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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Vomiting Due To Acid Indigestion. On Insulin For Diabetes. Suggestions?

My mother is a diabetic and uses insulin . She has been throwing up every now and then for no apparent reason. I asked her at one time about her throwing up she said it had something to do with acid indigestion. Right now she is in the ER because she had the feeling of throwing up but nothing is coming up. My mother tends to hide medical issues with me. Any information will be greatly appreciated. Thank you!
Tue, 6 Nov 2012
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General & Family Physician,  's  Response
Dear Concerned.,

Thanks for writing to us.

Kindly get the acute condition treated with injectable anti-emetics at the ER.

The age of your mother is not mentioned. Your mother is most probably suffering from intractable GERD(Gastroesophageal Reflux Disease ) as a result of loosened /incompetant Gastrooesophageal Sphincter located at the junction of Stomach and Food pipe.

The best investigation for the above condition is Upper GE -Endoscopy which is a day care
procedure done by a qualified Gastroenterologist.

Kindly avoid oily/spicy/irregular food habits. Timely eating bland soft Diabetic diet and walking for 30 mins after food and sleeping in a propped up position avoids GERD.

Medicines such as Antacids/Proton Pump inhibitors /anti emetics /Pro-biotics and antispasmodics are usually prescribed after Clinical examination.

Complications of not taking precautions:
The overeating/obesity (usual features in Diabetes)may in turn complicate the issue by indrawing of upper end of Stomach into thorax leading to Hiatus Hernea if the condition is allowed to continue.Peptic Ulcers may be also a sequelae.

Surgical Treament is by Fundoplication operation by Surgical Gastroenterologist.

Get well soon.

Best Regards.,
Dr Lt Cdr ASN Bhushan.


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General & Family Physician,  Dr. Fakhar-i-Rifaq's  Response
hi--------1 ur mom feel loanliness give her 15 minutes daily before sleeping this will help to suith the vagus nerve coming from brain and effecting on stomach 2 ---GIVE HER 1;4 TEASPOON soda bicarbin in a glass of water after each food.3.------ give her ispaghol 2 table spoon in glass of cold milk.i hope she will feel better ok see you if necessary
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Vomiting Due To Acid Indigestion. On Insulin For Diabetes. Suggestions?

Dear Concerned., Thanks for writing to us. Kindly get the acute condition treated with injectable anti-emetics at the ER. The age of your mother is not mentioned. Your mother is most probably suffering from intractable GERD(Gastroesophageal Reflux Disease ) as a result of loosened /incompetant Gastrooesophageal Sphincter located at the junction of Stomach and Food pipe. The best investigation for the above condition is Upper GE -Endoscopy which is a day care procedure done by a qualified Gastroenterologist. Kindly avoid oily/spicy/irregular food habits. Timely eating bland soft Diabetic diet and walking for 30 mins after food and sleeping in a propped up position avoids GERD. Medicines such as Antacids/Proton Pump inhibitors /anti emetics /Pro-biotics and antispasmodics are usually prescribed after Clinical examination. Complications of not taking precautions: The overeating/obesity (usual features in Diabetes)may in turn complicate the issue by indrawing of upper end of Stomach into thorax leading to Hiatus Hernea if the condition is allowed to continue.Peptic Ulcers may be also a sequelae. Surgical Treament is by Fundoplication operation by Surgical Gastroenterologist. Get well soon. Best Regards., Dr Lt Cdr ASN Bhushan.