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Dr. Andrew Rynne

Family Physician

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What causes random vomiting?

Answered by
Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 2003 Questions

Posted on Tue, 12 Jun 2018 in Digestion and Bowels
Question: my daughter is 16 and for years has struggled with unexplained vomiting. She would go long periods without an episode and then it would reoccur. within the last 6 months, it has been common for her to vomit 2 or three times a month No stomach pain. Just naseau and gagging and vomiting. She is on omeoprozale but that no longer seems to work. Last episode has been for about 5 days. Vomits in morning, then starts to feel better early afternoon...and then often feels sick at night. Only other symptoms which may be unrelated is her feet are often very cold....and she often becomes fatigued. Primary has done blood work and has not found anything abnormal. Appt with gastro tomorrow. Wondering what else this could be and what other types of appointments we should set to get to the bottom of this.
Answered by Dr. Saddiq Ulabidin 3 hours later
Brief Answer:
Antacids and Motility agents will work but endoscopy may be needed

Detailed Answer:
Hi! Welcome to Healthcaremagic. Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all it's sad to know what your daughter had been going through lately.

Based on the history you have shared, it be inflammation of stomach lining like gastritis or any structural cause like hiatal hernia etc however a gastroenterologist review is a must and it's good that you have already been booked to visit one.

You can discuss for the need to do endoscopy as it can be helpful to diagnose and rule out any potentialy aggressive cause.

Meanwhile antacids like omperazole before meals can be continued however using Motility agents like domperidone or itapride can help to keep stomach emptying faster than normal and can prevent vomitings as well.

Central cause if vomiting is less likely in her case but once subjective causes are ruled out, psychological triggers for vomiting should also be ruled out because of her age group.

Baseline blood work up with serum electrolytes and sugar and thyroid levels should also be done. Meanwhile keep hydration adequate and avoid heavy junk meals and fizzy drinks.

Wishing her a speedy recovery. Hope this has answered your query. If you have any more questions please feel free to ask. Regards.
Above answer was peer-reviewed by : Dr. Prasad
Follow up: Dr. Saddiq Ulabidin 2 hours later
when i look up domperiodone etc...indicates not sold in US. Is there a common otc brand that works the same
Answered by Dr. Saddiq Ulabidin 2 hours later
Brief Answer:
You can use OTC antiemetic like metaclopramide

Detailed Answer:
Hi! You can have OTC anti emetics like metaclopramide or prochlorperazine however consulting the gastroenterologist for exact cause work up, like you have already got appointment of, is better before starting one if their isn't any emergent need. Regards
Above answer was peer-reviewed by : Dr. Raju A.T

The User accepted the expert's answer

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