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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Diarrhea, Should I Go To ER If I Have Vomited Twice?

Ive had diarrhea for the last 3 days now, it hasnt gotten better, and i woke up in the middle of the night to have stuff coming out of both ends. I NEVER vomit, and I havent since I was a child, im 18 now, but I have already thrown up twice in the past 45 minutes. I have tingling and numb hands and fingers, and my stomach keeps making gurgling noises. should I be concerned? should I go to emergency? I havent been getting better.
Thu, 20 Mar 2014
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General & Family Physician 's  Response
Hello dear,

The symptoms as mentioned in your post is attributed to either infection or inflammation in the Gastrointestinal tract.
The tingling and numbness sensation is due to the loss of fluid & electrolytes from body due to repeated episodes of vomiting & loose motion.

Presenting with such symptoms, I usually treat my patients with:
1. Tablet Pantoprazole + Domperidone twice daily (to be taken half an hour before food)
2. Anti spasmodics like Dicyclomine preparation twice daily (to be taken after food).
3. Lactobacillus preparations.
4. Antibiotics like Ofloxacin+ Ornidazole preparations, OR based on culture & sensitivity reports to control the causative organism.
5. Oral Rehydration Solution (O.R.S) for maintaining the hydration status & electrolyte balance of the body.
6. Take soft, plain, non-spicy foods.
7. Avoid fast foods & gas producing food products like cabbage, etc.

So, kindly consult a Gastroenterologist & start treatment as advised.
Investigations like complete blood count, estimation of serum electrolytes, stool examination & Ultrasound scan of abdomen & Pelvis will be helpful in detecting any pathological cause for the symptoms.

Wishing a good health.
Take care.
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Having Diarrhea, Should I Go To ER If I Have Vomited Twice?

Hello dear, The symptoms as mentioned in your post is attributed to either infection or inflammation in the Gastrointestinal tract. The tingling and numbness sensation is due to the loss of fluid & electrolytes from body due to repeated episodes of vomiting & loose motion. Presenting with such symptoms, I usually treat my patients with: 1. Tablet Pantoprazole + Domperidone twice daily (to be taken half an hour before food) 2. Anti spasmodics like Dicyclomine preparation twice daily (to be taken after food). 3. Lactobacillus preparations. 4. Antibiotics like Ofloxacin+ Ornidazole preparations, OR based on culture & sensitivity reports to control the causative organism. 5. Oral Rehydration Solution (O.R.S) for maintaining the hydration status & electrolyte balance of the body. 6. Take soft, plain, non-spicy foods. 7. Avoid fast foods & gas producing food products like cabbage, etc. So, kindly consult a Gastroenterologist & start treatment as advised. Investigations like complete blood count, estimation of serum electrolytes, stool examination & Ultrasound scan of abdomen & Pelvis will be helpful in detecting any pathological cause for the symptoms. Wishing a good health. Take care.