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Hangover, vomiting - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Smoking and Alcohol Addiction
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1770 Questions
User :   hi doc
Doctor :   Hi
Doctor :  
How can I help you?
User :   is that dr XXX
Doctor :  
I am Dr.XXXX
User :   ok
Doctor :  
I can help you with your queries
User :   doc last nite i was at a party
Doctor :  
ok
User :   n consumed quite a lot of beer
Doctor :  
ok
User :   this morning had a hang over
Doctor :  
ok
User :   vommiting sensation
User :   so jus tried to vommit but its jus saliva
Doctor :  
Do you have headache too?
User :   n i could see reddishness in the spit
User :   i presume traces of blood
Doctor :  
Ok
User :   no headache as of nw, since i slept well
Doctor :   Did you urinate today?
User :   so am worried coz evrytime i try to vomit from inside as in straining my abdomen i can see traces of blood
Doctor :  
ok
User :   urine n motion are normal
Doctor :  
Do you have pain in the abdomen?
User :   no
Doctor :  
This is a feature of hangover
User :   but i have a fatty liver and have a bad history of drinking since 3 yrs
Doctor :  
and you are dehydrated with this
User :   ok
Doctor :   YOu have to take ample amounts of water

User :   but is it normal to have blood in the spit or puke???
Doctor :   Take a glass of normal water with pinch of salt
Doctor :  
and spoon of sugar
User :   ok
Doctor :  
Yes it is normal to have red tinged sputum if you force yourself for vomiting
Doctor :   There are vertical damage of mucosa of the food pipe because of forced vomiting

User :   so does that indicate any internal damage
User :   ??
User :   ok
Doctor :  
resulting in blood tinge
Doctor :  
sputum
Doctor :  
They heal within days if you follow my instructions
User :   ok
User :   go ahead
Doctor :  
1) Do not take any spicy or fried foods
User :   ok
Doctor :  
for few days
Doctor :  
2) Restrict to bland foods
User :   ok
Doctor :  
3) No junk food
User :   ok
Doctor :  
4) Tab OMEZ 20mg once a day before breakfast for 3 days
User :   ok
User :   its not serious right ???
Doctor :  
5) Amount of water should be more than 2.5 litres a day
User :   ok
Doctor :  
It is not serious but see that you do not consume
User :   consume wt??
Doctor :  
alcohol
Doctor :   If beer not more than 300ml each time
Doctor :  
wine not more than 100ml each time
User :   but this problem did happen a couple of times earlier n i did consume beer during that time in large amount how does that affect
Doctor :  
Whisky / Brandy / Rum not more than 60 ml each time
Doctor :  
The body reaction is different at different times
Doctor :  
Moreover beer is a diuretic it acts on the kidneys to lose more water
User :   but if in this state if i consume abt 10 cans of beer hw will it affect me
User :   approx 4000 ml of beer i mean
Doctor :   It dehydrates you more

User :   ok
Doctor :  
and more loss of water
User :   doc does drinking plenty beer thins ur blood
Doctor :  
It can this in directly
Doctor :  
because more alcohol can damage the kidney and Bone marrow which produce these blood cells
User :   ok
User :   so u mean that mite thin the blood???
Doctor :  
Yeah
Doctor :  
long effects
User :   n does it also thicken the blood?
User :   in anyways.
User :   u thr?>
Doctor :  
No
Doctor :   In fact it can thicken blood too in some ways
User :   no since i hav had venus thrombosis once in 2006 in the subclavian vein i jus wanted to knw should i take blood thinners when i smoke n drink to avoid it
Doctor :   But the more harmful way is to thin the blood

Doctor :  
No
User :   because the thought of having a blood clot scares me
Doctor :   You should avoid smoking and drinking first
Doctor :  
instead of taking Blood thinners
Doctor :  
They cause blood clotting
User :   ok
Doctor :  
try to quit smoking first
Doctor :  
I can help you if you take a decision to quit
User :   ok
Doctor :   Now for the present condition of dehydration you do not worry
Doctor :  
Take ample amount of water
User :   ok
Doctor :  
Let you come back to normalcy in a day or two
User :   ok
Doctor :  
then we can always plan on how to quit smoking
User :   ok
Doctor :   Does this sound Ok?

User :   i dunno mentally the thought of the clot scares me
User :   ok
User :   for nw
User :   so if i happen to drink or smoke i need not take thinners??
Doctor :  
Most Blood thinners do not prevent the clot, they usually reduce the already formed clot
User :   warf 5 ???
Doctor :   so the risk factors are to be reduced
Doctor :   Warfarin is a blood thinner
User :   does that prevent???
Doctor :  
Usually Aspirin is a better thinner than Warfarin as it comes with less side effects
Doctor :  
Warfarin helps in preventing the extent of the already formed clot
User :   one taBLET remains affective for hw long??
Doctor :  
Aspirin or Warfarin?
User :   WARFARIN
Doctor :  
It depends on the dose
User :   wt are the side effects in warfarin???
User :   dose 5 mg
Doctor :   Usually the half life of warfarin is 2.5 days

User :   u mean 5 mg thins ur blood for 2.5 days
Doctor :   The duration of effect is 2รข??5 days.
Doctor :   It does not mean that you take one tablet once in 2.5 days
Doctor :  
The effective dosing should be once a day
User :   this is for 5 mg rite?
Doctor :  
yes
User :   ok
User :   so its nt wise to take a tablet if i happen to drink or smoke again???
Doctor :   Yes

User :   ok
User :   thx doc
User :   m done
Doctor :  
ok
Doctor :  
Please fill the feedback form
Doctor :  
Thanks for consulting us
Doctor :  
Bye for now
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