Fisherman’s first aid kit. Part 3

A fishing trip, especially a multi-day trip to remote places where there is no way to see a doctor, requires fishermen to have certain knowledge and readiness, if necessary, to independently provide the necessary assistance to themselves and their companions. Igor Golishchenko, a doctor by profession and a fisherman by hobby, continues to talk about what medicines should always be in a fishing medicine cabinet and in what cases and how they should be used.

DELICATE THEME

The next group of drugs needed in a first-aid kit is drugs for the treatment of gastrointestinal disorders. During the hike, the nature of the food and its quality change significantly, it is not always possible to wash your hands well, and the quality of drinking water also changes. All this can cause dyspepsia, a high risk of developing and intestinal infection. Loose stools are not fatal, but they are always unpleasant. The action of drugs based on loperamide, widely advertised in the media (Imodium, Lopedium), is based on a sharp decrease in the motility of the colon and an increase in the tone of the sphincters. In fact, they interfere with the physiological response of the body – the removal of non-digestible foods from the intestines – and only solve a small part of the problem with indigestion.

If it was caused by the development of an intestinal infection, this only exacerbates the situation. Nevertheless, these drugs are necessary on the road and in some other delicate situations. Taking them systematically does not make sense, since they do not eliminate the very cause of the disorder. If during the day, while taking loperamide, loose stools persist, intestinal antibiotics should be taken. The old, time-tested drug chloramphenicol will help here. We take it for one to two days, 0.5 g twice a day. This is usually enough to solve the problem of most intestinal infections.

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ANTIBIOTICS AND PROBIOTICS

Broad-acting antibiotics are also needed in a first-aid kit. Their task is to prevent purulent septic complications of wounds, infected calluses and, in addition, purulent skin diseases (furunculosis) or tonsillitis. The indication for their use is an increase in body temperature, chills and signs of microbial intoxication of the body (general weakness, malaise), as well as an increase and soreness of the lymph nodes. There are many antibiotics, and it is easy for a layman to get confused about them. We need a broad-spectrum drug. It is difficult to give specific recommendations here, but I would advise you to have a package of “Tseprolet” (taken twice a day, 0.5 g) or “Flemoxin” (taken twice a day, 1.0 g) in the first-aid kit. It is important to remember that if you start taking an antibiotic, you should do it systematically, with a course of at least 5-7 days. The therapeutic effect does not develop immediately, but usually starting from the second day. A break in the course of taking an antibiotic significantly reduces its effectiveness.

However, the antibiotic destroys not only the pathological intestinal flora, but also the local flora, which is in symbiosis with your body and is very important for its normal functioning. Therefore, it always makes sense after the end of the antibiotic action (usually 12-18 hours after the last dose) to take a probiotic drug once or twice and restore the normal intestinal flora. The best of this group of drugs is Probifor. It contains microcolonies of “correct” bacteria adsorbed on powdered activated carbon. This drug is significantly superior in effectiveness to “Linox” and other widely advertised probiotics. An important feature of probiotics is that you need to take them only after meals, 1-2 sachets, dissolving the contents in warm boiled water. To restore normal intestinal flora, one or two doses of Probifor are usually sufficient.

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DO NOT WEAR ONE

Antispasmodics will not be superfluous in the first aid kit. Their task is to eliminate the spasm of various parts of the digestive tract with manifestations of dyspepsia. The drug No-shpa, widely advertised in the media, has long been obsolete. Selective drugs are needed that do not relax the smooth muscles of the vascular walls and cause hypotension, but act selectively on the muscles of the intestines and valves (sphincters) of the digestive tract. You can recommend taking one blister of Duspatalin and Trimedat with you. The former solves most problems with the work of the biliary tract (liver, gallbladder, bile ducts), and the latter also has a prokinetic effect and restores the correct motility of all parts of the gastrointestinal tract.

Gastritis is a delicate matter

Also needed in the medicine cabinet and antacids. Reception of “Gostal” or “Fosfolugel” will eliminate heartburn and pain in the stomach. This is especially necessary for those who suffer from chronic gastritis or esophageal reflux disease. Eating canned or rough food can exacerbate these diseases. Antacids bind free hydrochloric acid of gastric juice and eliminate its traumatic effect on the inflamed mucous membrane of the stomach and esophagus. However, I would not recommend drugs that suppress the synthesis of hydrochloric acid itself (Omeprazole, Rabeprazole) in the body. Gastric acid is a natural barrier against most microorganisms that enter the gastrointestinal tract with food. The absence of this barrier, caused by certain drugs, can contribute to the development of intestinal infection in the field.

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Well, that’s probably all. I would like to remind once again that any, the best drug is useless if you do not know how it works and what it is needed for. If you are far from medicine, I advise you to make a list of medicines in your medicine cabinet, and a brief description of their action, reasons and conditions for taking. Hope this article will help you in difficult times. Take care of yourself! We are always welcome at home!

Igor GOLISHCHENKO