What Causes Bouts Of Severe Cough With Vomiting Immediately After Eating?

Posted on Fri, 18 Sep 2015

Fri, 18 Sep 2015 Answered on

Fri, 9 Oct 2015 Last reviewed on

Question : This is about my sister in Poland. In XXXXXXX she weighed approximately 160 pounds. It was at this time she would eat her regular meals, then ten minutes later she has very heaving coughing which causes her to throw up all the food she has eaten. She then feels faint and she has to lie down for approximately an hour. When she gets up she does not want to eat anything. She is basically living on water and tea. She has lost 50 pounds in 3 months. The Doctors in Poland have not been able to diagnose her problem. She continues to lose weight every week. She spends most of her time in bed as she is feeling very weak.

Answered by Dr. Dr. Muhammad Sareer Khalil (16 minutes later)

Brief Answer:
Tuberculosis or malignancy

Detailed Answer:
Hello and Welcome

I appreciate your concern

The top two differentials that are possible with this presentation are Tuberculosis and malignancy. Sputum for AFB, chest x ray, blood counts, ESR, CRP should be done. X rays alone wont be enough to exclude malignancy. In the presence of 3 months history of weight loss associated with cough or fever and night sweats can typically occur in tuberculosis and would be the top hunch if the blood counts, peripheral smear and bone marrow examination come out to be normal. Consult an infectious disease or internal medicine specialist in this regard for further management.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (23 minutes later)

This just came on all of a sudden. Can TB be cured? I had a feeling it might be that with the terrible cough. Also should she be drinking a drink that replenishes electrolytes? The medical service in Poland is not that good so I am very worried.

Answered by Dr. Dr. Muhammad Sareer Khalil (3 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

Yes, T.B is a curable disease.

Electrolyte replenishing drinks have no role in such a disease or weight loss.

Thanks.

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