Patient's Query
Hello doctor,
My wife is 31 years old and has IBD. She is taking Mesacol for her treatment. Last night, we ate at a restaurant. Around 3 to 4 AM, she began vomiting and had five or six episodes before she could sleep. This morning, she still feels nauseous and has cramp-like pain above her navel. She does not have a fever or diarrhea.
We have these medicines at home: Ondem MD 4, Colospa, Sompraz D, Pan 40, and Domistal 10.
Kindly help.
Thank you very much for your guidance and support.
Hello,
Welcome to icliniq.com.
I read your query and understand your concern.
A 31-year-old woman with IBD (inflammatory bowel disease) who takes Mesacol started having sudden vomiting, nausea, and pain in her upper stomach after eating outside food. These symptoms are probably caused by acute food-related gastritis or early gastroenteritis. Because she does not have a fever or diarrhea, it is more likely to be toxin-mediated gastritis than an IBD flare.
The major goals for now are to keep her symptoms under control and make sure she stays hydrated. Domperidone can help with nausea, and Ondem MD 4 can help with vomiting. She should take a proton pump inhibitor once a day before meals. Examples are Esomeprazole and Pantoprazole. Colospa might be helpful if she is experiencing severe stomach cramping.
She needs to stay hydrated, and the best way to do that is to drink clear water or ORS (oral rehydration solution) in small amounts, often. You should tell her not to eat solid foods at first. Once the puking stops, she can slowly start eating light foods like rice, curd, or banana. Since stopping Mesacol could lead to a flare, she should keep taking it.
Look out for warning signs such as vomiting that lasts more than 24 hours, being unable to keep fluids down, new diarrhea, fever, blood in the stool, or worsening stomach pain. If any of these occur, she will need more tests and possibly stool studies.
At this point, this seems to be a self-limiting problem and should improve within 24 to 48 hours.
I hope this clarifies your concerns.
Please feel free to reach out anytime if you need further assistance.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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