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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for triple vessel disease

Hello, doctor. I am a Thai general practiced physician. I have a doubtful question to ask for more understanding. My mother, she is 64 years old. She has been diagnosed"Tripple vessel disease" since 2 months ago. She was treated with the operation"CABG". After surgery, she cannot eat or drink some food or water. She always vomiting out and sometimes so severe. But nowadays, she seems to be mild improved. She can drink water, but just a little. Sometimes, she vomiiting the water out of her mouth. She loss her weight for up to 20 kg within these 2 months. I would like to ask that what this symptom is ? Are there any treatments? How long my mother will suffer from this problem?
Tue, 11 Apr 2017
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General Surgeon 's  Response
Respected Sir, hi I evaluated your query. first thing to strike is in relation to the intake of antiplatelet drugs which she must be consuming following CABG leading to gastric upset and vomiting in majority of cases. have to give antiemetics and proton pump inhibitors 1 hour before meals, have to omit all antiplatelet agents for min duration of 7-10 days till vomiting subsides fully, later on if problem persist have to be evaluated in form of Ultrasound or Upper GI Endoscopy to evaluate for hyperemesis. hope this clears you sir from the query, thanks regards wishing speedy fast recovery of your mother from the present ailment. bye dear take care
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