Suggest Treatment For Severe Back Pain And Vomiting

Posted on Fri, 1 Jul 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 1 Jul 2016 Answered on

Fri, 22 Jul 2016 Last reviewed on

Question : 18year old granddaughter severe back pain, left side, throwing up, pain has moved to the front of her body.

Answered by Dr. Dr. Naveen Kumar Sharma (28 minutes later)

Brief Answer:
It is acute abdomen

Detailed Answer:
Hello.
I have studied your case. I think she might have one of following conditions.
1.Acute appendicitis
2.Stone in Kidney or urine infection.
3.Ovarian cyst
In all these condition there can be acute pain and such symptoms.So I would suggest you to go to ER as soon as possible. She might need to get ultrasound of the abdomen to confirm the diagnosis. Till then you can try following.
1.Tablet Brufen for pain and Pan D for vomiting.
2.Tablet Cyclopam for pain .
I hope these steps will be helpful for you.let me know if their is any other followup questions.
thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Naveen Kumar Sharma (1 hour later)

Thanks. When I talked to my daughter, I told her I thought this was pretty serious and to call a doctor and to see if her brother could take them to the ER. I can't drive at night, my daughter can't drive at all (just had eye surgery), so we are sort of handicapped. Well, not just sort of. I wanted let you know that her brother took them to the ER. Your response was helpful because it tells me that my instincts are good. I thought of appendicitis, and her kidney crossed my mind. Will let you know what it is, when I find out. Thank you

Answered by Dr. Dr. Naveen Kumar Sharma (1 hour later)

Brief Answer:
I wish her a speedy recovery

Detailed Answer:
Hello,
I think you did it right to take her to ER. Pain with vomiting can not be taken lightly. Some time it can be food poisoning or it can be acute abdomen. Patient need immediate Intravenous fluid. I hope she will be recover fast.
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Naveen Kumar Sharma (2 minutes later)

They gave her morphine and are doing a catscan right now, so it is something.

Answered by Dr. Dr. Naveen Kumar Sharma (4 hours later)

Brief Answer:
Morphine is for pain lets wait for CT

Detailed Answer:
Hello,
Morphine is for pain. It is just symptomatic. Lets wait for CT scan. You can share that report with me.
thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Naveen Kumar Sharma (5 hours later)

It's a 9 cm ovarian cyst. They sent her home with dialuadid(sp?)and nausea medication and the name of an OBGYN to call. My daughter made the earliest apt with him that she could -- 7/11. Good diagnosis on your part.

By the way, I am a public defender and I have a co-worker whose last name is XXXXXXX

Answered by Dr. Dr. Naveen Kumar Sharma (1 hour later)

Brief Answer:
Ovarian cyst may need aspiration

Detailed Answer:
Hello,

It is good that you took her to emergency immediately. Some time these things can cause severe emergency. If her Gynaecologist thinks then this cyst may need aspiration. Any way it is not an emergency like appendicitis. Please review this answer.

Thanks

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Arnab Banerjee