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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nausea And Vomiting?

I have a 3 week history of nausea and vomiting with associated 30 lb wieght loss. It feels like someone punched me in the stomach. I had a clean upper GI scope. Vomiting(all day) unrelieved by prilosec, phenergan, compazine, and zofran.The vomiting may subside for a day, but returns.
Wed, 3 Sep 2014
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General Surgeon,  's  Response
hi this is dr. subhadeep.thanks for the opportunity to help you

from your description it is an acute weight loss around 14kgs in 3 weeks but your UGI scope is normal.

in this type of situation a CECT abdomen or an MRI abdomen will be invaluable.r u a smoker or regular alcoholic.kindly give me a detailed history of your social life if possible.

r u noticing yellowish discoloration of urine yellowing of the eyes.clay coloured stool with itching all over the body.if it is so kindly get a LFT and HbsAg testing done.wether u underwent any blood transfusions recently to rule out possibility of HIV leading to such an alarming weight loss.

a CECT or MRI can rule out any lower GI tumours GIST etc.another cause of weight loss is TB abdomen though weight loss is not so rapid in tuberculosis still u can get a QUANTIFERON GOLD test and Sr.ADA done to rule the above out.

kindly get back to me with the above mentioned investigations.

regards
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What Causes Nausea And Vomiting?

hi this is dr. subhadeep.thanks for the opportunity to help you from your description it is an acute weight loss around 14kgs in 3 weeks but your UGI scope is normal. in this type of situation a CECT abdomen or an MRI abdomen will be invaluable.r u a smoker or regular alcoholic.kindly give me a detailed history of your social life if possible. r u noticing yellowish discoloration of urine yellowing of the eyes.clay coloured stool with itching all over the body.if it is so kindly get a LFT and HbsAg testing done.wether u underwent any blood transfusions recently to rule out possibility of HIV leading to such an alarming weight loss. a CECT or MRI can rule out any lower GI tumours GIST etc.another cause of weight loss is TB abdomen though weight loss is not so rapid in tuberculosis still u can get a QUANTIFERON GOLD test and Sr.ADA done to rule the above out. kindly get back to me with the above mentioned investigations. regards