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What Causes Vomiting?

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Posted on Mon, 28 Jul 2014
Question: diabetic vomiting intermittently since 4am
unable to keep fluids down
Blood Sugar 124@6:24 pm
possibly alcoholic
vomiting not due to excessive drinking last several days
unwilling to go to urgent care
willing to see Md tomorrow
what to monitor overnight
doctor
Answered by Dr. Binu Parameswaran Pillai (1 hour later)
Brief Answer:
Hello. Watch for dehydration and Ketones

Detailed Answer:
Hello,
Good day.
You should try to avoid dehydration and loss of electrolytes. If if you are unable to keep down large amount of fluids , then you should atleast try to sip of small amount of fluids frequently. Prefer fluids with electrolytes. Like oral rehydration solution (ORS). Try not to eat soilds now.

Do you have pantoprazole or Omeprazole or Rantidine at home? If so, you may take one of them now. Along with that, you may take an anti nausea/voiting pill called as Metoclopromide ( MAxalon or Reglan).

Are you type 1 or Type 2 diabetic ? Try to check blood sugar every 3-4 hours or so. If you have a urine strip, check urine ketones as well.
Another important thing is to monitor urine output. Observe for blood in vomitus.

If the urine output is low or if urine ketone positive, please do not delay going to hospital. If these are good and if you are able to keep down small portions of clear fluid or ORS down, you may go to see a doctor tomorrow.

Regards
Binu
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1438 Questions

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What Causes Vomiting?

Brief Answer: Hello. Watch for dehydration and Ketones Detailed Answer: Hello, Good day. You should try to avoid dehydration and loss of electrolytes. If if you are unable to keep down large amount of fluids , then you should atleast try to sip of small amount of fluids frequently. Prefer fluids with electrolytes. Like oral rehydration solution (ORS). Try not to eat soilds now. Do you have pantoprazole or Omeprazole or Rantidine at home? If so, you may take one of them now. Along with that, you may take an anti nausea/voiting pill called as Metoclopromide ( MAxalon or Reglan). Are you type 1 or Type 2 diabetic ? Try to check blood sugar every 3-4 hours or so. If you have a urine strip, check urine ketones as well. Another important thing is to monitor urine output. Observe for blood in vomitus. If the urine output is low or if urine ketone positive, please do not delay going to hospital. If these are good and if you are able to keep down small portions of clear fluid or ORS down, you may go to see a doctor tomorrow. Regards Binu