Dr. Patta Radhakrishna

Food poisoning with rice dishes

Staph and Bacillus cereus can cause acute food poisoning within 6 hours of ingestion of food. B. Cereus is likely when rice is the culprit.
B. Cereus is able to persist in food processing environments due to its ability to survive at extreme temperatures as well as its ability to form biofilms and spores.
B. Cereus has been recovered from a wide range of foods, including rice, dairy products, spices, bean sprouts and other vegetables.
Fried rice is an important cause of emetic?type food poisoning associated with B. Cereus.
The organism is frequently present in uncooked rice, and heat?resistant spores may survive cooking.
Cooked rice subsequently at room temperature can allow vegetative forms to multiply, and the heat-stable toxin that is produced can survive brief heating such as stir frying
Two distinct types of toxin-mediated food poisoning are caused by B. Cereus, characterized by either diarrhea or vomiting, depending on which toxin is involved. The diarrheal toxin is produced by vegetative cells in the small intestine after ingestion of either bacilli or spores. The emetic toxin is ingested directly from contaminated food. Both toxins cause disease within 24 hours of ingestion.
The emetic syndrome is caused by direct ingestion of the toxin.
The number of viable spores and vegetative bacteria that produce diarrheal toxin is reduced by heating, although spores associated with emetic toxin are capable of surviving heat processing.
Cereulide is heat stable and resistant to gastric conditions.
The ingested toxin itself may therefore cause disease despite sufficient heating to kill B. Cereus.
The emetic syndrome is characterized by abdominal cramps, nausea, and vomiting. Diarrhea also occurs in about one?third of individuals. Symptom onset is usually within 1 to 5 hours of ingestion, but it can also occur within half an hour and up to six hours after ingestion of contaminated food.
Symptoms usually resolve in 6 to 24 hours.
Rice?based dishes in particular have been implicated in emetic toxin mediated disease, usually as a result of cooling fried rice dishes overnight at room temperature followed by reheating the next day.
The infective dose of cereulide required to cause symptoms is 8 to 10 micrograms per kilogram of body weight.

Hello, you can take homoeopathic medicine Nux Vom 30 ( 4 drops in little water) thrice a day for a week and update. *Drink lot of water. *Include fruits, raw vegetables and fresh vegetable juices in your diet. *Avoid fried and spicy food.

Hi. You are having GERD. The reflux is severe now and you should undergo repeat endoscopy and 24 hr ph score for accurate diagnoses. Since it's a recurrent attack you may require a antireflux surgery. This can be performed laparoscopically. You should meet a gastroenterologist and GI surgeon now. Take all postural precautions like do not lie down immediately after meals. Take small light frequent meals. Avoid spicy oily food. Elevate your headend by 30 degrees. Continue antacids.

When the stones are small, the risk is that the stones can slip into the bile duct. This can cause an emergency called obstructive jaundice. So it's better to undergo surgery called laparoscopic cholecystectomy. It is a 2 hr surgery and the patient goes home the next day

Dear lybrate user with the limited amount of information provided it appears that you are having gastritis. The first and foremost treatment of which is life style modification like regular exercise, diet modification as advised and liberal fluid intake. Try having small frequent meals, avoid tea/coffee/carbonated drinks, avoid chilli, stop smoking and consuming alcohol if you do. Hope this solves your query. Try with these life style measures first. If any concern then feel free to contact we will then discuss and start you on medication if needed as every one has a different requirement of medicine.

Pls use ointment diltiazem local application twice or thrice a day for minimum three weeks. Also plenty of water to soften stools and cremaffin plus syrup 10 ml at night every day.

take pan 40 mg one daily for 3 weeks, before breakfast.. consult physician, do Hb and stool r/m test.

Dear lybrate-user relax ,as you have already got your oral health check up done and clearance from gastro enterologist .now you said it is only psychological best way is avoid the feeling and follow normal course of maintaining oral hygiene brush twice followed by mouthwash regularly. Normal way to precautions are The embarrassing problem of bad breath can be cured through some simple means. Drink as much water as you can. It will help in keeping your mouth clean and refreshed. Also rinse your mouth with water after you munch a snack or drink anything; doing so will minimise the smell in your mouth. Use mouthwash You can carry a small bottle of mouthwash along wherever you go if the problem of bad breath is too severe. Rinse your mouth after every meal and before every crucial meeting or date. Mouth fresheners and sprays You can keep some packs of mouth fresheners and mint chewing gums in store, they always come handy. Mouth-freshening sprays are effective too. They help in controlling bad breath and leave your mouth smelling good. Citrus fruits fight bad breath Citrus fruits like oranges and strawberries aid in fighting bad breath. The vitamin C in them contains anti-bacterial properties and helps in eliminating germ build-up in the mouth. Chew natural mouth fresheners Fennel seeds, cloves, cardamom, basil leaves or mint leaves help restore fresh breath. The antiseptic properties in these ingredients help in curbing bad breath naturally.

get u/s whole abd done, back with report, so that i can help you. can you tell me any injury in back. welcome.

Dear Dinesh may be due to URINARY Tract infection.and digestive system disorder .Take following Chandra prabha vati 2tabs morning and evening with water Udaramrutha vati 2tabs morning and night after breakfast and dinner.Review after one month.

Take regular timely non spicy or non oily diet. Avoid over eating. Exercise and yoga/ meditation will help too.

take following remedies 1.triphala kadha 4 tsp before lunch and dinner 2.amala juice 4 tsp + 2tsp sugar + 2tsp honey in the morning empty stomach

Hi, take cap. Stomotone 1-1-1 after food for 2-3 weeks and himcocid syrup 2tsf 3 times daily before food to control burning sensation in the stomach and chest. Take madiphala rasayana 2tsf 3 times a day to stop vomitting. Avoid hot and spicy food. Eat small quantities frequently. Drink plenty of water. Never miss your breakfast. Avoid excess intake of coffee and tea.

Respected lybrate-user hi it seems ext hemo or may be sebaceous cyst. Avoid oily spicy stuffs avoid to get hard stools have more liquids green leafy veg fiber fruits curd for better digestion. Apply xylocaine (5) jelly over anal part after passing stool & sitz bath (sitting in tub filled with leuk warm water for 10-10 min mor & eve) for 5 days. Consult later dear if problem thanks regards.

Check your eye sight for refractive error and also rule out sinusitis as the cause of headache and For headache take tablet paracetamol

1. Reduce weight if you are over weight by regular exercise, 2. Control diet by avoiding oily, fatty, cholesterol rich and high calorie diet, diary food product, fried /processed/junk food, soft drink, sugar, salt, ghee butter meat. 3. Take foods rich in omega3 fatty acid like walnut, fish oil, flax seed oil, high fiber diet, vegetables, beet/carrot and fruits 4. Drink plenty of water 5. Avoid hepato toxic drugs 4. Total abstinence from alcohol, smoking if you are having.

Take fiber diet. use green vegetables. avoid constipation. take tab pilex one tab 3 times daily. use anovate ointment on anus. consult surgeon for detail advise.

Fatty liver is due to deposition of fat in liver cells. You have to avoid fatty diet and weight has too be reduced. Daily exercise is must. Tab udiliv 600 1 tab bd for 3 months.

You may be having fissure or papilla or pile so you need to be examined by a general surgeon and proctoscopy to be done to know what exactly it is, by the time keep your stool soft by taking plenty of fluids orally and high fibre diet.

Avoid outside spicy and fried food. Walk about 3-5 kms daily. There should be gap of 2hrs after dinner and sleep. Small and frequent meals is of help. Keep your blood sugar controlled. Raise your bed about 4" from headend side. Get your gastroendoscopy done. Tab nexpro-l 1 tab empty stomach.