Periods with fatigue and vomiting. What can I do for relief?

Question

Hello doctor,

Yesterday morning, I vomited after having green tea. During the day, I ate fruits and muesli. At night, after swallowing a small amount of rice, I vomited again. After that episode, I took Digene and had some fruits along with a bowl of curd rice.

As per my recent report:

SGPT: 59
Serum Globulin: 2.68
SGOT and SGPT ratio: 0.49
HDL cholesterol ratio: 2.58
Hemoglobin: 10.9
Immunoglobulin: 199
ESR: 57

I am currently in my menstrual period. I am feeling fatigued and unable to eat properly without taking Digene, as I experience repeated vomiting.

Please tell me, what can I do about it?

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

From what you have described, your repeated vomiting after meals, ongoing fatigue, and poor tolerance to food are concerning, especially in the context of your recent blood test results. Your liver enzymes are mildly elevated (SGPT: 59), your hemoglobin is low (10.9, indicating anemia), and your ESR (Erythrocyte sedimentation rate) is quite high (57), which suggests inflammation in the body. Low globulin and an altered SGOT (serum glutamic-oxaloacetic transaminase)/SGPT (serum glutamic-pyruvic transaminase) ratio may point toward some degree of liver stress, while your ongoing menstrual period could also be contributing to your fatigue and low hemoglobin.

The nausea and vomiting could be related to gastritis, reflux, or a liver-related issue, but they should not be ignored since they are interfering with your ability to eat and maintain nutrition.

At this point, it is very important to be evaluated in person by a physician, ideally a gastroenterologist, to determine the exact cause of your vomiting and abnormal test results.

I would suggest doing the following in the meantime:

Try to eat small, bland meals (such as curd rice, oats, or boiled vegetables).
Avoid oily or spicy foods.
Keep yourself hydrated with sips of water or oral rehydration solutions (electrolyte replacement).
Continue iron supplements (iron preparations) for anemia, but do not take them on an empty stomach, as they may worsen nausea.

Since you are unable to tolerate food without antacids (proton pump inhibitors such as Omeprazole), and your laboratory reports suggest both anemia and possible liver inflammation, it would be best to seek medical care soon for further evaluation and to rule out gastritis, liver disease, or any underlying infection.

I hope this helps.

Thank you.