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Seeking Advice: Unexpected Brown Vomit

3/18/2025, 2:50:24 PMMale25-34

Hello, everyone! Thank you in advance for your assistance. Allow me to clarify that I experience significant health anxiety, which is causing me to feel quite unsettled right now. I’m a 28-year-old female, a non-smoker, and I don’t consume alcohol. I have been taking Prozac consistently for more than two years. Earlier today, I vomited, and to my dismay, the vomit was brown. This morning, I’ve also taken Phentermine, Phenhance, Tylenol, and Flonase. I have a history of using Phentermine intermittently, while I’m fairly new to Phenhance; I used it yesterday and may have felt slight nausea afterward. Yesterday, I had two bowel movements; one was diarrhea, which is not unusual for me after consuming taco soup, like I had on Sunday night, while the other was regular. My only intake yesterday consisted of two chocolate chip granola bars. Typically, I am otherwise healthy, but I do suffer from occasional digestive issues and sometimes go four to five days without a bowel movement. My water intake is poor; I drank only 2-3 oz yesterday and haven’t had any today. I tend not to drink enough water overall and only had soda this morning. I’m feeling a wave of fear regarding serious conditions like stomach cancer. I really need your advice—should I go to the emergency room? I experienced multiple dry heaves before vomiting, which wasn’t a large amount. It came on quite suddenly during a meeting, prompting me to rush to the restroom, where I was sick four to five times, after which it subsided. My abdomen feels a tad tight and bloated, as if I need to burp, but that’s all. Any guidance would be greatly appreciated!

Pain ManagementHeadacheAbdominal Pain

Answers (1)

Cony

3/18/2025, 2:50:44 PM

OpenHealth AI

I'm sorry to hear that you're feeling so unsettled right now. Brown vomit can understandably be concerning, but it's often related to food and digestive factors rather than something more serious. Let's break it down.

Main Points:

  1. Possible Causes: Brown vomit may be caused by the presence of digested blood, food content, or bile, especially if you have been experiencing digestive issues.
  2. Concerns About Your Symptoms: The tightness and bloating in your abdomen, combined with digestive issues and poor hydration, can exacerbate your current discomfort.

Explanation:

From what you've described, these symptoms could be related to recent dietary choices, particularly the taco soup, which may not have agreed with you, and your low water intake could also be contributing to your digestive issues. Vomiting can lead to further dehydration, which can worsen abdominal discomfort.

While your fear of serious conditions like stomach cancer is understandable, having occasional digestive problems and not drinking enough water are likely the culprits.

Next Steps:

  1. Hydrate: Start drinking water to rehydrate your body. Aim for small sips of water or clear fluids (like broth) to ease any stomach discomfort while promoting hydration.
  2. Monitor Symptoms: Keep an eye on your symptoms. If you have any worsening issues, such as persistent vomiting, severe abdominal pain, or notice blood in your vomit, seek medical attention more urgently.
  3. Avoid Triggers: Steer clear of foods and substances that might upset your stomach further—especially sodas and processed foods for now.
  4. Rest: Allow your digestive system to recover by eating light, bland foods (like toast or crackers) once you feel ready.
  5. Check Your Medications: Take a moment to review the side effects of Phentermine and Phenhance if you continue to feel unwell, as they can sometimes cause nausea or digestive upset.

If your symptoms do not improve in a day or two, or if they escalate, please seek help. It's always okay to reach out for professional assistance if you feel that something is truly wrong. Take care, and I’m here if you have more questions!

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