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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Stomach Pain And Nausea. No Regular Bowel Movement. Recommendations?

hi i have a friend and she threw up this purple-ish black liquid this morning. lately she has been having sharp stomach pains almost evryday and wasnt able to have bowel movements regularly. the last thing i know is she took some laxitives and it took days to work. she says she feels weak and she doesnt drink much at all. i dont know whats wrong with her. can someone please help me.
Mon, 23 Sep 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Stomach pain means pain in the epigastrium ( upper part of abdomen) ,just below thorax.
As you mentioned in your query that she vomited purplish black vomits amy be due to ,
1 Laxative poison as this developed acute hyper acidity and this causes vomiting , can be confirmed by upper endoscopy , so consult a physician and get his opinion.
2 As you stated that there is pain in the abdomen and constipation ( not able to pass stool) and no bowel movement .
As I have seen in my so many patient that after 4-5 days of constipation they develops black color vomiting as bowel don't pass any stool .As your friend is feeling very weak so may be SUB ACUTE INTESTINAL OBSTRUCTION , can be confirmed by a surgeon & colonoscopy also help.
In this case please consult a physician and get his opinion then surgeon ( if necessary) , mind this is an emergency. Good luck. Dr. HET
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Allergist and Immunologist Dr. Suman Kumar's  Response
related with gall bladder stone or infection as the fatty food is not digested the fluidcomes up of the color written by you
need to get ultrasound abdomen to see the cause and treat in consultation with gastro enterologist
mean time use metronidazole shourt course non oily non fatty non greesy non spicy food
add antacids and digestive enzymes
lot of water
low protein diet
take lo of liquids in any form
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Have Stomach Pain And Nausea. No Regular Bowel Movement. Recommendations?

Hello, Thanks for the query to H.C.M. Forum. Stomach pain means pain in the epigastrium ( upper part of abdomen) ,just below thorax. As you mentioned in your query that she vomited purplish black vomits amy be due to , 1 Laxative poison as this developed acute hyper acidity and this causes vomiting , can be confirmed by upper endoscopy , so consult a physician and get his opinion. 2 As you stated that there is pain in the abdomen and constipation ( not able to pass stool) and no bowel movement . As I have seen in my so many patient that after 4-5 days of constipation they develops black color vomiting as bowel don t pass any stool .As your friend is feeling very weak so may be SUB ACUTE INTESTINAL OBSTRUCTION , can be confirmed by a surgeon & colonoscopy also help. In this case please consult a physician and get his opinion then surgeon ( if necessary) , mind this is an emergency. Good luck. Dr. HET