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My Fiancée (52 Years Old, Female) Is Feeling Weak And

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Posted on Sat, 25 May 2019
Question: My fiancée (52 years old, female) is feeling weak and dizzy, has bloody diarrhea which started as black and is now brighter red, but diminishing. She was vomiting earlier, with black and red streaks, but that has subsided. She has not vomited in at least 6-8 hours but still complains of nausea. I am treating for dehydration first. She has no dilation of the pupils, and pulse rate is normal, so no shock. Should I get her to the ER?
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Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
To be on safe side can go to ER however till pulse and bp are stable it'sok

Detailed Answer:
Hello and thanks for choosing "Ask a Doctor" service for your query,
Have seen your details and I appreciate your concern.
Most of the time bloody diarrhoea is bacterial in nature and usually does not limits itself unless antibiotics are given.
As per shifting to ER is concerned if pulse of patient is in range of 60-110/min and blood pressure upper(systolic) is more then 90 mm of hg and patient is not vomiting and there are no loose motions then just keep rehydrating the patient.Better to give Oral rehydration solution/Electral to patient.As vomiting and loose motions causes severe lose of electrolytes.Weekness and dizziness is due to lose of electrolytes like sodium potsassium and chloride.
For nausea give her oral over the counter medication zofran 4mg.However even after this if nausea and vomiting persists then take her to Emergency room.Get her intravenous shots of antibiotic and anti protozoal along with Ringers lactate and DNS resuscitation.
Hope I was helpful,
Feel free to follow up.
Do rate the answer.
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Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2912 Questions

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My Fiancée (52 Years Old, Female) Is Feeling Weak And

Brief Answer: To be on safe side can go to ER however till pulse and bp are stable it'sok Detailed Answer: Hello and thanks for choosing "Ask a Doctor" service for your query, Have seen your details and I appreciate your concern. Most of the time bloody diarrhoea is bacterial in nature and usually does not limits itself unless antibiotics are given. As per shifting to ER is concerned if pulse of patient is in range of 60-110/min and blood pressure upper(systolic) is more then 90 mm of hg and patient is not vomiting and there are no loose motions then just keep rehydrating the patient.Better to give Oral rehydration solution/Electral to patient.As vomiting and loose motions causes severe lose of electrolytes.Weekness and dizziness is due to lose of electrolytes like sodium potsassium and chloride. For nausea give her oral over the counter medication zofran 4mg.However even after this if nausea and vomiting persists then take her to Emergency room.Get her intravenous shots of antibiotic and anti protozoal along with Ringers lactate and DNS resuscitation. Hope I was helpful, Feel free to follow up. Do rate the answer.