What Causes Constipation Along With Vomiting?

Posted on Mon, 17 Nov 2014

Question: about once a month I get ill with a stomach issue , I have to run to the bathroom and have diffiuclt bowel movement than I begin to vomit once this is out of my system I seem fine, just exhausted from the whole miserable event.
thank you, XXXXXXX
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Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Explained

Detailed Answer:
Hello and Welcome

I appreciate your concern.

The history you described, requires further workup with empiric treatment to see for improvement.Firstly, a high dose empiric therapy is standard of care in most guidelines before invasive investigations are done. A useful and common regimen which I use in my clinic is Esomeprazole 40 mg bd, itopride 50 mg tds, sucralfate tds, Bismuth subsalicylate tds.

If despite a two week treatment the symptoms persist , then you may go for endoscopy and 24 hour PH monitoring in consult with your doctor.

Diet changes are quite simple that you need to make. Do not complicate them by following complex regimens. Take 5 small meals a day consisting mainly of low carbohydrates , high fiber and low fat ingredients. Participate in 30 minutes of exercise twice daily. Avoid cola, caffeine, ice cream and over processed food as much as you can. Avoid eating after 9 PM at night. Keep a diet diary to record your daily routine for it to make a habit to see how you respond and what progress you make along the way.

Please get a CBC, Hepatitis profile, LFTs, RFTs, Stool R/E , Urine R/E done in consult with you doctor. In acute episodes of vomiting , you may go to an ER if there is greater quantity of vomiting to avoid dehydration and start IV fluids if necessary.

Let me know if you have any query

wishing you best of health

Thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar