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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Stomach Pain And Vomiting?

My daughter spent the last 12 hours in emergency for extreme stomach pain and vomiting, she does not have the flu...they gave her pain relief through a morphene iv and anti nausea and basically said they didnt know what was going on.. she had gastritis as a teenager and now at 24 is under extreme stress at university.....the hospital has not offered any further suggestions on what to do..we are very frustrated and worried. she is now home and still has severe pain and is vomiting.
Tue, 17 Jun 2014
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General Surgeon 's  Response
Hi.
Thanks for your query.
If your daughter still has pain and vomiting , she needs to be admitted and investigated.
Vomiting in most of the cases of abdominal pain are due to ''reflex''- meaning as a secondary to pain.
""Reflux'' vomiting is due to regurgitation from the stomach.
In such a case I would advise:
Re-admit.
Nil orally
IV fluids and antibiotics, symptomatic treatment for vomiting.
Investigations of blood, urine and stool.
Ultrasonography of abdomen, if necessary CT scan
Upper GI endoscopy only if vomiting is suspected due to stomach or duodenal causes.
Standing X-ray abdomen :
All these things start the treatment and lead to a definitive diagnosis. , helping definitive treatment.

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What Causes Severe Stomach Pain And Vomiting?

Hi. Thanks for your query. If your daughter still has pain and vomiting , she needs to be admitted and investigated. Vomiting in most of the cases of abdominal pain are due to reflex - meaning as a secondary to pain. Reflux vomiting is due to regurgitation from the stomach. In such a case I would advise: Re-admit. Nil orally IV fluids and antibiotics, symptomatic treatment for vomiting. Investigations of blood, urine and stool. Ultrasonography of abdomen, if necessary CT scan Upper GI endoscopy only if vomiting is suspected due to stomach or duodenal causes. Standing X-ray abdomen : All these things start the treatment and lead to a definitive diagnosis. , helping definitive treatment.