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Hello and Welcome to Just Answer.Thank you for the question. Answers given are for informational purposes only and are not meant to replace an exam by an in-person.I am Dr. Sohaib, a Medical Internist (who deals with diseases of all the organ systems of body) and I will do my best to find an answer for you.You need to answer a few questions first which will help me assist you in a better way.
Have you taken any kind of treatment until now?
What kind of doctors did you see?
There is no problem with the stools right?
Okay. And how much dose of omeprazole have you been taking?
And no treatment for anxiety?
Thank you very much for the useful information. There are two important problems you have. First, severe anxiety, which has disturbed your sleep as well, and secondly, recurrent episodes of vomiting (especially during periods of stress). This vomiting is most likely a result of ulcers in the stomach, or gastroesophageal reflux, or a combination of both. Interestingly, both these conditions get worse or become symptomatic during the periods of stress and anxiety.
I will address your question in 2 ways. What you can do for yourself at home? Secondly, what your doctor can do for you.
For Anxiety, you have to take rest.
Go out with friends or relatives (change of environment).
And avoid alcohol, cigarettes or any other drug (if you use any).
For the vomiting, you should avoid all kind of spicy and fatty meals.
Switch to small frequent meals intead of three large ones.
Raise head end of your bed to 6 inches.
And avoid tight clothings/belts around the abdomen.
As far as medical help is concerned, you should see a Psychiatrist, and get yourself interviewed in detail to get the treatment initiated for Anxiety, which can be in the form of drugs, psychotherapy, cognitive nehavioural therapy etc.
As your anxiety issues will calm down the stomach issues will also settle gradually, but its better to get a consultation with a Gastroenterologist discussing the possibilities i have mentioned to chalk out further management plan that suits best to your needs.
This may eventually require an endoscopy for an appropriate diagnosis.
Usually the dose of omeprazole in severe reflux is initially up to 40-80mg per day, thereafter the dose is gradually reduced.
Other drugs like alginates, and prokinetic agents (like metoclopramide) can also be beneficial.
So where do we start from here? The answer to that is, try to modify your life style (i have mentioned few important steps). And get a consultation with a Psychiatrist as well as a Gastroenterologist soon.
I would have been worried too if I were at your place, but let me reassure you that this is a treatable condition and carries a good prognosis with appropriate management.
Does this help you dear Gerard?
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Thank you for the follow up query.I saw my GP on Monday and was prescribed Proparanol Hydrochloride. I haveto take this once a day. At the moment I am still feeling great anxiety andsometimes want to throw up and gag and wretch. However since Monday I havebeen able to keep food down and not throw up.All in all I am feeling slightly better but I am still not able to controlmy anxiety.
Propanolol is a good drug, but not the best one to control the anxiety.
There are other drugs like citalopram, paroxetine, sertraline --- which provide extremely good results.
And these can also be used long term for a more sustained and durable control of anxiety.
Why not have this discussed with your doctor and ask for a prescription.
My goal is to provide you with Excellent Service - if satisfied with the response, Please do not forget to Rate my service. If you feel you have gotten anything less, please reply back, I am happy to address follow-up questions.Kindest Regards.