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Suggest treatment for vomiting, bloating and belching

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Posted on Sat, 14 May 2016
Question: My mother is 69 years old with CKD, since last one month she has loss of appetite, vomiting (mainly in the evening), bloating, belching. Ultrasound of abdomen showed few prominent peripancreatic lymph nodes and moderately enlarged spleen, CT scan was advised by sinologist. Should I visit Gastro first or go for CT?
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Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Kidney function normalization > CT and then Gastro consultation.

Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.

Noted the history related to your Mother/69 - CKD - loss of appetite, vomiting, bloating and belching - ultrasound shows few prominent peri-pancreatic lymph node and enlarged spleen - pancreas normal, bilateral chronic renal parenchymal disease - advised CT -

Out of visiting the Gastro or to go for CT:
I think first all, to get the kidney function tests, if increased to get them corrected first as the symptoms of nausea, vomiting, belching and bloating may be due to deranged kidney functions.

Whichever appointment you would get first out of Gastro consultation or CT scan of abdomen.
If CT scan is done first, Gastroenterologist will be helped better.

I hope this answers your query with proper reasoning.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (43 minutes later)
What does "few prominent peeipancreatic lymph nodes" means. Creat is 3.1 BUN-54, Potassim-5.3, Sodium-145, chloride-89
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Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
As explained.

Detailed Answer:
Lymph nodes as you may know are the lymphoid tissue a part of the lymphatic system. This is a different vascular system draining the lymph from the tissues.
Peri-pancreatic means around the pancreas.
Commonest reason of enlargement is infection in the drainage area, other being due to cancer secondaries from the drainage areas.
Ultrasonography and preferably CT scan may in some cases tell us the cause whether infection or cancer. CT scan also helps to locate the primary source if enlargement in some cases, hence advised.
As seen in the reports the deranged kidney function is the major contributory factor for the symptoms hence you should see the Nephrologist first.

I hope this answers and explains to your satisfaction.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19404 Questions

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Suggest treatment for vomiting, bloating and belching

Brief Answer: Kidney function normalization > CT and then Gastro consultation. Detailed Answer: Hi. Thanks for your query, albeit short and specific. Noted the history related to your Mother/69 - CKD - loss of appetite, vomiting, bloating and belching - ultrasound shows few prominent peri-pancreatic lymph node and enlarged spleen - pancreas normal, bilateral chronic renal parenchymal disease - advised CT - Out of visiting the Gastro or to go for CT: I think first all, to get the kidney function tests, if increased to get them corrected first as the symptoms of nausea, vomiting, belching and bloating may be due to deranged kidney functions. Whichever appointment you would get first out of Gastro consultation or CT scan of abdomen. If CT scan is done first, Gastroenterologist will be helped better. I hope this answers your query with proper reasoning.