste.


QUESTION 4: I have been on HGH treatment with GENOTROPIN 16iu(5.3 MG)
by injections 6 units on an ultra fine needle U-100 insulin needle for 6 months
on daily injection. My question is; should I continue indefinitely or with pauses?  I tried pausing last week and the result is that the pain returned in my hips and buttocks.  I assume it is my rheumatism so I started again with my daily Genotropin injections.

  Answer:  I’m having difficulty deciphering how much growth hormone you are actually taking as a dose of 6—7 i.u. per week is considered reasonable and it appears that you are taking at least double this amount. While you don’t necessarily have to cease your programme you should have your levels monitored either via an IGF-1 blood test or by means of 24-hour urine growth hormone evaluation.  Exposing your body to excessive amounts of growth hormone is not a good idea.  Regular breast checks would also be a good idea.


QUESTION 5: I have suffered for a year now with a blockage in my chest that has now moved into my upper stomach. I have had treatments for irritable bowel syndrome to no effect. I have terrible with bloating even if I have eaten small quantities. My stomach rumbles lots and I am always tired. Could I be suffering from something such as helicobacter pylori?  I seem to get no joy from my doctor who just says that there is nothing wrong when I know this is not the case.

Answer:  I have some concern that you are experiencing bloating even with the consumption of small amounts of food.  Having this investigated would appear to be prudent. However you doctor appears to be convinced that you have no major problems, which is reassuring.  You may be suffering from helicobacter pylori and having a simple breath test would determine this.  Another possibility is the inadequate production of digestive enzymes and hydrochloric acid. Taking digestive enzymes and a tonic called Swedish bitters might help in this regard.  Food intolerance might also be implicated and here you would need to avoid dairy, yeast and then gluten containing foods.  Gluten is found in wheat, rye, oats and barley and I’ve referred to this problem many times on this site.  It is quite amazing how many folk suffer from this problem.  Ideally your doctor would be able to help you discover exactly which foods you have a problem with.  Failing this I have found that the most common culprits are dairy, yeast and gluten.


QUESTION 6: Topical hair solutions whose main ingredient is conjugated linoleic acid are being touted for hair growth.  Will ingesting conjugated linoleic acid capsules be just as or more effective than the topical application to the scalp?

  Answer:  I don’t believe that the oral route would be as effective as the topical application but I have to confess that this is the first I’ve heard about conjugated linoleic acid being utilised in this fashion.

 


QUESTION 7:  

 


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