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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Stomach Cramps And Gas Formation

Hey ok so I threw up a lot yesterday morning harder than I ever have in my life and I m a diabetic so I went to the ER rather quickly because my BGLs go crazy when i throw up. There they pumped me up with an IV and gave me a nausea shot. I went home with them thinking I had food poisoning. I was fine all afternoon slept a lot but didnt hurt or throw up anymore then started semi cramping around 11pm then around 6am this morning I started feeling crampy like in my stomach more so than I had been. Every time I drink or eat anything today it hurts in my stomach and lower middle back. It hurts so bad I m debating on going back to the ER just to see if they will give me something for this pain. What could be wrong cause I don t want to make a trip for nothing. I haven t had a bowel movement yet today but have been gassy it s just so uncomfortable almost tear prevoking. I have very high pain tolerance so yea it s not some mild little cramp that is making me reach out. Thank you for your help.
Wed, 2 Nov 2016
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Gastroenterologist,  's  Response
Dear friend,
with a history of such severe vomiting, and now abdominal pain radiating to the back, a history of diabetes, I would seriously recommend you do visit the ER again.
I would also suggest asking the ER doctor to rule out a condition known as diabetic ketoacidosis, and also to rule out pancreatitis before he sends you back home today.
I'm not saying that you could be having such a serious condition, its just that, it would be better to rule them out just to know we are safe.
Diabetic ketoacidosis is seen in diabetics dependant on insulin, and occurs as a result of uncontrolled glycemic levels, is accompanied with dehydration, and the blood going acidic because the liver stops using glucose in the way it should normally do.
Pancreatitis on the other end is an inflammation of the pancreas that occurs because of many different causes including stones, alcohol, certain drugs and so on. The extent of damage depends upon severity, the greater the delay, the worse it gets...so do get a clear chit on it.
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Suggest Treatment For Stomach Cramps And Gas Formation

Dear friend, with a history of such severe vomiting, and now abdominal pain radiating to the back, a history of diabetes, I would seriously recommend you do visit the ER again. I would also suggest asking the ER doctor to rule out a condition known as diabetic ketoacidosis, and also to rule out pancreatitis before he sends you back home today. I m not saying that you could be having such a serious condition, its just that, it would be better to rule them out just to know we are safe. Diabetic ketoacidosis is seen in diabetics dependant on insulin, and occurs as a result of uncontrolled glycemic levels, is accompanied with dehydration, and the blood going acidic because the liver stops using glucose in the way it should normally do. Pancreatitis on the other end is an inflammation of the pancreas that occurs because of many different causes including stones, alcohol, certain drugs and so on. The extent of damage depends upon severity, the greater the delay, the worse it gets...so do get a clear chit on it.