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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Uncontrolled Vomiting

I have post-concussive syndrome, since 2001, which is when my 1st episode of waking with uncontrolled vomiting. This occurs periodically, 2 times resulted in hospitalization 2006 & 2007, or 1-2 occurrence’s of vomiting (03-2013). that has resulted in disrupting my life, but other than elevated liver enzymes, and pancratitis, my gallbladder removed, negative ERCP, GI test’s & lots of lab work, all with negative results, NONE of these episodes are connected to any headaches or food poisoning. The last 2 months has suddenly, triggered by a child’s size meal, vomiting 5 hrs later with NO liquid, just dark slim, more GI tests, & now DAILY severe nausea, which seems better when I am horizontal. I have lost 18lbs in 6 weeks. Can sip on water, & take Marinol, when Zofram is ineffective, Also once nausea is relieved, I have a headache. I do have CNS vertigo DX with TBI. My ‘tests’ for this, 2003, showed severe disruption between brainstem & ear system, w/negative MRI. Steroids is not required to stop full blown vertigo. Motion sickness meds not helpful. I saw my PCP 4 weeks ago; negative stomach X-ray. My pain mgmt. Dr. added hormones. I am 57 yr old female with hypertension & high pulse rate, treated with beta-blockers. What do I do, who do I see? I have things I want to do, other than lay in bed, cancel commitments and not eat, cook, clean, create art, go to Church, etc I can’t do ANYTHING, day by day, I never know. 2 Days ago were great, all day!! Any suggestions, most Dr.’s don’t want to see a difficult/complex patient, like me. But, I want my life back and this nausea; NO vomiting this time, as I am barely eating! Any suggestions will be considered. Last, this type of ‘episode’ began after time in the country & I did get numerous mosquito bites. Thanks, Carol Ann
Mon, 11 Aug 2014
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Psychiatrist 's  Response
HI
POST CONCUSSIVE SYNDROME RELATED VOMITING IS DIFFICULT TO MANAGE.

CENTRALLY ACTING DRUGS LIKE ONDANSETRON WILL RAPIDLY HELP.

ANTICIPATORY VOMITING CAN BE RELIEVED WITH BENZODIAZEPINES LIKE LORAZEPAM.

VERTIN OR BETAHISTINE CAN REDUCE THE SENSATION OF NAUSEA.

REFRACTORY CASES NEED UPPER GI ENDOSCOPY.

CONSULT EXPERT GASTROENTEROLOGIST FOR FURTHER ASSISTANCE.

THANK YOU,
TAKE CARE.
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Suggest Remedy For Uncontrolled Vomiting

HI POST CONCUSSIVE SYNDROME RELATED VOMITING IS DIFFICULT TO MANAGE. CENTRALLY ACTING DRUGS LIKE ONDANSETRON WILL RAPIDLY HELP. ANTICIPATORY VOMITING CAN BE RELIEVED WITH BENZODIAZEPINES LIKE LORAZEPAM. VERTIN OR BETAHISTINE CAN REDUCE THE SENSATION OF NAUSEA. REFRACTORY CASES NEED UPPER GI ENDOSCOPY. CONSULT EXPERT GASTROENTEROLOGIST FOR FURTHER ASSISTANCE. THANK YOU, TAKE CARE.