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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Back Spasm, Vomiting, Taken Ibuprofen. Should I Go To ER?

Last night, I had a really bad back spasm , that caused me to vomit twice. I was able to get it under control with ibuprofen , a hot shower and a heat pad that I slept on. This morning, I woke still in pain, so I called off of work. Throughout the day, I ve still been vomiting , even though the pain in my back is easily bearable. However, I am still vomiting throughout the day. I have a very weak stomach so this alone did not phase me, however, the last time I vomited, there were tiny, tiny flecks of red. I m wondering if I should go to Urgent Care right now, or if I m okay to wait until tomorrow to visit my regular doctor.
Mon, 30 Jun 2014
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Emergency Medicine Specialist,  's  Response
Hi,
Thanks for writing your query.

After reading your post, it seems that you might be having bleeding from gastric ulcers, appearing as red spots in your vomitus.

I would suggest that you should get yourself clinically examined and investigated.
An Endoscopy may be helpful.

I would advise that you should take an antacid like Omeprazole 40mg once a day before meals along with Domperidone 30mg.
Antacid in gel or liquid form is also helpful.

Following precautions will be helpful :-
1.Avoid spicy and oily foods.
2.Avoid being empty stomach for long periods.
3.Avoid mental and emotional stress.
4.Avoid smoking and alcohol, if any.
5.Avoid self medications, especially pain killers and steroids.
6.Drink lots of water daily.
7.Eat light meals prepared under hygienic conditions.
8.Curd can be helpful.

I hope this is helpful to you.
Thanks.
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Back Spasm, Vomiting, Taken Ibuprofen. Should I Go To ER?

Hi, Thanks for writing your query. After reading your post, it seems that you might be having bleeding from gastric ulcers, appearing as red spots in your vomitus. I would suggest that you should get yourself clinically examined and investigated. An Endoscopy may be helpful. I would advise that you should take an antacid like Omeprazole 40mg once a day before meals along with Domperidone 30mg. Antacid in gel or liquid form is also helpful. Following precautions will be helpful :- 1.Avoid spicy and oily foods. 2.Avoid being empty stomach for long periods. 3.Avoid mental and emotional stress. 4.Avoid smoking and alcohol, if any. 5.Avoid self medications, especially pain killers and steroids. 6.Drink lots of water daily. 7.Eat light meals prepared under hygienic conditions. 8.Curd can be helpful. I hope this is helpful to you. Thanks.