Can uncleared actinomycetes cause vomiting?
Few more tests required
Actinomycetes is a gram positive bacteria and to know if you still have this infection or not is very easy get a culture and sensitivity test done.
If the sensitivity test is negative then there is no residual infection.
In most of the cases, post-antibiotic therapy culture and sensitivity test are done to follow up.
Now, let's move to heart rate. Whenever blood pressure is low heart rate would be high this is the initial reflex action of our body to maintain optimum cardiac output.
However, most of your symptoms are suggestive of a long-term chronic infection. Therefore few test to rule out infection should be done.
stool routine and microscopy
stool culture and sensitivity
Urine routine and microscopy
Urine culture and sensitivity
Blood routine and microscopy
Blood culture and sensitivity
A swab culture should also be done.
Your endoscopy suggests Barrett oesophagus which could be a cause of constant nausea and vomiting.
Omeprazole only covers the acid production part in the oesophagus. However, to control reflux and vomiting domperidone or any Prokinetic drug should be given to you.
I would suggest you take 4 mg of Zofran four times a day with antioxidants and a multivitamin and follow up with reports I
Hope I have answered your query.
Dr Ramesh Kumar, Gastroenterologist