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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Diarrhea, Vomiting And Bile While Having IBS?

Hi, I ve been told by my gp that I have ibs and have been tested for chrones etc. but my symptoms aren t getting any better with the advice of tablets they ve given me. As well as the diarrhoea I vomit regularly and a lot of it is bile, but this morning it was large lumps of what looked like ash? I think I m running a bit of a temp too. Thanks for the help in advance!
Thu, 21 Jul 2016
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General & Family Physician 's  Response
Hi thanks for contacting HCM....

You are having complaint if diarrhea , vomiting and mild fever ...

These are not suits in IBS diagnosis. .

You are having infective etiology most likely like gastroenteritis or chongitis etc...

Investigate with ....
-USG abdomen
-stool examination

If infection seems from above finding antibiotic shot like ceftriaxone needed ...
Than oral antibiotic for five days ...

If biliary system infections seems than ERCP like investigation if needed done accordingly....

USG will also rule out if any organic cause present ....

For vomiting take domperidone tablet ...

Maintain hydration as having diarrhea ....

Fruit juice more ...

Heavy meal restricted for few days ..

Before giving antibiotic widal test done for typhoid ....

If still condition worsen endoscopy and biopsy needs to be done .

Advise : physician consultation for preliminary work up
If needed gastroenterologist consultation

Take care .....
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What Causes Diarrhea, Vomiting And Bile While Having IBS?

Hi thanks for contacting HCM.... You are having complaint if diarrhea , vomiting and mild fever ... These are not suits in IBS diagnosis. . You are having infective etiology most likely like gastroenteritis or chongitis etc... Investigate with .... -USG abdomen -stool examination If infection seems from above finding antibiotic shot like ceftriaxone needed ... Than oral antibiotic for five days ... If biliary system infections seems than ERCP like investigation if needed done accordingly.... USG will also rule out if any organic cause present .... For vomiting take domperidone tablet ... Maintain hydration as having diarrhea .... Fruit juice more ... Heavy meal restricted for few days .. Before giving antibiotic widal test done for typhoid .... If still condition worsen endoscopy and biopsy needs to be done . Advise : physician consultation for preliminary work up If needed gastroenterologist consultation Take care .....