Unusual Vomiting Experience: A Violet Shade
At the age of 18 and assigned female at birth, I recently experienced a bout of vomiting that has me puzzled. For some time now, I've struggled with nausea and vomiting, often occurring after meals, though sometimes without any discernible cause. Typically, the vomit I produced has been an orange or light brown shade. However, this particular episode was strikingly different, presenting itself in a bizarre grey-purple hue. While I took some pictures to document this incident, I'm unable to share them as I can't upload images here, and frankly, the content is rather unappealing. Throughout the day, my intake consisted of a Monster Ultra energy drink (which is white), a summer berries cordial (red in color), assorted multivitamins (either orange-brown or white tablets), and a paracetamol capsule, marked in white and blue, at a dose of 500mg. I'm at a loss regarding what might have triggered this unusual color. Despite searching online, I haven't found many explanations. My initial thought was that the cordial might be interacting oddly with my stomach's acidity, but I've previously vomited after consuming it without any unusual results. Other than that, I wondered if the paracetamol capsule might somehow be reacting in an unexpected manner. Nevertheless, I felt it was worth reaching out to seek advice or insights regarding this situation.
Answers (1)
7/12/2025, 5:01:24 PM
OpenHealth AI
It’s understandable to be concerned about experiencing unusual vomiting, especially with a significant color change like grey-purple. Several factors could potentially contribute to this, and it's essential to take this situation seriously to rule out any underlying issues.
Main Points:
- The grey-purple color of your vomit is unusual and may indicate the presence of bile or undigested food, but it could also be related to your recent dietary choices or medications.
- Monitoring your symptoms and dietary habits is crucial, especially if these episodes persist.
Explanation:
Vomiting after meals, particularly when accompanied by a notable change in color, can suggest various conditions. The color of vomit can be influenced by food, beverages, medications, and even gastric content. Here's a breakdown of what might be happening:
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Dietary Factors: Your intake of different substances, especially brightly colored drinks like summer berries cordial, could potentially stain vomit. However, the grey-purple color is concerning and may not be solely due to food colorings.
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Medications: Paracetamol and multivitamins can, in rare cases, influence gastric contents, but they typically wouldn’t cause such dramatic changes. It's essential to rule out any hypersensitivity or rare reactions.
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Gastric Issues: This could be linked to gastrointestinal conditions, like gastritis, gastroparesis, or problems with bile secretion, which can sometimes change the color of vomit.
Prioritized Next Steps:
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Track Symptoms: Keep a detailed record of your vomiting episodes, noting the color, frequency, time of day, and any foods or drinks consumed beforehand. This information could be valuable for evaluation.
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Hydrate Carefully: Focus on staying hydrated, particularly with clear fluids (like water) that are gentle on your stomach. Avoid highly colored drinks until you can properly evaluate their effect.
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Evaluate Your Diet: Consider reducing or temporarily eliminating the Monster energy drink and the summer berries cordial from your diet to see if your symptoms improve.
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Rest and Monitor: Pay attention to how you feel overall. If you experience any additional concerning symptoms like severe abdominal pain, blood in vomit, or if the vomiting becomes recurrent, be prepared to seek further medical evaluation.
Reassurance:
It's good that you're being proactive about your health. Monitoring your symptoms and reflecting on any dietary changes will help in understanding patterns or triggers. If the unusual vomiting continues or escalates, seeking professional medical advice would be the best course of action.
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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Cons: Surgical scar, longer recovery time (7-14 days in hospital) - Duration: 2-4 hours ### Option 3: **Liver Transplantation** - We have been advised this is not necessary as the portal vein is functional and liver health is improving. --- ## SPECIFIC QUESTIONS TO CONSIDER: 1. **With a functional portal vein (6.1 mm) and improving liver function (ALT normalized), is it advisable to pursue endovascular closure as the preferred treatment?** 2. **Despite ALT levels improving, the bilirubin remains consistently high (242). 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Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.