Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
please enter chat
Hi I'm Dr. Phil
Can I ask your first name?
My name's James
nice to meet you
where is your pain and why did you vomit?
Nice to meet you too, Dr. Phil.
In my abdomin. I think I just ate too fast, honestly. I've not had much to eat today.
how bad is the pain out of 10 and why are you worried?
9 out of 10. I'm worried because this has happened before but I've not had this amount of pain afterwards. I thought it was food poisoning previously.
you could have pancreatitis
What's pancreatitis and how could I have got somthing like that
it is inflammation of the pancreas
it can be from gallstones or alcohol or just spontaneous
It causes severe belly pain and nausea/vomiting
I'm not a drinker - are gallstones common?
yes they are
good that you are not a drinker
It occurred directly after eating and gradually got worse
that indicates a possible ulcer then
pain after eating is usually pancreatitis, ulcer or gall bladder
I mean, the vomit was brown in colour. I know you should be worried if green/yellow etc.
brown is bad
that indicates bleeding
I think you have a bleeding ulcer
you need to see a doctor right away
It's 2am where I'm from and with no appointment it will be over 8 hours before I'm seen. Work tomorrow also. I did not realize brown was bad - it was coffee brown (sorry for the gory details)
that is a key piece of information
coffee ground vomit indicates a stomach bleed
that is classic
you need to go to A and E
What will happen if left until sun rise?
and if it is very bad you could die from a perforated ulcer
this is an ulcer that has blown through the stomach wall
that is not good
very very bad
an ulcer - was it there all along, how could i not have noticed??
there are other sources of stomach bleeding
its just that ulcer is more common
sometimes they just blown open
with little warning
the pain is more severe when standing, or lying on my left or right. I'm also very warm.
okay I have heard enough my friend
are these common symptoms of ulcer too?
you need to go to A and E ASAP
no that indicates a perforation
you could be spilling acid into the abdomen
Okay I'll have to wake partner I can't drive like this. Thank you for the info. glad i asked
the additional details clinched the diagnosis for me
you provided key information
any more questions?
no, no more questions thank you.
okay thank you sir
I feel queasy again
did I do excellent work today?
thank you very much
please just quickly click an excellent face and go to A and E
you will be okay if you go now
you there James?