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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need Treatment For Stomach Pain And Bowel Problems

I have been having stomach pain and bowel problems. My stomach makes strange noises and when I eat I vomit get bad pains in stomach and feel urgency to go to bathroom nothing comes out back end, I just throw up. This morning I noticed I am spitting up dark brown specs. Has been going on for a couple weeks seems to be getting worse.

Thu, 27 Apr 2017
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Pain in abdomen, strange noises, vomiting on eating with bad pains, feeling to go for passing motion but nothing comes out - also called tenesmus, noticed in the morning the dark brown specks in vomitus; all going for a couple of weeks...
This looks to be due to Gastroenteritis.
Gastritis part causing vomiting on eating and the enteritis part causing pain on eating, colitis part causing the feeling to go, pain but not passing stool due to severe inflammation of the colon and rectum.
I would advise you the following in such a situation:
Get the stool and blood tested.
Ultrasonography of the abdomen.
Get started on a PPI like Omeprazole, Domperidone for gastritis and vomiting and antacids.
Antibiotic active against intestinal infection.
Antispasmodic for the pain.
Intravenous fluids, electrolytes and antibiotics if vomiting does not stop or have signs of dehydration and electrolyte imbalance.
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Need Treatment For Stomach Pain And Bowel Problems

Hi. Thanks for your query. Noted the history and understood the concerns. Pain in abdomen, strange noises, vomiting on eating with bad pains, feeling to go for passing motion but nothing comes out - also called tenesmus, noticed in the morning the dark brown specks in vomitus; all going for a couple of weeks... This looks to be due to Gastroenteritis. Gastritis part causing vomiting on eating and the enteritis part causing pain on eating, colitis part causing the feeling to go, pain but not passing stool due to severe inflammation of the colon and rectum. I would advise you the following in such a situation: Get the stool and blood tested. Ultrasonography of the abdomen. Get started on a PPI like Omeprazole, Domperidone for gastritis and vomiting and antacids. Antibiotic active against intestinal infection. Antispasmodic for the pain. Intravenous fluids, electrolytes and antibiotics if vomiting does not stop or have signs of dehydration and electrolyte imbalance.