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Nausea,vomitting and diarrhoea since three weeks - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3341 Questions
User :   I have had nausea, vomitting and diarrhea off and on for three weeks
Doctor :   Hi
Doctor :   dr here
Doctor :   Did you take any medications
User :   Im taking zofran and immodian
Doctor :   Such long time will cause severe dehydation and weakness
Doctor :   ok
Doctor :   Plz be hydrated well
User :   Ive been to the emergency room twice
Doctor :   I will also suggest you to change the antibiotics
User :   im not on antibiotics
Doctor :   And be cautious about water contamination
Doctor :   You should have
Doctor :   were you not prescribed
User :   no
User :   no
Doctor :   Plz do take ornidazole and ofloxoicin combination for 5 days
Doctor :   Twice a day
Doctor :   along with zofran if you have vomiting
User :   what is ornidazole?
Doctor :   Its an antimicrobial drug
User :   is it a perscription?
Doctor :   On combination with ofloxocin will eradicate infection
Doctor :   Yes
User :   how do you know its an infection, my blood test came back normal
Doctor :   Were your blood routine performed
Doctor :   Oki
Doctor :   Since long term diarrhoea suggests infection
Doctor :   What about Wbc differntial count
User :   blood test came back no infection
Doctor :   Ok
Doctor :   But i would rather suggest an antibiotic course
Doctor :   It could also be due to IBS
User :   vommiting?
Doctor :   Yes
Doctor :   do you smoke? consume alcohol
User :   im worried about something more serious, how can i rule those things out?
Doctor :   Are your eating habits regular
User :   yes
Doctor :   You will need an endoscopy done
Doctor :   To rule out the exact cause
User :   what is that? what does it test for?
Doctor :   Do you have loss of appetitie
Doctor :   Its the test done to visualize the Gastrintestinal tract
User :   no only when im nauseas
Doctor :   Ok
Doctor :   *gastro
User :   see a gastro doctor?
Doctor :   Yes you should meet one
Doctor :   And i also guess the reason for your anxiety is searching the net for your complaINTS
Doctor :   That will for sure confuse you
Doctor :   Stop googling and consult the gastro you isssue will be sorted out
User :   im just worried because it seems to get better than comes back a few days later
Doctor :   Persistant infection and Irritable bowel syndrome produce such symptoms which are always reccurent
Doctor :   All you need is a better work up and medications
User :   could there be an infection that they didn't catch in the test
Doctor :   Yes there are chances
User :   I have an antibiotic should i take it
Doctor :   What antibiotic do you have
User :   ciprofloxacin
Doctor :   Will not be sufficient
Doctor :   Take an higher one after prescription from the doctor'
User :   what do you mean a higher one
Doctor :   The next generation antibiotics
Doctor :   Ciprofloxacin is the early generation sufficeint for milder infections mainly skin infections
User :   so dont start taking it
Doctor :   we generally have differnet classes for antibiotics and are used accorrdingly
Doctor :   Yes
User :   that;s what they gave me the 1st time in the emergency room
Doctor :   as said prefeered in early stages
User :   can it get better on its own
Doctor :   Of infection when not severe
Doctor :   no
Doctor :   not after so much time
User :   but they said there was no infection, sorry im confused
Doctor :   Thats why i suggest an better work up
Doctor :   It might be IBS
Doctor :   But antibiotics will cause no harm rather benefitial
User :   what about an ulcer or gall bladder problem
Doctor :   Because the infection is not confirmed its a precautinery measure to have antibiotics
Doctor :   Ulcer will cause sever pain and burning sensation
Doctor :   Along with blood in vomitus
Doctor :   Gall bladder problems will cause more of greenish vomitus#
Doctor :   Associted with sever pain ( colicky)
User :   ok what about appendix
Doctor :   that will not probably cause diarhhea
Doctor :   That will produce typical pain in the lower abdomen which is unbearable
Doctor :   Midpoint between pelvic region
Doctor :   And fever too
User :   ok and colon or stomach cancer?
Doctor :   That is what requires endoscopy to confirm
Doctor :   They generally will ahev severe weight loss, loss of appetite, and associated pain
Doctor :   And no thrive for food at all, literally will not consume food
User :   ok thank you
Doctor :   Thanks for consulting me
Doctor :   Wishing you a speedy recovery
Doctor :   Bye for now
Doctor :   Have a great day ahead
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