vomit after alcohol

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Mike Chippendale - 10 Oct 2004 23:26 GMT

I have a friend - 23 y.o. female, good health. Months ago she started
occasionally vomiting after socially drinking alcohol (2-3 drinks in a
reasonable amount of time). The frequency of this occuring increased,
as well as the intensity of the vomiting. The last two times she
drank, she vomited all night long, until she was dehydrated and too
weak to get out of bed for over 12 hours. There was a point in time
when she could drink without a problem, even in significantly greater
volumes.

Is this symptomatic of some medical condition or disease?

Any advise would be appreciated. She has no medical insurance, and I
am yet to convince her to go to the doctor.

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Phil Scott - 11 Oct 2004 08:25 GMT

> I have a friend - 23 y.o. female, good health. Months ago she started
> occasionally vomiting after socially drinking alcohol (2-3 drinks in a
[quoted text clipped - 9 lines]
> Any advise would be appreciated. She has no medical insurance, and I
> am yet to convince her to go to the doctor.

Its a problem..probably also bullemia related with food etc..
the drinking is used to trigger the vomiting..the base line
motivation was to get thin.. then that turns into some kind of
a mania that goes out of control...it is life threatening for
sure.

The odds of a single doctor visit handling the problem are
slim. If you can get her into a group, even AA would work or
better a bullemia group she would have a very good chance...
the more support you can give her the better...but it will
take these concentrated outside influences to save her.

Search googles web tab for the key words you will find plenty
of information there.

I dont want to promote for anyone on the NG but if you call, I
will give you two phone numbers that will connect you to help
that I know to be effect..costs are modest. Workability
though is totally dependent on the person wanting themselves
to get over the condition.

My single experience with a young lady with maybe an identical
problem indicated that she wanted to get over it but couldnt
by her self...she was very treatable...she was not overly
obsessed with body weight though... that helped.

Phil Scott
(415) 927 7573

Reply to this Message

magnulus - 12 Oct 2004 06:57 GMT

> Its a problem..probably also bullemia related with food etc..

Are you for real? There's no indication that bulemia is involved, just
from the description given. Again, instead of playing doctor on the
internet, go to a real doctor..

Reply to this Message

magnulus - 12 Oct 2004 07:09 GMT

1- Alcohol is a poison in sufficient amounts. It is linked causally with
breast cancer in women, and also head and neck cancer in men and women,
though the risk is small but significant. Alcohol can also kill brain cells
(alcoholics often have significant brain damage) and causes dehydration.
Heavy alcohol intake will destroy the liver, and combining even moderate
intake with certain drugs can be dangerous. Moderate (1/2-1 portion for
women, 1-2 for men) drinking is assosciated with significantly reduced heart
attack risk, but there are safer ways to reduce ones risk of heart attack
than to drink a carcinogen that it very destructive and potentially deadly.
If alcohol causes problems, it is best not to drink it at all.

2- depending on the weight of the woman, 3 drinks could be heavy drinking.
Women weigh less and cannot tolerate alcohol as well as men.

3- don't ask people to play doctor on Usenet. Have her see a real doctor
and talk about her problems.

Reply to this Message

Mike Chippendale - 12 Oct 2004 12:10 GMT

> > I have a friend - 23 y.o. female, good health. Months ago she started
> > occasionally vomiting after socially drinking alcohol (2-3 drinks in a
[quoted text clipped - 26 lines]
> 3- don't ask people to play doctor on Usenet. Have her see a real doctor
> and talk about her problems.

Evidently, there is some difficulty either comprehending my initial
post, or it has presented an opportunity for folks to soapbox.

1st - It is not Bulimia and there is nothing in the original post to
indicate that it is other than the words 'vomit' and 'female'. To
suggest that it is would be a stretch of insane proportions.

2nd - Magnulus, thank you for the refresher on the basics of alcohol,
and your sage advise on seeing a real doctor.

The intent of the original message was not to have usenet diagnose
anything - but to gather information from real people that can perhaps
relate their real-life experiences in a fashion that may allow one to
glean some information that could possibly help a friend in need. The
post clearly stated that this girl has no health insurance, and
perhaps mistakenly on my part, allowed the reader the ability to infer
that there is an economic issue in question.

Even highly-insured people, like myself, can see doctor after doctor,
and take test after test and still be un(mis)diagnosed. Even with
REAL doctors and the REAL ability to pay them. A similar post on a
similar usenet group assisted in the diagnosis of a rare blood
disorder that I have. Amazingly enough, no one on the usenet group
actually diagnosed me - but related to me a story of someone they know
with similar symptoms. I took that information, and had a very
specific test done - without my REAL doctors assistance because he
felt it was not even possible for me to have this disorder - and paid
for it out of my own pocket because my REAL insurance company wouldn't
pay for it without a referral from a REAL doctor - and I helped to
solve my own problem.

So please - stop preaching and either contribute in a positive
fashion, or keep your lessons/opinions to yourself.

Thank you for caring.

Reply to this Message

Robert - 12 Oct 2004 19:01 GMT

> > > I have a friend - 23 y.o. female, good health. Months ago she started
> > > occasionally vomiting after socially drinking alcohol (2-3 drinks in a
[quoted text clipped - 57 lines]
> pay for it without a referral from a REAL doctor - and I helped to
> solve my own problem.

Let me guess here, I bet it was some cult diagnosis of yeast or something
similar.
I noticed that tendency from your original post which is why I did not reply
originially. You self diagnosed yourself without a REAL doctor so you don't
have a REAL diagnosis. There isn't any test in the world that is 100%
specific for anything.
Getting back to the original question, there are other possibilites that
have not be mentioned. Maybe you can go to a chiropractor or a massage
therapist and have them do a test for it based on similar experiences from
USNET post testimonials.

> So please - stop preaching and either contribute in a positive
> fashion, or keep your lessons/opinions to yourself.

Let me contribute positively by saying that you are an idiot for trying to
rely on usnet posting in trying to diagnose yourself or your friend.

> Thank you for caring.

Reply to this Message

Mike Chippendale - 13 Oct 2004 22:06 GMT

"Robert" <RobertJ@hotmail.com> wrote in message

> > Evidently, there is some difficulty either comprehending my initial
> > post, or it has presented an opportunity for folks to soapbox.
[quoted text clipped - 29 lines]
> Let me guess here, I bet it was some cult diagnosis of yeast or something
> similar.

Not exactly sure what post you actually read Robert, but there was no
cult diagnosis of anything, nor was there anything to indicate that.
The diagnosis was hereditary sphero-cytosis.

> I noticed that tendency from your original post which is why I did not reply
> originially. You self diagnosed yourself without a REAL doctor so you don't
> have a REAL diagnosis. There isn't any test in the world that is 100%
> specific for anything.

Once again, not sure what the hell you read, my confused friend - but
there was no self-diagnosis of anything. My references to REAL
doctors, were that they couldn't diagnose the disease without my
forceful insistance to perform a certain test (osmotic fragility
[sp?]). Which allowed the diagnosis.

> Getting back to the original question, there are other possibilites that
> have not be mentioned. Maybe you can go to a chiropractor or a massage
[quoted text clipped - 6 lines]
> Let me contribute positively by saying that you are an idiot for trying to
> rely on usnet posting in trying to diagnose yourself or your friend.

And yet again, my near mentally retarded fellow computer owner, I am
not relying on usenet to diagnose anything. Please reference the
clipped paragraph below which is from my second post. If there are
any words you don't understand, I encourage you to consult
dictionary.com. Perhaps that will assist you prior to your posting of
a message that clearly documents what a moron you are.

>>> The intent of the original message was not to have usenet diagnose
>>> anything - but to gather information from real people that can perhaps
[quoted text clipped - 3 lines]
>>> perhaps mistakenly on my part, allowed the reader the ability to infer
>>> that there is an economic issue in question.

Reply to this Message

Robert - 13 Oct 2004 23:14 GMT

> "Robert" <RobertJ@hotmail.com> wrote in message
> > Let me guess here, I bet it was some cult diagnosis of yeast or something
[quoted text clipped - 3 lines]
> cult diagnosis of anything, nor was there anything to indicate that.
> The diagnosis was hereditary sphero-cytosis.

"Not anything to indicate the diagnosis HS".

Guidelines for the diagnosis and management of hereditary spherocytosis.

Bolton-Maggs PH, Stevens RF, Dodd NJ, Lamont G, Tittensor P, King MJ;
General Haematology Task Force of the British Committee for Standards in
Haematology.
Manchester Royal Infirmary, Manchester, UK.
Hereditary spherocytosis (HS) is a heterogeneous group of disorders with
regard to clinical severity, protein defects and mode of inheritance. It is
relatively common in Caucasian populations; most affected individuals have
mild or only moderate haemolysis. There is usually a family history, and a
typical clinical and laboratory picture so that the diagnosis is often
easily made without additional laboratory tests. Atypical cases may require
measurement of erythrocyte membrane proteins to clarify the nature of the
membrane disorder and in the absence of a family history, occasionally
molecular genetic analysis will help to determine whether inheritance is
recessive or non-dominant. It is particularly important to rule out
stomatocytosis where splenectomy is contraindicated because of the
thrombotic risk. Mild HS can be managed without folate supplements and does
not require splenectomy. Moderately and severely affected individuals are
likely to benefit from splenectomy, which should be performed after the age
of 6 years and with appropriate counselling about the infection risk. In all
cases careful dialogue between doctor, patient and the family is essential.
Laparoscopic surgery, when performed by experienced surgeons, can result in
a shorter hospital stay and less pain

PMID: 15287938 [PubMed - indexed for MEDLINE]

> > I noticed that tendency from your original post which is why I did not reply
> > originially. You self diagnosed yourself without a REAL doctor so you don't
[quoted text clipped - 6 lines]
> forceful insistance to perform a certain test (osmotic fragility
> [sp?]). Which allowed the diagnosis.

Osmotic fragility is not specific for HS moron. It is not even mentioned
above. Osmotic fragility is is found in many conditions and provides no
specificity. Intrinsic defects in red cell membranes and extrinsic
alterations can make red cells more fragile. Let me repeat your own post.

"I took that information, and had a very specific test done - without my
REAL doctors assistance because he felt it was not even possible for me to
have this disorder - and paid
for it out of my own pocket because my REAL insurance company wouldn't pay
for it without a referral from a REAL doctor - and I helped to solve my own
problem."

HS is a common disorder and not rare as you stated. Atypical cases
presenting de novo and not familial in origin needs special membrane protein
studies dork otherwise you will be surprised down the road with your so
called specific osmotic fragility test.
Family history is important for many, many disorders and the first people
you should be asking is family members. If you have HS then the first people
you should be telling is other members of your extended family.
Spherocytes on blood smear with an increased MCHC on the CBC report is a no
brainer and is the first laboratory indicator pointing towards HS.
My point is be careful what you wish for, talking your way into a diagnosis,
that can be wrong and bite you in the butt.
They do a splenectomy to treat the HS and you come down with an infection
and you die when it turns out you had stomatocytosis instead in where the
splenectomy is not indicated.
I would be pissed if all they did was an osmotic fragility in a person with
a non family history.

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Phil Scott - 17 Oct 2004 20:04 GMT

"Mike Chippendale" <mikechip@aol.com> wrote in message

> Not exactly sure what post you actually read Robert, but there was no
> cult diagnosis of anything, nor was there anything to indicate that.
> The diagnosis was hereditary sphero-cytosis.

OK I got it! You were just trying to waste time then?
Good going.

> > I noticed that tendency from your original post which is why I did not reply
> > originially. You self diagnosed yourself without a REAL doctor so you don't
[quoted text clipped - 36 lines]
> infer
> >>> that there is an economic issue in question.

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