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Intestine problem, gastric problem with acute vomiting - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: GERD
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Hi doctor..

User :   Hello doctor..
Doctor :   Hi
Doctor :  
Doctor :   please post your query
User :   My Aunty with age of 50 years is having severe problem of intestine
User :   gastric problem with acute vomiting..
User :   whatever she eats/drinks gets vommitted immediately
User :   We took her to a doctor and he diagnosed 4 few days but the problem is not getting sorted out... Her stomach got swollen and that doctor told us that there is some intestine infection due to which her stomach is filled with water
User :   Can you help me in finding out the exact problem and the cure
Doctor :   iS SHE DIABETIC?
User :   yes little bit
Doctor :   Is she on any medicines?
Doctor :   for what?
User :   yes that doctr gave some medicines
Doctor :   can you tell the names
Doctor :   Gastritis, an inflammation or irritation of the lining of the stomach
Doctor :   i feel she might have that
User :   yes.. pain in stomach
User :   and its been a week now
User :   she got very weak..
Doctor :   is there any particular food that she took ?
Doctor :   was there any change in her lifestyle?
Doctor :   An example of acute gastritis is stomach upset that may follow the use of alcohol or aspirin
Doctor :   Helicobacter pylori is a type of bacteria that infects the stomach. Infection with this bacteria may lead to chronic gastritis.
User :   no.. normal.. not alcohol nothing..
Doctor :   is she having stomach pain?
User :   yes
Doctor :   is she having constipation or diarrhoea?
Doctor :   where is the pain?
Doctor :   i mean upper part or lower part of abdomen?
Doctor :   The most common symptoms are abdominal upset or pain.
Doctor :   Other symptoms are:
* belching,
* abdominal bloating,
* nausea, and vomiting
* or a feeling of fullness or of burning in the upper abdomen.

Doctor :   Gastritis is diagnosed through one or more medical tests: Doctor :   Upper gastrointestinal endoscopy. The doctor eases an endoscope, a thin tube containing a tiny camera, through your mouth (or occasionally nose) and down into your stomach to look at the stomach lining
Doctor :   Blood test. The doctor may check her red blood cell count to see whether she has anemia, which means that you do not have enough red blood cells
Doctor :   Treatment usually involves taking drugs to reduce stomach acid and thereby help relieve symptoms and promote healing.
Doctor :   Avoidance of certain foods, beverages, or medicines may also be recommended.
User :   blood test: less haemoglobin
Doctor :   ok so anemia
Doctor :   it can be caused by vitamin b12 deficiency
Doctor :   If your gastritis is caused by an infection, that problem may be treated as well
Doctor :   For example, the doctor might prescribe antibiotics to clear up H. pylori infection.
User :   medicine name : ambystri, vicax
User :   pain is at upper part of stomach
Doctor :   ok
User :   stomach seams heavy
User :   can u suggest some medicine...
Doctor :   then probably it is gastritis
User :   stomach is very swollen..
Doctor :   Antacids or a GI cocktail (ie, typically an antacid with an anesthetic such as viscous lidocaine and/or an antispasmodic) may be used therapeutically for symptom
Doctor :   try using oxetazine syrup
Doctor :   WWW.WWWW.WW User :   Dr. currently her main problem is that she is unable to hold anything which she eats or drinks
Doctor :   ok
Doctor :   then she might need admission in hospital
Doctor :   and emergency endoscopy
Doctor :   and iv fluids to prevent dehydration
User :   so can u suggest us any specific medicine so that we can hold her till tommorrow..
Doctor :   Establishment of adequate IV access and volume replacement, initially with crystalloid.
Doctor :   if she is vomiting get an examination done immediately
Doctor :   as she cn go in to dehydration and low blood pressure
Doctor :   Aluminum-containing and magnesium-containing antacids can be helpful in relieving symptoms of gastritis by neutralizing gastric acids.
User :   she was admitted from last 3-4 days and came back home yesterday only...
Doctor :   ok
User :   till today mrng it was fine..
Doctor :   but since she is vomiting no oral medicines can help
User :   ya..
Doctor :   she is elderly too
User :   yes
Doctor :   dehydration can cause coma and hypotension
User :   around 48-50 yrs
Doctor :   and even cardiac problems
Doctor :   yes
Doctor :   Treatment goals in the acute setting are the relief of discomfort and protection of the gastric mucosal barrier to promote healing.
User :   can we give her the medicines u suggested earlier
Doctor :   she will have to be observed for blood in vomitus too
Doctor :   but it is an antacid only
User :   okk
Doctor :   not remedy for vomiting
Doctor :   so she might vomit it again
Doctor :   she needs admission right now
User :   anything to stop vomiting
Doctor :   call the doctor concerned and discuss
User :   okk
Doctor :   i cannot give prescription medicines online
Doctor :   that is illegal
Doctor :   so call your doctor now
Doctor :   its 9pm only
User :   can u suggest good hospital in Patna
Doctor :   still time left
Doctor :   sunday will be difficult
Doctor :   yes sure
Doctor :   wait aminute
User :   please ..
Doctor :   WWW.WWWW.WW Doctor :   use the link
User :   okk
User :   thanks
Doctor :   is there anything else i can help you with now?

Doctor :   THANKS FOR CONSULTING..........
User :   Dr. if cannot tell us the prescribed medicine... can u tell us
Doctor :   BYE FOR NOW.......................
User :   the content
Doctor :   I said na
Doctor :   iam not doing an physical examination thats y
Doctor :   so call dr now
User :   any general medicine to stop vomiting
Doctor :   the best one is giving iv fluids to rest her stomach
Doctor :   since it is very irritated now
User :   ok
Doctor :   everything will be vomited
Doctor :   Thanks for consulting...........
User :   ok
User :   thnks
User :   bye
Doctor :   bye for now...........
Doctor :   Take care............
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