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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Vomiting, Stomach Pain, Diarrhea, Foul Smelling Burps. Treatment Options?

my boyfriend is sick, he is vomiting , had severe stomache pain, diarrhea , and his burps smell like he farts out of his mouth. he gets like this alot, especially when he eats a certain food or eats alot the day before. can u please get back to me asap? we ve been to the xxxxxx hospital, but they can seem to finds anything wrong, they even gave him xrays
Mon, 25 Mar 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

Usually in the abdominal X-ray intestines obstruction in the upper level (like duodenum or first parts of the small intestine) can not be visible. And his symptoms can point to that diagnose. Especially if the pain is located in the upper middle part of the abdomen, he have had the pain for some time now, has peptic ulcers history.
In such case, barium swallowing or upper GI endoscopy would give the answer and this is the first test which should be performed.

He may also be suffering from gastroenterocolitis (if the symptoms has appeared recently) or food allergy (especially if the symptoms do appear only after certain foods).

If the diarrhea lasts longer than 48 hours, stool tests are necessary and proper antibiotic should be given (but obstruction needs to be ruled out first).

I suggest you to visit your doctor once again and discuss mentioned possibilities.

Hope this will help.
Regards.
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General & Family Physician,  Dr. Muhammad Ishfaq Habib's  Response
Hi
Welcome to HCM

Your boyfriend seems to be having gastroenteritis which causing diarrhea and vomiting. the treatment options for him antidarrheal like metronidazole, anti emetic like Dimenhydrinate and antibiotics like ciprofloxacin however stool R/E is recommended for better evaluation. Take good care of hydration

Thanks
Regards
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Having Vomiting, Stomach Pain, Diarrhea, Foul Smelling Burps. Treatment Options?

Hello! Thank you for the query. Usually in the abdominal X-ray intestines obstruction in the upper level (like duodenum or first parts of the small intestine) can not be visible. And his symptoms can point to that diagnose. Especially if the pain is located in the upper middle part of the abdomen, he have had the pain for some time now, has peptic ulcers history. In such case, barium swallowing or upper GI endoscopy would give the answer and this is the first test which should be performed. He may also be suffering from gastroenterocolitis (if the symptoms has appeared recently) or food allergy (especially if the symptoms do appear only after certain foods). If the diarrhea lasts longer than 48 hours, stool tests are necessary and proper antibiotic should be given (but obstruction needs to be ruled out first). I suggest you to visit your doctor once again and discuss mentioned possibilities. Hope this will help. Regards.