Boyfriend vomitting due to tiredness in the morning

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concerned girlfriend - 08 May 2006 12:57 GMT

Hi there.

Just wondering if anyone could make some suggestions to present to a doctor
in regards to my boyfriend. Lately, he has been vomitting a couple times a
week after he wakes up. He says he is so exhausted that he actually feels
sick to his stomach. This morning, he was vomitting and his nose began to
bleed. I cannot understand how he could be so tired and I really do not think
that is the reason why he is so sick. He works 8 hour days and gets usually 6-
7 hours sleep a night. He has approximately 5.5-6 hours of relaxation time
after he gets off work to do whatever he pleases, ie. watch tv. He is
constantly complaining when he wakes up how exhausted he is and if he could
get just one more hou sleep he would be ok. Another thing is, we ususally
have some late nights on the weekends. At least one night of the weekend, we
will end up not going to bed until 3,4 or 5am and we will both get up at 730
or 830am the next morning. It happens to both of us because we are so used to
getting up so early in the morning for work that we find we cannot sleep in
the next morning no matter what we do.
Also, he is a new welder having just began his career less than a year ago.
He says when he blows his nose after he finishes work his nose bleeds. Not
excessively though (maybe half a teaspoon or less each time). He does not
wear proper respiratory equipment and so therefore is constantly breathing in
welding smoke and carbon dust. If he blows his nose on a weeked for example,
no problems whatsoever.
He does not do any type of hard drug, but does smoke marijuana on a daily
basis. Im not sure how much he would even smoke on a regular day (Im not a
smoker so I wouldnt know how to calculate how much he is having....he usually
uses a pipe to smoke it) and I am starting to wonder if this could be the
reason?
He has only been complaing of his tiredness, vomitting and nose bleeds since
beginning his new job one month ago, and has been smoking marijuana for years
and years so I dont think its the pot. None of the other guys have reported
feeling sick at any given time so I dont think it could be some kind of
hazard at the workplace (ie. mold or asbestos).
Any suggestions would be greatly greatly appreciated.
Thank you for your time.

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Mxsmanic - 08 May 2006 14:52 GMT

Proceed by logical elimination:

1. What changes have occurred in your boyfriend's life since the
symptoms began? Consider all changes, not just job or workplace
differences.

2. If the change of job is the only change that correlates with the
symptoms, look at the job conditions in detail. From what you
describe, it sounds like something in his environment is making him
sick. If nobody else at work is getting sick, then there is some
difference between what he does at work and what they do. Perhaps
they work in a slightly different location, or wear more protective
gear, or take longer breaks, or something.

3. If the symptoms subside when he is away from work over the weekend,
this is an even stronger indication of a workplace hazard. He may be
coming into contact with something toxic at work; welding uses a lot
of materials that are potentially toxic if proper precautions aren't
taken by the welder and his employer.

4. Your boyfriend should see a doctor and get a complete physical. He
should describe in detail all of his symptoms and the exact conditions
of his work environment, and mention any correlations he notices
between work conditions and his symptoms.

5. Unless he started smoking marijuana at the time he started the new
job and developed symptoms, it's probably not that. But it's not a
good idea to smoke anything, and marijuana is harder on the lungs than
tobacco. If his supply has changed, there could be new and toxic
ingredients in the marijuana. There might also be a synergistic
reaction between the marijuana smoking and the work conditions that
uniquely cause symptoms for him (if his coworkers don't smoke, they
might not see the symptoms).

There are lots of toxic agents that can cause vomiting, fatigue, and
nosebleeds. It may be hard to isolate the agent responsible.

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