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Suggest Treatment For Severe Vomiting, Fatigue And Loss Of Appetite
Question: Hi, we are in China. My boyfriend has been sick for 1 month now and doctors can not seem to find what is wrong with him. We have been to the doctor several times.
His symptoms include: vomiting in the morning 3-4 times even just water, urge to vomit all day long, stomach pain, no appetite and can only eat one or two bites of fresh fruit, veg, rice or soups, very tired and lethargic. This has been ongoing since November 23.
We've been to a gastrologist. He suggested it was gastritus after taking a CT scan and edoscopy and prescribed some medicines. I don't know what else to suggest to the doctors. When the symptoms were not relieved we went back 2 more times to get different medications.
His symptoms include: vomiting in the morning 3-4 times even just water, urge to vomit all day long, stomach pain, no appetite and can only eat one or two bites of fresh fruit, veg, rice or soups, very tired and lethargic. This has been ongoing since November 23.
We've been to a gastrologist. He suggested it was gastritus after taking a CT scan and edoscopy and prescribed some medicines. I don't know what else to suggest to the doctors. When the symptoms were not relieved we went back 2 more times to get different medications.
Brief Answer:
Please follow....
Detailed Answer:
Hi and thank your for asking!
I am sorry for the situation that your boyfriend is in.
I read carefully all your concerns and I can say as follows:
1. You are reporting that he has vomiting, stomach pain, lethargic. These symptoms may be due to GI bacterial infection( H.Pylori, Campylobacter species etc,,)
2. The symptoms like fatigue and lethargic may be related with dehydration due to vomiting.
3. It would be great if you upload to me his medical data ( endoscopy and Ct scan) so I can check them by myself.
If I were your treating doctor I would suggest to :
- discuss with your doctor to start antibiotic treatment like Cefixim or metronidazole.
- start IV administration of liquids , electrolytes and antibiotics
- consult with infectious disease specialist
- continue to use Nexium . antacid and domperidon
- perform blood work, electrolytes and serological exams for infectious disease.
- take plenty of water and fresh frutis juice
From what you are describing he needs as soon as possible hospitalization and IV(Intravenous) treatments.
wish him fast recovery
Wish him fast recovery.
Dr.klerida
Please follow....
Detailed Answer:
Hi and thank your for asking!
I am sorry for the situation that your boyfriend is in.
I read carefully all your concerns and I can say as follows:
1. You are reporting that he has vomiting, stomach pain, lethargic. These symptoms may be due to GI bacterial infection( H.Pylori, Campylobacter species etc,,)
2. The symptoms like fatigue and lethargic may be related with dehydration due to vomiting.
3. It would be great if you upload to me his medical data ( endoscopy and Ct scan) so I can check them by myself.
If I were your treating doctor I would suggest to :
- discuss with your doctor to start antibiotic treatment like Cefixim or metronidazole.
- start IV administration of liquids , electrolytes and antibiotics
- consult with infectious disease specialist
- continue to use Nexium . antacid and domperidon
- perform blood work, electrolytes and serological exams for infectious disease.
- take plenty of water and fresh frutis juice
From what you are describing he needs as soon as possible hospitalization and IV(Intravenous) treatments.
wish him fast recovery
Wish him fast recovery.
Dr.klerida
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
After 4 days of IV fluids and antibiotics he has a little more energy, which makes sense but he is still vomiting several times a day.
-took strong antibiotics, but perhaps different names here
-started round the clock IV fluids
-blood tests show no signs of infection or infectious diseases
-continues to take nexium and pepcid
-drinking water and juices but still very easy for him to vomit it up
Today the doctor says she has no more tests to run and does not know the root problem or how to stop the symptoms. We had a Chinese Traditional Medicine doctor perform acupuncture today. She suggested it was stress related and to relax and drink more warm water. His gastroenterology doctor gave him a perscription which is like Xanax and sent us home. I have a video image to send of his internal organs but can not upload mp4.
-took strong antibiotics, but perhaps different names here
-started round the clock IV fluids
-blood tests show no signs of infection or infectious diseases
-continues to take nexium and pepcid
-drinking water and juices but still very easy for him to vomit it up
Today the doctor says she has no more tests to run and does not know the root problem or how to stop the symptoms. We had a Chinese Traditional Medicine doctor perform acupuncture today. She suggested it was stress related and to relax and drink more warm water. His gastroenterology doctor gave him a perscription which is like Xanax and sent us home. I have a video image to send of his internal organs but can not upload mp4.
Brief Answer:
Please follow...
Detailed Answer:
Hi back and sorry for my late.
Thank you for giving more of your medical data.
I read carefully all your medical reports and I can say that there is nothing wrong with upper gastrointestinal tract.
It is a good sign that you feel better after IV fluids.
With regards to vomiting during the day , it has a lot of causes except GI Issues, like
- psychological
- neurological.
Meantime continue to use Xanax. If your symptoms persist even after 2 weeks on Xanax than please consult a neurologist to rule out neurological causes of vomiting.
Wish him fast recovery.
Dr.Klerida
Please follow...
Detailed Answer:
Hi back and sorry for my late.
Thank you for giving more of your medical data.
I read carefully all your medical reports and I can say that there is nothing wrong with upper gastrointestinal tract.
It is a good sign that you feel better after IV fluids.
With regards to vomiting during the day , it has a lot of causes except GI Issues, like
- psychological
- neurological.
Meantime continue to use Xanax. If your symptoms persist even after 2 weeks on Xanax than please consult a neurologist to rule out neurological causes of vomiting.
Wish him fast recovery.
Dr.Klerida
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
We had a head scan to rule out neurological issues just this week. The doctor is now suggesting that what started as pancreatitus (confirmed by ultrasounds and blood tests on previous hospitalizations) that has lead to stress related vomiting. Does this now mean he has chronic pancreatitus and the stress of eating and getting sick again is making him vomit? If so, in addition to the xanax what else should I be doing. Our doctor here speaks broken English and medical translations are not very easy to understand.Can you recheck the CT scan paying special attention to the adrenal glands. After speaking with my bf it doesn't seem psychological. It seems as though it may be an auto-immune issue after all. I will ask the doctor here to recheck the scan. What tests should be done for autoimmune disorders? The doctor said she checked for them but I am not sure how and don't know what specifically to ask for.
Brief Answer:
Please follow...
Detailed Answer:
Hi back my dear
First of all I can not open all your reports . Some of them are not opening.
You haven't send me any Ct scan. please can you reload it to me.
With regards to chronic pancreatitis, yes vomiting can be caused from chronic pancreatitis, but usually it is associated with diarrhea too.
And in such cases cisapride ( prokinetik drug) is recommended together with pancreatic enzymes like Creon.
You are mentioning autoimmune disorders and I want to ask you :
- which was the cause of his pancreatitis ?
- does the doctors suspect about autoimmune pancreatitis?
- has he used alcohol ?
- dose he has any other autoimmune disorders?
There are a lot of test used to confirm autoimmune Gastrointestinal dismotility like:
--Antineuronal nuclear autoantibody-type 1
- IGg
- motility study of gastrointestinal tract.
He has done the motility study with contrast as I see on the reports and everything has been normal.
Hope it was helpful to you.
Dr.Klerida
Please follow...
Detailed Answer:
Hi back my dear
First of all I can not open all your reports . Some of them are not opening.
You haven't send me any Ct scan. please can you reload it to me.
With regards to chronic pancreatitis, yes vomiting can be caused from chronic pancreatitis, but usually it is associated with diarrhea too.
And in such cases cisapride ( prokinetik drug) is recommended together with pancreatic enzymes like Creon.
You are mentioning autoimmune disorders and I want to ask you :
- which was the cause of his pancreatitis ?
- does the doctors suspect about autoimmune pancreatitis?
- has he used alcohol ?
- dose he has any other autoimmune disorders?
There are a lot of test used to confirm autoimmune Gastrointestinal dismotility like:
--Antineuronal nuclear autoantibody-type 1
- IGg
- motility study of gastrointestinal tract.
He has done the motility study with contrast as I see on the reports and everything has been normal.
Hope it was helpful to you.
Dr.Klerida
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Xanax seems to be helping so perhaps it was stress related. What once started as inflammation of the pancrease 3 times in 3 months, ended in him being so stressed out he couldn't keep anything down. Like a negative cycle of thinking food makes me sick. I will continue with the green juice, and healthy diet, add some meditation. Anything we should know about reducing stress of avoiding getting inflammation of the pancrease again. Because this has been terrible.
Brief Answer:
Please follow....
Detailed Answer:
Hi back my dear.
I am glad to know that he is feeling better and I wish both of you A HAPPY NEW YEAR.
With regards pancreatic inflammation I would say that he should:
- avoid fatty foods
- avoid alcohol and smoking
- continue with healthy diet
- avoid unnecessary stress
With regards to the last " avoid unnecessary stress I would suggest to :
- increase physical activity, swimming, yoga, walking
- talk with a psychotherapist
- think positively
- use chamomile tea
Hope it was helpful to you.
Please follow....
Detailed Answer:
Hi back my dear.
I am glad to know that he is feeling better and I wish both of you A HAPPY NEW YEAR.
With regards pancreatic inflammation I would say that he should:
- avoid fatty foods
- avoid alcohol and smoking
- continue with healthy diet
- avoid unnecessary stress
With regards to the last " avoid unnecessary stress I would suggest to :
- increase physical activity, swimming, yoga, walking
- talk with a psychotherapist
- think positively
- use chamomile tea
Hope it was helpful to you.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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