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Pain, vomiting
This is in regard to my mother who is 75 years old this all started after she ate brinjal curry and she started having loose motions and for that she went to a nearby doctor who gave her medicine with that it did not reduce then an antibiotic was added, after taking the antibiotics the loose motions came under control but now she is not even having motions as well as she vomits whatever she takes and so from past 2 days she is having only liquid food and not taking any solid and now apart from that she has shoulder to neck pain and for that the doctor again prescribed ultracet after taking that she felt very sleepy so she called the doctor and he advised to stop that medicine and today we went to a gastroenterology and the doctor gave some medicines like hifenac mr, ganaton 50 mg, rifagut 550 mg and vsl 3 capsule then also she has vomiting what might be the reason and how it can come under control
Answers (37)
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Aapki mother ki age 75 years hai aur 2 din se solid food tolerate nahi ho raha, jo bhi leti hain usme vomiting ho rahi hai. Recent loose motions aur antibiotics ke baad aisa gastritis, infection-related weakness, dehydration ya stomach/intestinal motility problem ki wajah se ho sakta hai. Is age mein persistent vomiting ko lightly nahi lena chahiye.
Next Steps
Agar abhi bhi liquids bhi properly retain nahi ho rahe hain, to unka same-day medical assessment zaroor karwayein. Dehydration, electrolytes aur abdomen ki proper evaluation ki zarurat pad sakti hai, aur doctor decide karenge ki further tests/IV fluids ki need hai ya nahi. Jo medicines gastroenterologist ne prescribe ki hain, unhe unki advice ke according hi lein. Aap chahein to iske liye mujhse bhi consultation le sakte hain.
Health Tips
Filhaal ek saath zyada quantity dene ke bajay chhote-chhote sips mein ORS/fluids dene ki koshish karein, agar woh retain kar pa rahi hain. Force karke solid food na dein. Agar urine bahut kam ho, severe weakness/drowsiness, abdominal swelling ya severe pain, blood in vomit/stool, fever, confusion ya liquids bhi bilkul retain na hon, to emergency evaluation karwayein.
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It is completely natural to be worried about your mother while she is going through these difficult gastrointestinal symptoms. However, it is important to keep a close watch on her, as repeated vomiting can lead to significant dehydration.
Keep an eye out for early warning signs such as dry mouth/skin,dizziness, unusual weakness or lethargy, and confusion. If these symptoms start appearing or if she is unable to keep fluids down please take her to the hospital promptly rather than waiting for the symptoms to become severe.
Next Steps
Because the stomach lining may still be irritated, and some medications can further irritate the stomach, vomiting and nasusea may continue for some time even after starting treatment.
For now, please try small, soft, frequent meals rather than large meals, and avoid spicy/masala, oily, or heavy foods. Encourage small, frequent sips of fluids as tolerated to help prevent dehydration.
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Thank you for the detailed history. In a 75-year-old, vomiting everything she takes along with no motions after a diarrhoeal illness is a warning sign â it can mean significant dehydration with electrolyte disturbance, or a slowed/partially obstructed bowel (ileus), and her past gallbladder surgery and cardiac status make careful assessment important. Adding more oral medicines at home is not the right step now. Please stop solid food for the moment, give small frequent sips of ORS, and get her examined in person today rather than waiting.
Next Steps
Please take her to a physician today for examination and basic tests â CBC, kidney function, electrolytes, and an ultrasound/X-ray abdomen. If vomiting continues or she becomes drowsy or passes very little urine, she needs IV fluids in hospital without delay. You are welcome to book a teleconsult with me on Practo to review her reports, or visit me at Synergy Multispeciality Hospital, Miraj (consultation fee Rs 100) for a full assessment.
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She had any comorbidities or long term used of medicine.
Probably she had indigestion issues after spicy food for which symptomatic medicine followed by antibiotics were prescribed. So loose stool improved but now she has vomiting, probably drug induced gastritis which can cause a referred pain in shoulder and neck .l think adding NSAID will cause aggravated symptoms.
So simply an anti emetic and mild antacid will do the job.
Next Steps
Take ondesetron MD sos
Electral and some probiotic
Tab Naprosyn and Domperidone combo for shoulder and neck pain
Health Tips
Try avoiding spicy food.
walk after every meal
deep breathing excercise before meals
chew meal properly and check dental issues if any
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2/2 people found this helpful
We need further evaluation before you junp into anything , no point diagnosing the patient without proper investigation. So kindly do all the necessary investigation and get back to us.
Next Steps
dear sir,
please get a usg abdomen done , so we may know the diagnosis of the patient
Health Tips
careful not to take it lightly and get the scan done as quickly as possible.
Answered
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It is important to find out what medicines she took for control of loose motions. Not every medicine can be taken by a 75 year old person. Some of those medicines may also cause paralytic ileus.
Let her consult a Gastroenterologist in the local Medical College or Hospital. She may need IV Fluids and IV Antibiotics.
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Could be dehydration, electrolytes imbalance, subacute occlusion following anti diarrhoea treatment .
Get serum electrolytes, ultrasound abdomen done and share results.
If problem is more , take her to hospital for observation and management as per her condition.
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Ruleout intestinal obstruction.
If you give loperamide , it decreases intestinal motility. Antibiotics and painkillers can also further worsen motility.
Not passing stools,not passing gas and persistent vomiting is indicative of intestinal obstruction.
Get an ultrasound abdomen or CT scan to confirm diagnosis
Answered
2/2 people found this helpful
As history say Loose motion is under control
But vomiting still Persist..
Keep taking continue the medicines are advised.
Take tab Emset as needed and plenty of fluid to keep her hydrated..
Next Steps
visit to physician it sign of Moderate Dehydration.
or vomiting continue..
Answered
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From the history provided, I would not treat this as simple post-food diarrhoea anymore. In a 75-year-old, the combination of persistent vomiting + inability to tolerate solids/liquids + markedly reduced/absent bowel movements for about 2 days needs urgent in-person reassessment, particularly to exclude intestinal obstruction or ileus, significant dehydration/electrolyte disturbance, and medication-related gastric/intestinal problems. Persistent vomiting with inability to keep fluids down warrants urgent medical assessment.
Possible explanations
Post-infectious gastritis/gastroparesis after the diarrhoeal illness can cause nausea, early satiety and vomiting.
Ileus or intestinal obstruction is important to exclude, particularly because the diarrhoea has stopped and she is now not passing stool. If she is also not passing flatus, has abdominal distension or colicky/continuous abdominal pain, obstruction becomes particularly concerning
Dehydration and electrolyte abnormalities (especially hypokalaemia, hyponatraemia or renal dysfunction) can themselves worsen nausea, weakness and ileus. Older adults are particularly vulnerable to dehydration.
Medication effects may be contributing. Ultracet contains tramadol, which can cause marked drowsiness, nausea/vomiting and constipation, so stopping it as advised was reasonable. Other recently introduced medicines should also be reviewed.
Less commonly, pancreatitis, biliary disease, acute kidney dysfunction, metabolic disturbances or another intra-abdominal process may present this way.
Next Steps
She may need: BP, pulse, oxygen saturation and hydration assessment Abdominal examination, including checking for distension/obstructive signs CBC, electrolytes (Na/K), urea/creatinine, glucose LFT, amylase/lipase as clinically indicated ECG Abdominal X-ray and/or ultrasound/CT abdomen if obstruction or another acute abdominal pathology is suspected IV fluids and an appropriate parenteral antiemetic if she cannot retain oral fluids Further management depending on whether obstruction/ileus is found If there is suspected obstruction, do not give laxatives or force solid food until she has been assessed.
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Better to give Iv fluids and if there is constipation and continuous vomiting better to see a surgical gastroenterologist check serum electrolytes and creatinine does she have any other comorbidities.Torule out paralytic ileus considering her age and symptoms
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What's no. Of episode of vomitting and colour of vomit?
May be her gut floor has been altered due to infection.
Make her stay hydrated and give her IVF RL 500ml because persistent vomiting may have caused dehydration
Next Steps
Bed rest and stay hydrated
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