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Diarrhoea,vomiting - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I vomited a month ago.Then two weeks later I vomitted and
had diarrhea.Now today which is two weeks later I feel like I need to vomit. I didn't vomit whenI tried so now just eliminating via bowels. Bowelsstart off solid now becoming loose.
Doctor :   Hi
User :   Hello
Doctor :   Please give me few seconds to got through your query
User :   I would like to add during the second episode
User :   my whole family had a stomach virus and was vomiting.
Doctor :   Ok.
Doctor :   May I know your age please and did you have a recent travel history ?
User :   I am 42 I did go to Cancun a few weeks ago.
Doctor :   Ok
Doctor :   How about your family members , what are their symptoms ?
User :   Everyone is fine. My 2 year old had diarrhea and
Doctor :   Ok.
User :   was vomiting first. I thought she might have caught
User :   something at daycare.
Doctor :   Ok
Doctor :   Ok.
Doctor :   Do you have any pain per abdomen ?
Doctor :   Or any tenderness ?
User :   No pain at all
Doctor :   What is theconsistency of the stool, Is it loose,watery, foul smelling, any blood or black in color ?
Doctor :   And how about vomitings , are they very violent and do they have any blood , etc. ?
User :   It just turned loose watery. Odor not bad.
Doctor :   Do you have any fever ?
User :   No blood. The first episode a month ago was just one time
Doctor :   Or any enlarged liver or abdomen ?
Doctor :   Ok.
User :   lasted briefly. The second episode the whole family
Doctor :   Have you ever consulted a physician for your problem ?
User :   had it and the vomiting was violent for a few hours.
User :   This time I have not vomitted. I tried to but nothing came
User :   out.
Doctor :   Have you ever consulted a physician for your problem ?
Doctor :   Ok.
User :   no I haven't seen a doctor. I haven't had a fever.
Doctor :   Ok.
Doctor :   Let me put up a list of the differential diagnosis and the possible tests required to rule out anything important.
Doctor :   1. Viral gastroenteritis.
Doctor :   2. Viral Hepatitis
Doctor :   3.Appendicitis
Doctor :   4. Or any intestinal obstruction like Pancreatitis but these have classically pain which you do not have.
Doctor :   5. Food poisoning
Doctor :   6. Any Bactrial diarrhoea
User :   Yes, I have no pain at all.
Doctor :   would suggest you to get a 1. CBC done
Doctor :   1. Viral gastroenteritis.
2. Viral Hepatitis Food poisoning
Doctor :   would be more in favour of investigations.
Doctor :   Please take lot of water and juices
Doctor :   and Elactral powder daily four sachets
User :   Ok Thank you very much
Doctor :   also loperamide and domperidone
Doctor :   three times 20 mg daily loperamide and 5mg domperidone daily twice.
Doctor :   for two days and if not please see a family physcian.
Doctor :   Thank you for consulting me.
Doctor :   Take care, bye for now.
Doctor :   Hi
User :   Are those things I can buy without a prescription?
Doctor :   yes, these drugs are OTC
Doctor :   and can be obtained without prescription.
User :   Ok great. Do I have access to a copy of
User :   this chat?
Doctor :   You can view this chat any time after this chat.
User :   Ok great. Thanks for your help.
Doctor :   You need to click on account and setting option which is seen on the top corner of the webpage after signing in.
User :   Ok thanks
Doctor :   Do you have any other query?
User :   That is all, I appreciate your help.
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
Doctor :   Wish you good health and faster recovery.
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