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Gastroenterology/Mallory Weiss tears, perforated ulcer, Reglan and gastroparesis

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Question
1) Can Mallory Weiss tears be serious? Can they rupture or cause noticeable problems? What causes them?

2) My 34 year old, slim male, smoker friend is in the ICU following a  perforated gastric ulcer that has never even shown symptoms before this. Occurred suddenly. Lost significant amount of blood, had agonizing pain. Was surgically repaired internally and externally.  
- How likely is it that the problem will recur if he is put on a PPI and eats sensibly?
- What may have caused the sudden rupture?
He had not recently consumed highly acidic foods or alcohol, no illicit drugs, was not doing anything strenuous, had been feeling well recently, but takes a daily cocktail of various meds.
- How soon can he and I go out to dinner?

3) Does gastroparesis ever resolve on its own?

4) Does Reglan help GERD? Help IBS-D?

Answer
Hi Amanda

Everything has to have reason for it. Perforation of the gastric ulcer is a serious condition, it is an alarming bell to change the life-style. He is not my patient, so I cannot give him medical advice. For my patient I may recommend:
   Diet without gluten, sugars, milk
   Stop smoking and drinking one year
   Stop using NSAID
   Take healing mineral water prepared from genuine Karlovy Vary thermal spring salt
   Cellular magnesium-Potassium
   Digestive Enzymes
   Probiotics (Trenev Trinity)
More info about diet you can get from my EBook
“Healthy Pancreas, Healthy You” part 2
http://www.smashwords.com/books/view/240466#/longdescr

Do not kill the messenger, but his condition is chronic and cannot heal by itself.
I wish you and your friend good health
Peter Melamed, Ph.D.

Biotherapy Clinic of San Francisco
http://www.biotherapy-clinic.com/

Gastroenterology

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Peter Melamed, PhD

Expertise

I can answer all questions about digestive health, especially in focus on the non-drug, non-surgery treatment. It includes healing diet, acupuncture, herbal medicine, nutritional supplementation, healing mineral water, abdominal massage, and cleansing techniques. All these practices are widely used by gastroenterologists all over the world.

Experience

This is my everyday job at Biotherapy Alternative Medicine Clinic in San Francisco. I have decades of the experience of working as an MD in ICU, outpatient department and privet practice. I have helped many of my patients with the chronic digestive disorders by using the non-drug, non-knife approach for the 20 years.

Publications
I published many articles on internet about gastrointestinal disorders. 1. Peter Melamed, Ph.D., Felix Melamed, LAc, MSTCM. EBook Healthy Pancreas, Healthy You. Publisher Biotherapy, Inc, September 2014 https://www.smashwords.com/books/view/236176#/longdescr 2. Peter Melamed, Felix Melamed. Chronic Metabolic Acidosis Destroys Pancreas. JOP. J Pancreas (Online) 2014 Nov 28; 15(6): 552-560 http://pancreas.imedpub.com/chronic-metabolic-acidosis-destroys-pancreas.pdf 3. Peter Melamed, Felix Melamed. Short Review of Our Work - "Chronic Metabolic Acidosis Destroys Pancreas" with Focus on the Functional Exocrine Pancreatic Disorders JOP. J Pancreas (Online) 2015 Jul 08; 16(4):365-368 http://pancreas.imedpub.com/short-review-of-our-work--chronic-metabolic-acidosis-destroys-pancreas-with-focus-on-the-functional-exocrine-pancreatic-disorders.pdf 4. Peter Melamed, PhD, and Felix Melamed, MS. Acidity Kills the Pancreas. Townsend Letter, the Examiner of Alternative Medicine. August/September 2015, p. 74-80 http://www.townsendletter.com/AugSept2015/acid0815.html 5. Peter Melamed, Felix Melamed. The Role of the Metabolic Acidosis in the Development of Chronic Pancreatitis. SM Group (USA) Chronic Pancreatitis: Recent Advances. 2015, Aug 10 http://www.smgebooks.com/chronic-pancreatitis/chapters/CP-15-01.pdf

Education/Credentials
MD, Ph.D. in the medical science and also LicAc, RN

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