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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Vomiting?

My 16 yo daughter has been involuntary throwing up every thing she consumes for the past 3 months. Almost as soon as she eats and continues until her stomach has nothing left . She has had all tests possible with a gastroenterologist, including barium swallow , gastroscopy , ultrasound , and blood tests and been in hospital where they cannot help . They decided it was due to anxiety , so we sought therapy for her Where they pointed out her ADD was worse than we thought . ( never was treated ) , though said she does not have an eating disorder , but maybe she has conversion disorder . They directed us to a psychiatrist , who put her case forward to a meeting of 10 psychiatrists who feel it does it add up . They decided she should try Xanax to treat the anxiety , as if that was the cause , the vomiting may stop or possibly be less often . Then they tried another anxiety drug but both didn’t work . They are convinced there is something physical that has been missed . Currently she has been given an anti depressant mirtizapine , which has a connection in helping to stop vomiting . She is trying this for a week at least , but so far after 3 days she is not feeling great and the vomiting continues . It seems she is a medical mystery . Can anyone help or suggest what to do ?
Thu, 19 Apr 2018
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General & Family Physician 's  Response
Hi,

As per your clinical history, please follow like this:

Discuss with your Doctor about Omeprazole and Domperidone, which she needs to take twice a day for 30 days and it is due to functional dyspepsia and follow few lifestyle modifications like this:

1) Try to eat smaller, more frequent meals. Chew your food slowly and thoroughly.

2) Try to avoid triggers like fatty and spicy foods, processed foods, carbonated beverages, caffeine, etcetera.

3) Try to maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus.

4) Do exercise regularly. Exercise helps you keep off extra weight and promotes better digestion.

5) Try to manage stress. Create a calm environment at mealtime. Practice relaxation techniques, such as deep breathing, meditation or yoga. Spend time doing things you enjoy. Get plenty of sleep. If you do it then there will not be any requirement for medicines.

6) With your doctor's approval, stop or cut back on pain relievers or other medicines that may irritate your stomach lining. If that's not an option, be sure to take these medicines with food.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Uday Nath Sahoo
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What Causes Chronic Vomiting?

Hi, As per your clinical history, please follow like this: Discuss with your Doctor about Omeprazole and Domperidone, which she needs to take twice a day for 30 days and it is due to functional dyspepsia and follow few lifestyle modifications like this: 1) Try to eat smaller, more frequent meals. Chew your food slowly and thoroughly. 2) Try to avoid triggers like fatty and spicy foods, processed foods, carbonated beverages, caffeine, etcetera. 3) Try to maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus. 4) Do exercise regularly. Exercise helps you keep off extra weight and promotes better digestion. 5) Try to manage stress. Create a calm environment at mealtime. Practice relaxation techniques, such as deep breathing, meditation or yoga. Spend time doing things you enjoy. Get plenty of sleep. If you do it then there will not be any requirement for medicines. 6) With your doctor s approval, stop or cut back on pain relievers or other medicines that may irritate your stomach lining. If that s not an option, be sure to take these medicines with food. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Uday Nath Sahoo