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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Brown And Bitter Tasting Vomits With Diarrhea?

Last night I felt nauseous and thought I was going to vomit. Later I had to make a bowel movement and it was hard at first then it turned into diarrhea. I got up in the night maybe twice and was ok. This morning I felt like I had to vomit and I did. It was brown and had a slightly bitter taste. I laid down and felt somewhat better, then four hours later I vomited again. It was brown and tasted slightly bitter. I'm still having off and on again diarrhea and every now and again I feel like I want to vomit again. What could this be a virus or something more severe.
Wed, 9 Apr 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.
If it is caused by a virus, it will resolve with symptomatic management only.
However, if it persists for more than 02 days, certain investigations like complete blood count, estimation of serum electrolytes, stool examination & Ultrasound scan of abdomen & Pelvis will be helpful in detecting any pathological cause.

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.

Wishing a good health.
Take care.
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What Causes Brown And Bitter Tasting Vomits With Diarrhea?

Hello dear, The symptoms as mentioned in your post is attributed to either infection or inflammation in the Gastrointestinal tract. If it is caused by a virus, it will resolve with symptomatic management only. However, if it persists for more than 02 days, certain investigations like complete blood count, estimation of serum electrolytes, stool examination & Ultrasound scan of abdomen & Pelvis will be helpful in detecting any pathological cause. 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. Wishing a good health. Take care.