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Severe nausea, vomiting, indigestion, waste material present in intestines as seen in x ray, psychological problem, stomach pain, CT scan done. - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
User :   Hello Doctor
Doctor :   Please proceed with your query.
User :   I am from Bangalore and looking for assistance for one of my family relatives who is aged about 57 yrs
Doctor :   Ok
User :   He is experience severe nausea
Doctor :   Ok
User :   and when he eats something....the food sustains in small quantity
User :   and then he vomits out
User :   this problem has been there for 2 months almost
Doctor :   Ok
User :   and visited many local doctors.....
Doctor :   Ok
User :   they gave him some injection...not sure of what medicine
Doctor :   Ok
User :   whenever he takes the injection...the food sustains for some time...
Doctor :   Ok
User :   but within 2-3 hrs problem is back again
Doctor :   Ok
User :   there has been an xray done
Doctor :   Ok
User :   for abdomen...and looks like there is lot of waste material also present in the intestines
Doctor :   Ok
User :   but there has not been any cough..fever etc
User :   it is only vomiting and occasionally semi solid motions
Doctor :   Ok
User :   accompanying it...
Doctor :   Ok
User :   could you please redirect any specialist
User :   who could further analyse the problem
Doctor :   I would surely like to help you with this but I would like to know few more things before suggesting you: User :   yes please
Doctor :   Did you get any investigations done other than Xray of the abdomen.
User :   I only have information that all the tests..blood urine and all the reports are normal
Doctor :   Ok
User :   their family is thinking it is a cycological problem
Doctor :   Ok
User :   and taking the patient to pyshatrist
Doctor :   Ok.
User :   any specific test that you are looking for doctor
User :   or is it really a cycological problem ?
Doctor :   Yes, I wanted to know whether Ultrasound abdomen was done or not?
User :   yup.....I shall ask...but looks like it was done...and only then they confirmed that
User :   it is excreta still present
Doctor :   Ok
Doctor :   Is he suffering with any diagnosed medical conditions?
User :   he has severe acidity....
Doctor :   Ok
User :   and not been able to eat much for more than a year for now
Doctor :   Does he smoke or consume alcohol?
User :   no...
Doctor :   Does he complains of intermittent stomach ache on and off?
User :   yes.....
User :   but it has been mistook as acidity
User :   if there is some other problem..
Doctor :   May I know his height and weight?
User :   5 feet 4 inches
User :   and 54 kgs
Doctor :   Ok
User :   he seems to have lost 6 kgs in past 2 months
Doctor :   Ok
Doctor :   Did he see a gastroenterologist in between?
User :   yes....
Doctor :   What was his advise?
User :   he had suffered from gastroentites when he visited
User :   so...stopping vomitings and loose motions..he has given injections
Doctor :   Ok
Doctor :   May I know when was this visit?
User :   3-4 months back
Doctor :   Ok
User :   I just checked..he was also scanned under CT scan
User :   and the report seems to be normal
Doctor :   Ok
Doctor :   After going through the description provided by you, I feel that this might be due to gastroparesis.
User :   ok
Doctor :   Gastroparesis is decreased motility of the gut producing stasis of the excreta in the intestines and also due to this can produce excess vomitting.
Doctor :   I feel that a visit to a gastroenterologist would be helpful.
User :   ok
User : is the risk factor
User :   the vomitings are not stopping...
Doctor :   As there is a need to check the motility and to rule out any organic cause for this condition before declaring this to be due psychology.
Doctor :   It would stop once the intestine is completely cleared and might be as he has intermittent stomach ache an Oesophagoscopy and Colonoscopy would be required to check the structures of the oesophagus and the colon.
User :   ok
Doctor :   So, please take him to a gastroenterologist and get all the investigations to know the exact cause before declaring it to be due to psychology.
User :   ok.......
Doctor :   Did you follow my suggestions?
User :   yes is a consulation to gastroeterologist
Doctor :   Yes, please.
User :   which scan may reveal the problem doctor
User :   I am asking this to convince their family that not all scans had been they are taking the patient to psychatrist
Doctor :   An Ultrasound of the abdomen if not done, Oesophagoscopy and colonoscopy would help.
User :   ok
User :   any suggestion to get immediate relief from vomiting doctor
Doctor :   It would be better to give him small frequent meals. along with antiemetic medications like Metoclopromide. This medication has a property of reducing vomitting along with incresing the motility of the gut.
Doctor :   Please discuss about this with his treating doctor.
User :   ok
Doctor :   Also avoid fatty and oily food.
User :   doctor...I forgot to tell one thing...
Doctor :   Ask him to drink small quantities of water frequently.
User :   he is prone to diabetis
Doctor :   Ok
User :   as his parents both are diabetic
Doctor :   Was his blood sugar levels monitored recently?
User :   I am not sure of this.....
User :   may be I can recheck on this point...
Doctor :   If not done then he can get it checked to know the levels of his blood sugar levels and this could also be a cause for his weight loss.
User :   ok
User :   sure ...
User :   thanks doctor....your guidance is fully helpful to me now
Doctor :   Pleasure is mine.
User :   thank you
Doctor :   Are there anymore queries for me to help you with?
User :   no...I shall take this further on..
Doctor :   Thanks for consulting me
Doctor :   Take care
User :   thank you..bye
Doctor :   Bye for now.
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