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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Has Stomach Pain, Vomiting And Burping. Has Diabetes. What Should We Do?

Hello, My question is about my husband. He is 40 and has type two diabetes . every so often he gets really sick. his stomach hurts him very badly. he says it hurts him to eat and feels like something inside is torn. I do not belive that it is ulsers, because there is no blood in stool or vomit. thursday night he said all the sudden he keep burping. and started vomiting . There is a terible smell to his burps,farts,and vomit. He is extremely unconfertible. what should we do?
Fri, 8 Mar 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
With the available described symptoms, there appears to be possibility of peptic ulcer disease.
Presence of severe abdominal pain, vomiting and burps suggests the diagnosis.
You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.
Other possibilities could be acute pancreatitis, cholecystitis and ketoacidosis.
He should go for complete blood count, serum amylase, liver function test and ultrasound imaging.
He should also go for endoscopy for better clarification.
He should take proton pump inhibitors along with prokinetics.
He should also take opioid analgesics and antacids.
Exact treatment depends on the diagnosed disease.
Take care,
Dr. Mayank Bhargava


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Has Stomach Pain, Vomiting And Burping. Has Diabetes. What Should We Do?

Hi, Thanks for posting your query. With the available described symptoms, there appears to be possibility of peptic ulcer disease. Presence of severe abdominal pain, vomiting and burps suggests the diagnosis. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. Other possibilities could be acute pancreatitis, cholecystitis and ketoacidosis. He should go for complete blood count, serum amylase, liver function test and ultrasound imaging. He should also go for endoscopy for better clarification. He should take proton pump inhibitors along with prokinetics. He should also take opioid analgesics and antacids. Exact treatment depends on the diagnosed disease. Take care, Dr. Mayank Bhargava