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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Knots In My Stomach Up By My Ribs?

I just smoked speed and I ve been throwing up a lot. My stomach is all in a knot up by my ribs and I m Dry heaving, gagging and throwing up the water I m sipping. I take citalopram for anxiety and depression. This is the first time I ve smoked meth since 12 years ago and this stomach pain never happened before. Kicked in a few hours after smoking probably 15 hits. when I used to smoke regularly 12 years ago I didn t take any other meds like citalopram. Wondering if the two are reacting bad, maybe I swallowed smoke or my body is just reacting violently to the high. The stomach pain feels like a bad hangover. I also had some kfc and vodka earlier today.
Wed, 23 Oct 2019
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General Surgeon 's  Response
Hi,

Noted your history of stopping Meth 12 years ago but smoked and got the pain in abdomen, dry heaving, gagging and so on, taking Citalopram for anxiety and depression. You also had KFC and Vodka.
All these things together make it difficult to pin-point the cause but definitely can be inter-related as you are thinking.
There can be interaction between Citalopram and Meth and on top you have taken alcohol.
The possibility of food poisoning should also be taken into consideration as you have eaten outside.
I would advise you the following in such a situation:
Consult a Doctor immediately for clinical evaluation, correlating all factors and advise you tests as needed.
If there is dehydration or any other problem that needs admission in hospital you should get admitted for intravenous fluids and further management as needed.
Never to smoke Meth again.
May need a Psychiatrist's opinion and management.
PPI like Omeprazole and other symptomatic treatment may be needed.

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

Regards,
Dr. T. Chandrakant, General Surgeon
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What Causes Knots In My Stomach Up By My Ribs?

Hi, Noted your history of stopping Meth 12 years ago but smoked and got the pain in abdomen, dry heaving, gagging and so on, taking Citalopram for anxiety and depression. You also had KFC and Vodka. All these things together make it difficult to pin-point the cause but definitely can be inter-related as you are thinking. There can be interaction between Citalopram and Meth and on top you have taken alcohol. The possibility of food poisoning should also be taken into consideration as you have eaten outside. I would advise you the following in such a situation: Consult a Doctor immediately for clinical evaluation, correlating all factors and advise you tests as needed. If there is dehydration or any other problem that needs admission in hospital you should get admitted for intravenous fluids and further management as needed. Never to smoke Meth again. May need a Psychiatrist s opinion and management. PPI like Omeprazole and other symptomatic treatment may be needed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon