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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Spleen Enlargement, Stomach Pain With Continuous Vomiting A Serious Problem?

hi doctor ,my younger brother has been vomiting for 15 days ,5 to 6 mins after taking food,and instant stomach pain .He has undergone test like endoscopy ,ultrasound and blood test. According to that report ,his spleen is bit bigger than ,what the normal size should be .He is in the 1st stage of eusophogatics ,but ulcer test is -ve .Now he is on medication but its around 3 day for medication ,but still he is vomiting like previous .Is there any serious problem ??pls help /
Mon, 21 Jan 2019
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Internal Medicine Specialist,  's  Response
Hello,

LFT(Liver function test) is not mentioned. Splenomegaly may be due to portal hypertension. Gastro-oesophageal reflux disorder (GERD) with esophagitis is most likely.

If LFT is abnormal, one needs to look into the possibility of CAH(Chronic active hepatitis). Symptomatically Pantoprazole with sustained release Domperidone is advisable.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Tushar Kanti Biswas, Internal Medicine Specialist
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Is Spleen Enlargement, Stomach Pain With Continuous Vomiting A Serious Problem?

Hello, LFT(Liver function test) is not mentioned. Splenomegaly may be due to portal hypertension. Gastro-oesophageal reflux disorder (GERD) with esophagitis is most likely. If LFT is abnormal, one needs to look into the possibility of CAH(Chronic active hepatitis). Symptomatically Pantoprazole with sustained release Domperidone is advisable. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist