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What causes abdominal pain, fatigue, dehydration and slight blood from mouth?

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Posted on Fri, 15 May 2015
Question: My wife went to the hospital last night. We were there for several hours. They ran urine, stool and blood work as well as xray and cat scan. She was given anti-nausea medication, pain medication and sent home. Today, she had no nausea for the day until after taking a shower. In her vomit, there was no blood visible, but when she wiped her mouth there was blood on the tissue. Not sure what to do.
doctor
Answered by Dr. Rakesh Madhyastha (11 minutes later)
Brief Answer:
Continue anti nausea medication

Detailed Answer:
Hello

Thanks for the query

I would like to know a few more details in order to help you

1. What symptoms did she approach the hospital with apart from nausea.
2. What are the medications she has been given?
3. Is the pain abdomen still present? was the pain increasing after taking food?
4. How long after food did she vomit?
5. Was it just streaks of blood?

Please get back to me, I am awaiting your reply

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Rakesh Madhyastha (58 minutes later)
1. Abdominal Pain. Fatigue. Dehydration. No fever.

2. Vicodin and Promethazine

3. Yes. Yes. She's eaten very little in the last 48 hours. Much of it didn't stay down for long.

4. Within 5-15 minutes.

5.Yes. Very small amount. Red.
doctor
Answered by Dr. Rakesh Madhyastha (9 hours later)
Brief Answer:
will need further evaluation

Detailed Answer:
Hello

From the history you have given me it sounds like acute gastritis to me. However if the problem persists I strongly recommend an endoscopy to be done.

Here is how you should go about it

1. Keep her well hydrated. I recommend ORS powder to be put into 1 litre of water. It has to be taken sip by sip over 4 hours. This will prevent vomiting
2. Tab Esomprozole with domperidone is the best drug for this condition. It can be taken twice daily before food
3. Avoid spicy food, caffeine, milk and milk products.
4 Make sure that the food is bland and semi solid Do not attempt solid food for a while
5. Avoid juices.
6. Blood indicates gastiric erosions. Neksium should take care of it

I hope I was of help, if you have any further queries please get back to me

Regards
Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Answered by
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Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4364 Questions

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What causes abdominal pain, fatigue, dehydration and slight blood from mouth?

Brief Answer: Continue anti nausea medication Detailed Answer: Hello Thanks for the query I would like to know a few more details in order to help you 1. What symptoms did she approach the hospital with apart from nausea. 2. What are the medications she has been given? 3. Is the pain abdomen still present? was the pain increasing after taking food? 4. How long after food did she vomit? 5. Was it just streaks of blood? Please get back to me, I am awaiting your reply Regards