Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Causes Constant Abdominal Pain After discontinuing Tramadol?
My Wife had a supra-cervical hysterectomy 13 days ago, all was fine until last night. she was prescribed 100 mg. of tramadol every 6 hours, and 600 mg advil every 6 hours , with a 3 hour offset(one or the other every 3 hours) .She stopped taking the tramadol 3 days ago, and none since, but continued with the advil until yesterday afternoon when a sudden severe stomach pain began (no more advil since).During the night last night (4 a.m.) she vomited a few times, and again mid-day today and she said what it produced was dark brown.the most recent vomit event was 11 hours ago(6 a.m.) and the pain had subsided a bit today but now the pain has returned. We are on a remote island hours away from the nearest hospital by ferry, and it is Sunday evening with limited hospital staff on duty even if we can get there
Tue, 23 Oct 2018
Hello,
In my opinion, these symptoms, considering also the dark brown color of vomiting content, might be caused by a bleeding gastroduodenal ulcer. Gastroduodenal ulcers in patients get worse and may bleed after surgeries, and the risk increases after taking Advil. Considering the history given by you, I realize that your wife didn't take any anti-acids for the stomach protection. I suggest her to take Omeprazol twice daily (30 minutes before breakfast and before sleeping) for three- four weeks.
She should have frequent and small meals, and also avoid spicy, fried food, fast food, it may help relieve stomach pain. If she doesn't improve she should consult a doctor and have a gastroduodenal endoscopy done, to diagnose the ulcer and further treatment.
Hope I have answered your query.
Let me know if I can assist you further.
Regards,
Dr. Suela Gjata,
General & Family Physician
In my opinion, these symptoms, considering also the dark brown color of vomiting content, might be caused by a bleeding gastroduodenal ulcer. Gastroduodenal ulcers in patients get worse and may bleed after surgeries, and the risk increases after taking Advil. Considering the history given by you, I realize that your wife didn't take any anti-acids for the stomach protection. I suggest her to take Omeprazol twice daily (30 minutes before breakfast and before sleeping) for three- four weeks.
She should have frequent and small meals, and also avoid spicy, fried food, fast food, it may help relieve stomach pain. If she doesn't improve she should consult a doctor and have a gastroduodenal endoscopy done, to diagnose the ulcer and further treatment.
Hope I have answered your query.
Let me know if I can assist you further.
Regards,
Dr. Suela Gjata,
General & Family Physician
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Loading Online Doctors....