Two Days of Vomiting: Seeking Relief Without Another ER Visit
I’m a 25-year-old male, standing 5'4" and weighing 130 pounds. I live with Type 1 Diabetes and hypermobile Ehlers-Danlos Syndrome, and I currently use an insulin pump. My medications include citalopram, testosterone, and a daily multivitamin, with hydroxyzine as needed for sleep. I also drink alcohol regularly, about 4 to 5 drinks several evenings a week.
Last Wednesday, I had a heavy drinking session. I can't recall the exact quantity consumed, but I estimate that it included around four beers and some vodka. The following Thursday went smoothly until I decided to eat some spicy cauliflower bites that were clearly undercooked. They were my only option that day, so I went ahead. Then, early Friday morning around 2 AM, I began feeling nauseous and started throwing up.
On Friday, I experienced four vomiting episodes, mostly expelling bile. Later that night, I consumed approximately 300 mL of rum and didn't get any sleep until around five o'clock. When I woke up at seven, I retched again before heading to work. During lunch, I was sick once more. After returning home, I tried to eat some soup, but that came back up too—now it's all foamy and has a terrible odor.
Currently, I’m unable to retain any food or liquid. Even trying to drink water makes me gag, and I’m aware that I am becoming dehydrated. My blood sugar levels are dipping dangerously low, and I’m at a loss on how to manage this without vomiting again. I’m unsure whether I’m dealing with food poisoning, alcohol-induced ketosis, gastritis, or withdrawal symptoms. I’m considering a detox at home after what transpired on Friday. However, urgent care informed me they couldn’t provide any support for withdrawal, and I can't afford either inpatient detox or another trip to the ER, especially since I was admitted in March for alcohol poisoning.
My acid reflux is out of control right now, I have a persistent headache, and I can’t manage to sleep. I feel restless and yet every movement causes discomfort. My stomach feels unusually distended, almost as if it is bloated, even though I haven’t eaten anything substantial. The mere sight of food makes me feel nauseous, and bright lights irritate my eyes. My resting heart rate is at 80 beats per minute, but I currently have no means to check my temperature.
Any advice or assistance would be greatly appreciated. I’m open to any questions, as I truly wish to end this cycle of distress.
DehydrationPost-Viral FatigueEndocrinology