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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22241
Experience:  Over 20 yrs of Family Practice
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What constiutes as persistant vomiting

Customer Question

What constiutes as persistant vomiting
Submitted: 11 months ago.
Category: Health
Expert:  Dr. Chip replied 11 months ago.
That's a little hard to quantify--it could mean throughout the day or it could mean once a day for days
Customer: replied 11 months ago.
Ive puled 5 times since ive been home
Expert:  Dr. Chip replied 11 months ago.
Probably just from the scope and the sedation
Customer: replied 11 months ago.
I dont feel good. I want you to tell me it doesnt qualify to be persistant vomiting
Expert:  Dr. Chip replied 11 months ago.
Where did you get that term?
Customer: replied 11 months ago.
Discharge instructions say if you have persistant vomiting yiu have to go to er. I dont want to
Expert:  Dr. Chip replied 11 months ago.
Oh, OK. I'd say for now give it a few more hours to see if it calms down
Customer: replied 11 months ago.
I dont feel good. And im cold
Expert:  Dr. Chip replied 11 months ago.
If you think you need to get checked out, then by all means do so
Customer: replied 11 months ago.
I dont want to. Can i take phenergan. Can i tell you somethi g amd you not get mad at me
Customer: replied 11 months ago.
I got a lump on myhead thats bleeding a little
Expert:  Dr. Chip replied 11 months ago.
You hit your head?
Customer: replied 11 months ago.
Ya on the shelving in my bathroom but not hard. You cant be mad at me
Expert:  Dr. Chip replied 11 months ago.
Not at all but how bad a cut and how much bleeding?
Customer: replied 11 months ago.
Just a little one. Maybe 1.5 inches. Its not oozing blood or anything
Expert:  Dr. Chip replied 11 months ago.
Just put some pressure on it and get back to me in about three hours--I have to go for now
Customer: replied 11 months ago.
Can i take phenergan
Customer: replied 11 months ago.
My LUQ really hurts. I now have a bump and a bruise on my forehead.
Expert:  Dr. Chip replied 11 months ago.
Back now. I see you asked Dr Thomas about this. Did you really think he wouldn't tell you to go to the ER?
Customer: replied 11 months ago.
I was hoping but you werent here to ask
Expert:  Dr. Chip replied 11 months ago.
None of us would be able to tell you any differently since we can't examine you
Customer: replied 11 months ago.
So you think the same thi g? My uncle says its trapped gas
Expert:  Dr. Chip replied 11 months ago.
Has your uncle actually laid hands on your abdomen? And if you like his answer--and no I'm not mad here--why ask us?
Customer: replied 11 months ago.
No he hasnt. Idk if his opinions right or not. I trust your opinion tge most
Expert:  Dr. Chip replied 11 months ago.
I wish in a situation like this I didn't have to tell you to go to the ER and what complicates things is your belly pain before the procedures but anyone with abdominal pain--severe pain--after an endoscopy has to be told at least to have a doctor examine them right away
Customer: replied 11 months ago.
Even though my tummy hurt before the procedure
Expert:  Dr. Chip replied 11 months ago.
That makes it impossible for us to tell you it's just the same thing after the procedure--it's possible that something else is now going on. Of course, the real concern, although it rarely happens, is a perforation of the colon or the stomach
Customer: replied 11 months ago.
So you would feel better if i went to the er?
Expert:  Dr. Chip replied 11 months ago.
Yes and you may come back and tell me they didn't do anything, but I would at least sleep well tonight
Customer: replied 11 months ago.
You wouldnt really loose sleep over it would you
Expert:  Dr. Chip replied 11 months ago.
Yes I would, just like I would over any patient of mine in the same situation
Customer: replied 11 months ago.
But im not your patient. How long will it take my bruise on my forehead to go away
Expert:  Dr. Chip replied 11 months ago.
I'd still lose sleep so that comment didn't help and actually hurt. It will probably take several days for the bruise to disappear
Customer: replied 11 months ago.
I didnt mean to hurt you. Im sorry
Expert:  Dr. Chip replied 11 months ago.
I have a feeling you probably do that with people you know--it's a way of not wanting to accept that someone might actually care about you
Customer: replied 11 months ago.
I dont feel good
Expert:  Dr. Chip replied 11 months ago.
You know I can't really do anything with a statement like that
Customer: replied 11 months ago.
Im tummy hurts, i feel like i need to vomit, and i got a headache.
Expert:  Dr. Chip replied 11 months ago.
There's nothing I can say but one of two things--go to the ER or hang in there and get through it
Customer: replied 11 months ago.
What would you do if you were me? You know how crappy the er is
Expert:  Dr. Chip replied 11 months ago.
I'd still go to the ER and tell them I was scoped today and I really worry something serious is going on
Customer: replied 11 months ago.
Will they give me something so i dont feel so pukey?
Expert:  Dr. Chip replied 11 months ago.
I'd hope so
Customer: replied 11 months ago.
Im nervous, i dont want to go. But im miserable What will they do
Expert:  Dr. Chip replied 11 months ago.
End of discussion--either you go or you don't
Customer: replied 11 months ago.
Are you angry at me
Expert:  Dr. Chip replied 11 months ago.
No but you waste time and space sometimes with the questions you ask since you really know the answers to some of them
Customer: replied 11 months ago.
Im sorry. I left a message for my therapist to call me back regarding alcohol abuse but he never did. Is it possible that the blood is coming from my small bowel
Expert:  Dr. Chip replied 11 months ago.
Which end are we talking about?
Customer: replied 11 months ago.
Either
Expert:  Dr. Chip replied 11 months ago.
No for the rectum and unlikely from the mouth
Customer: replied 11 months ago.
So where did the blood comefrom
Expert:  Dr. Chip replied 11 months ago.
From your gastritis and stomach ulcers if we're talking about the vomit and from the rectal ulcer if we're talking about the stool
Customer: replied 11 months ago.
But they werent bleeding. Btw im at the er
Expert:  Dr. Chip replied 11 months ago.
Well, let me know what happens
Customer: replied 11 months ago.
Did blood work and xray
Expert:  Dr. Chip replied 11 months ago.
Let me know when is all over there
Customer: replied 11 months ago.
Said everything looks fine. Gave me gu cocktail
Expert:  Dr. Chip replied 11 months ago.
Did that help?
Customer: replied 11 months ago.
No
Expert:  Dr. Chip replied 11 months ago.
Well, at least you got checked out so I can breathe easier
Customer: replied 11 months ago.
Visteral and dilaudid
Expert:  Dr. Chip replied 11 months ago.
As shots?
Customer: replied 11 months ago.
Yes
Expert:  Dr. Chip replied 11 months ago.
Well, you should be able to sleep with that
Customer: replied 11 months ago.
I havent been to work all week
Expert:  Dr. Chip replied 11 months ago.
Get some rest and see if you can get there tomorrow
Customer: replied 11 months ago.
The er dr said no work tomorrow
Expert:  Dr. Chip replied 11 months ago.
Well, still, get some rest tonight
Customer: replied 11 months ago.
I will try. Can i still take my other meds like amitryptaline and ativan
Expert:  Dr. Chip replied 11 months ago.
No--neither after those shots
Customer: replied 11 months ago.
I didnt know they didnt tell me
Expert:  Dr. Chip replied 11 months ago.
That's fine but all you need for tonight is the shots
Customer: replied 11 months ago.
Do you think i shouldve not had the shots?
Expert:  Dr. Chip replied 11 months ago.
No, with all your pain they were fine
Customer: replied 11 months ago.
I sleepy twlk to yoy timotrrow
Expert:  Dr. Chip replied 11 months ago.
OK
Customer: replied 11 months ago.
Shoulf i go to woek to orriw
Expert:  Dr. Chip replied 11 months ago.
See how you feel in the morning
Customer: replied 11 months ago.
Will u be ma d if ifeont
Expert:  Dr. Chip replied 11 months ago.
No but stop typing and go to bed
Customer: replied 11 months ago.
Im goihbf to pikuvk
Expert:  Dr. Chip replied 11 months ago.
Don't post anything more here--it won't be worthwhile. Just get back to me tomorrow
Customer: replied 11 months ago.
Im going to puke
Expert:  Dr. Chip replied 11 months ago.
If you post anymore tonight I'll have to opt out--just get to bed
Customer: replied 11 months ago.
I didnt sleep very ywel
Expert:  Dr. Chip replied 11 months ago.
What about work today?
Customer: replied 11 months ago.
There is no way. I feel hungover
Expert:  Dr. Chip replied 11 months ago.
Get back to me in about three hours
Customer: replied 11 months ago.
What do. I lfo for pain
Expert:  Dr. Chip replied 11 months ago.
We need to change the subject about your abdominal pain and the bleeding and all that--for now there just isn't anything else to say
Customer: replied 11 months ago.
Well what do i do for it
Expert:  Dr. Chip replied 11 months ago.
Call a doc and ask for something for pain. Now please, something else
Customer: replied 11 months ago.
Lastthing. Do you believe me that it hurts?





Expert:  Dr. Chip replied 11 months ago.
Yes but there really isn't anything else I can say about it
Customer: replied 11 months ago.
What do i tell my therapist if he decides to call today
Expert:  Dr. Chip replied 11 months ago.
I thought you were going to tell him about the drinking?
Customer: replied 11 months ago.
I am. Im waiting for him to call me. What exactly do i tell him
Expert:  Dr. Chip replied 11 months ago.
You know how I do this--you tell me first what you plan to tell him
Customer: replied 11 months ago.
You are so mean. I tell him that for the past week or so ive been drinking a lot. Downing 6-8 alcoholic drinks in less than 2 hrs.
Expert:  Dr. Chip replied 11 months ago.
That's not mean and I don't know sometimes what you mean by that. I needed to know where you were going with this first. And if he says, that's a lot--what's going on? What do you say?
Customer: replied 11 months ago.
Im sad and i want to feel better and i thought alcohol would help
Expert:  Dr. Chip replied 11 months ago.
And why are you sad? And I can see how a drink or two might help but why that many in so short a time?
Customer: replied 11 months ago.
Idk why im sad. And after the first drink the others go down so easily.
Expert:  Dr. Chip replied 11 months ago.
Sounds like loss of control to me. Does all that booze do what you want it to do?
Customer: replied 11 months ago.
For like 5 minutes
Expert:  Dr. Chip replied 11 months ago.
Five minutes after the first one?
Customer: replied 11 months ago.
No after the 3-4 one i feel happy for about 5 minutes before i start feeling vulnerable then i cry
Expert:  Dr. Chip replied 11 months ago.
I don't suppose you fell very good physically the next day
Customer: replied 11 months ago.
I usually feel fine the next day just a little pukey
Expert:  Dr. Chip replied 11 months ago.
So why are you telling me this--does this worry you?
Customer: replied 11 months ago.
Imnot too worried about it but i figured i should just let you knowDont get mad at me but my tummy really hurts
Expert:  Dr. Chip replied 11 months ago.
Sorry--had to be off. That's OK as a start as to talking about the drinking
Customer: replied 11 months ago.
Ok
Expert:  Dr. Chip replied 11 months ago.
Anything else?
Customer: replied 11 months ago.
Why does my tummy hurt. You cannot get mad at me
Expert:  Dr. Chip replied 11 months ago.
I'm not mad but I can't tell you why--it could be the ulcers, the gastritis, maybe the Crohn's if that's what you have.
Customer: replied 11 months ago.
But why does it hurt so much now?
Expert:  Dr. Chip replied 11 months ago.
I don't know--sorry
Customer: replied 11 months ago.
What would you give me for pain
Customer: replied 11 months ago.
I wish i could just get rid of my stomach
Expert:  Dr. Chip replied 11 months ago.
I'd probably give you tramadol or perhaps a short course of Lortabs
Customer: replied 11 months ago.
I cant feel like this everyday! Im miserable
Expert:  Dr. Chip replied 11 months ago.
Sorry but I really don't have anything to say more about it
Customer: replied 11 months ago.
My therapist still hasnt called me back
Expert:  Dr. Chip replied 11 months ago.
How long does it usually take him to call you back?
Customer: replied 11 months ago.
He has always called me back the same day
Expert:  Dr. Chip replied 11 months ago.
And when did you call him?
Customer: replied 11 months ago.
Yesterday at like 2
Expert:  Dr. Chip replied 11 months ago.
So call him again
Customer: replied 11 months ago.
Are you getting sick of helping me today? The bump on my head is very tender
Expert:  Dr. Chip replied 11 months ago.
No but we do sometimes just go over and over the same thing. Bumps on heads do hurt
Customer: replied 11 months ago.
Sorry. I dont mean to be beedy, it just happens
Expert:  Dr. Chip replied 11 months ago.
I understand
Customer: replied 11 months ago.
My dr is going to do a ct today
Customer: replied 11 months ago.
Do we need to close this page
Expert:  Dr. Chip replied 11 months ago.
Shortly--the ct is for?
Customer: replied 11 months ago.
Idk. I had an appt with her for my abdominal pain. And her nurse called and said ct first. Ct abd/pelvis
Expert:  Dr. Chip replied 11 months ago.
This is the NP?
Customer: replied 11 months ago.
Yep. She did lab too
Customer: replied 11 months ago.
Yep
She did lab too
Expert:  Dr. Chip replied 11 months ago.
Well, not sure at this point that it's going to show anything
Customer: replied 11 months ago.
What do you mean at this point?
Expert:  Dr. Chip replied 11 months ago.
Well, since the scope didn't show a perforation I doubt that an abdominal ct is going to show up anything new.
Customer: replied 11 months ago.
I dont think i need a ct b ive had 9 thus year
Expert:  Dr. Chip replied 11 months ago.
Call her and tell her that or at least ask her why she thinks you need it. And for now we do need to close this page.
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22241
Experience: Over 20 yrs of Family Practice
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