Suggest Treatment For Severe Vomiting

Posted on Mon, 21 Dec 2015

Question: My daughter age 21 has been throwing up for last 20 days.We have consulted the doctor and he has suggested Norflox and Normaxin for five days.It helped her but she still throws whenever she takes even two sips of water.She is able to eat most of the time without throwing up.So doctor has suggested to have Normaxin Rt for some more days.the situation is not improving.She still throws up even with single drop of water.we have got ultrasound and blood test done.We have been told they look ok.Please help.

Answered by Dr. Amit Jain (15 minutes later)

Brief Answer:
Get an endoscopy examination

Detailed Answer:
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). I appreciate your concerns regarding your daughter. There are many causes for vomiting like obstruction anywhere in the gastrointestinal tract, metabolic cause (however the blood tests are normal), infections, acid peptic disease etc. So I will suggest her to get an endoscopy examination which will narrow down the possibilities or may even find the cause of vomitting. So visit a Gastroenterologist for physical examination and an endoscopy examination

Meanwhile give her tablet vomikind tablet thrice in a day which has ondansetron and is very useful in patients with vomitting. Also give her a prokinetic agent like domperidone 10 mg twice a day half hr before meals

I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Amit Jain (23 hours later)

I have just uploaded all her ultra sound ,urine and blood test report.I hope this will help you to diagnose better.
Please confirm that you have received the reports.

Answered by Dr. Amit Jain (3 minutes later)

Brief Answer:
I could not find any reports here

Detailed Answer:
Welcome back. I could not find any reports here. Please check it again.
You can also send them by email to YYYY@YYYY and ask the CRM team to upload the reports to QueryID: 236782.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Amit Jain (1 hour later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Amit Jain (8 hours later)

Brief Answer:
give her vomikind and domperidone

Detailed Answer:
Helo. I have gone through all the reports. And all are normal Except urine showing few pus cells for which she was prescribed tablet norfloxacin and ultrasound showing galbladder stone for which nothing is to be done. I will suggest you to treat her symptomatically as she is improving also with vomikind and domperidone as I advised earlier. In case there is no improvement in few days then get endoscopy also. I hope this will help her. Wish her a good health

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Amit Jain (3 days later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Amit Jain (1 hour later)

Brief Answer:
loose oesophageal sphincter is the cause for vomiting

Detailed Answer:
Welcome back. I have reviewed the report of endoscopy showing loose lower esophageal sphincter with gastric and duodenal erosions. H.pylori is positive.

H.pylori is a bacteria that causes erosions in stomach and duodenum. And your doctor has prescribed antibiotics for h.pylori erradication, one prokinetic agent ganaton od which contain itopride and a proton pump inhibitor.

It is the relaxed lower oesophageal sphincter which is leading to recurrent vomiting. This usually improves with medicines and some lifestyle modifications. Medicines She is prescribed medicines by your doctor and life style changes are ask her not to lie down and drink water soon after taking meals for at least two hours.

I hope this will help her in Improving her symptoms. In case vomiting is there give vomikind to her. Wish her a good health.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj