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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 56200
Experience:  GP in the United States
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Hello. I'm in so much pain after vomiting. I can't sleep. I'm

Resolved Question:

Hello. I'm in so much pain after vomiting. I can't sleep. I'm starting to worry.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 2 years ago.
Dr. Phil, MD :

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Dr. Phil, MD :

please enter chat

Dr. Phil, MD :

Hi I'm Dr. Phil

Dr. Phil, MD :

Can I ask your first name?

Customer:

My name's James

Dr. Phil, MD :

Hi James

Dr. Phil, MD :

nice to meet you

Dr. Phil, MD :

where is your pain and why did you vomit?

Customer:

Nice to meet you too, Dr. Phil.

Customer:

In my abdomin. I think I just ate too fast, honestly. I've not had much to eat today.

Dr. Phil, MD :

I see

Dr. Phil, MD :

how bad is the pain out of 10 and why are you worried?

Customer:

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.

Dr. Phil, MD :

you could have pancreatitis

Customer:

What's pancreatitis and how could I have got somthing like that

Dr. Phil, MD :

it is inflammation of the pancreas

Dr. Phil, MD :

it can be from gallstones or alcohol or just spontaneous

Dr. Phil, MD :

It causes severe belly pain and nausea/vomiting

Customer:

I'm not a drinker - are gallstones common?

Dr. Phil, MD :

yes they are

Dr. Phil, MD :

good that you are not a drinker

Customer:

It occurred directly after eating and gradually got worse

Dr. Phil, MD :

I see.

Dr. Phil, MD :

that indicates a possible ulcer then

Dr. Phil, MD :

pain after eating is usually pancreatitis, ulcer or gall bladder

Customer:

I mean, the vomit was brown in colour. I know you should be worried if green/yellow etc.

Dr. Phil, MD :

brown is bad

Dr. Phil, MD :

that indicates bleeding

Dr. Phil, MD :

I think you have a bleeding ulcer

Dr. Phil, MD :

you need to see a doctor right away

Customer:

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)

Dr. Phil, MD :

that is a key piece of information

Dr. Phil, MD :

coffee ground vomit indicates a stomach bleed

Dr. Phil, MD :

that is classic

Dr. Phil, MD :

you need to go to A and E

Customer:

What will happen if left until sun rise?

Customer:

very severe?

Dr. Phil, MD :

continued bleeding

Dr. Phil, MD :

and if it is very bad you could die from a perforated ulcer

Dr. Phil, MD :

this is an ulcer that has blown through the stomach wall

Dr. Phil, MD :

that is not good

Dr. Phil, MD :

very very bad

Customer:

an ulcer - was it there all along, how could i not have noticed??

Dr. Phil, MD :

there are other sources of stomach bleeding

Dr. Phil, MD :

its just that ulcer is more common

Dr. Phil, MD :

sometimes they just blown open

Dr. Phil, MD :

with little warning

Customer:

the pain is more severe when standing, or lying on my left or right. I'm also very warm.

Dr. Phil, MD :

okay I have heard enough my friend

Customer:

are these common symptoms of ulcer too?

Dr. Phil, MD :

you need to go to A and E ASAP

Dr. Phil, MD :

no that indicates a perforation

Dr. Phil, MD :

you could be spilling acid into the abdomen

Customer:

Okay I'll have to wake partner I can't drive like this. Thank you for the info. glad i asked

Dr. Phil, MD :

you're welcome

Dr. Phil, MD :

the additional details clinched the diagnosis for me

Dr. Phil, MD :

you provided key information

Dr. Phil, MD :

any more questions?

Customer:

no, no more questions thank you.

Dr. Phil, MD :

okay thank you sir

Customer:

I feel queasy again

Dr. Phil, MD :

did I do excellent work today?

Customer:

thank you very much

Customer:

yes

Dr. Phil, MD :

thank you

Dr. Phil, MD :

please just quickly click an excellent face and go to A and E

Dr. Phil, MD :

you will be okay if you go now

Dr. Phil, MD :

you there James?

Dr. Phil, MD and other Medical Specialists are ready to help you
Expert:  Dr. Phil, MD replied 2 years ago.
I appreciate the excellent rating.

I would be happy to help you in the future. Just ask for feedback. Thank you. :) Dr. Phil in your question opening or bookmark this page http://www.justanswer.co.uk/medical/expert-irondoc/

I greatly appreciate a positive rating in the customer satisfaction survey that you will receive via email. It is important for me to get your feedback. Thank you. :)