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What Causes Persistent Vomiting With Normal Endoscopy?

Posted on Tue, 14 Apr 2015

Question: Dear Sir

I am XXXXXX XXXXXXX my wife XXXXX XXXXXXX is suffering from Vomiting last 4 years. i am not able to find out for what reasons she is doing such vomiting. i a day more than 10 times , and now last few day she lost 5kg and her hb is 8.i have check her with doctor they are treating her for Gas but no results . plz help me .

my contact XXXXX

Answered by Dr. Ajit Naniksingh Kukreja (2 hours later)

Brief Answer:
Could be severe gastritis or stress

Detailed Answer:
Hi

Thanks for writing in

Is she under stress of any kind? If yes manage her stress levels

If no look for signs of gastritis like fullness after meals, burping, salty eructations and epigastric pain

If any of these is positive she will need to be managed with a PPI and domperidone

Anyway with my experience of 27 years, I can not justify vomiting 10 times in a day due to gastritis

So it is better you get a gastroscopy done

Hope this helps
Dow rite back in case of concern

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Ajit Naniksingh Kukreja (56 minutes later)

Sir she is not having any kind of stress and she was done endoscopy and report was normal. sir what ever she take it come out, like yesterday i had given her -glucon D after drinking she vomited out. and if she does not take any food or drink water than no vomiting. her the doctor are treating her with PAN D, Ganaton Total, Rabonik, Rablat but no result . And after giving Ondem Tab for vomiting but still vomiting continues.

I am from XXXXXXX i have taken her all the place but no result. Plz help me with our advice and medicine

my no is +91-0000
XXXXXX XXXXXXX

Answered by Dr. Ajit Naniksingh Kukreja (3 hours later)

Brief Answer:
Hospitalize her

Detailed Answer:
Hi XXXXXXX

I am sorry to learn that no medicine is working

With 10 vomits per day and inability to retain she will end up in to dehydration which will in turn precipitate vomiting

I would suggest hospitalize her and supplement fluids and electrolytes with injectable ondensetron and rabeprazole

She should definitely come out in 2-3 days and then you can step down to oral medications. Also give her hygienic food and cleaner drinking water.

Hope this helps
WIshing your wife a healthy life ahead

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ajit Naniksingh Kukreja (41 hours later)

Hello Sir

I was asking if u could suggest some medicine or drip so i could give my wife. she is suffering a lot.

Answered by Dr. Ajit Naniksingh Kukreja (5 hours later)

Brief Answer:
Are you a Doctor ?

Detailed Answer:
Hi

Online treatment and self medication is against the protocols and ethics of online forums

If you are a doctor I could suggest on personal request but yet I would advice you see a gastroentrologist in your area

Hope this clears your doubts
Regards

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Above answer was peer-reviewed by : Dr. Pradeep Vitta