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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Esophageal Tear

I was discharged from a hospital after an 8 day stay for an esophageal tear on Tuesday. I did not require surgery....instead it was 7 days of no food or liquids orally, 2 broad spectrum IV antibiotics, saline, and Potassium, Magnesium and Calcium as my electrolytes were very low as a result of dehydration. I had vomited for a 20 hour period. The rupture healed nicely on its own. Morphine for pain and something for the chronic nausea. I am home now, but not really feeling better. I still feel nauseous (the smell of food can be triggering as can movement) I have vomited twice after a spell of uncontrollable shaking, followed by vomiting and then profuse sweating. I think one episode was a gall bladder attack since I have a history. But, it happened again last night. My stomach in general is bothering me (bloated, gassy, achy). I am on a liquid diet, but I am struggling even with that. I also continue to feel very weak and my mood is low. Thoughts?
Wed, 30 Jan 2019
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General Surgeon 's  Response
Hi,

My thoughts after reading your history in details:
- Since you again had vomiting, there are chances of repeat tear of esophagus hence vomiting should be avoided at any cost. Hence I would advise you to consult your Doctors again for clinical evaluation and investigations.
- Continued nausea can be due to Hepatitis and other conditions which need in depth clinical assessment supported by tests of blood, urine, stool, Ultrasonography and anything that is advised.
- Repeat Upper GI Endoscopy can be of help.
- If there are gallstones it is best to get operated.
- Take and smell only those fluids and liquids that do not instigate nausea and vomiting.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant
General Surgeon
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Suggest Treatment For Esophageal Tear

Hi, My thoughts after reading your history in details: - Since you again had vomiting, there are chances of repeat tear of esophagus hence vomiting should be avoided at any cost. Hence I would advise you to consult your Doctors again for clinical evaluation and investigations. - Continued nausea can be due to Hepatitis and other conditions which need in depth clinical assessment supported by tests of blood, urine, stool, Ultrasonography and anything that is advised. - Repeat Upper GI Endoscopy can be of help. - If there are gallstones it is best to get operated. - Take and smell only those fluids and liquids that do not instigate nausea and vomiting. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant General Surgeon