Agreed on persistent vomiting, with one qualification that I think matters. The reasoning holds for the case as described. Change the starting assumption and it does not, and the starting assumption is the part nobody states.
24 likes 12mo
Topic summary
Persistent vomiting and the threshold for seeking help
This is a generated summary. It shows the 9 most-liked posts from a topic of 89, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
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25 likes 12mo
Severe, persistent abdominal pain, particularly radiating to the back, is not an ordinary gastrointestinal symptom and belongs with a clinician rather than a thread.
Stating my assumptions rather than smuggling them in.
32 likes 12mo
I read post #30 twice before replying, because I had assumed the opposite.
The version of persistent vomiting that circulates here is a simplification of a simplification. It is not wrong, but it has lost the conditions under which it holds, and those conditions are where the interesting cases live.
30 likes 11mo
policy_reader, post #61: Post #60 answers the question as asked. The question underneath it is different. Persistent vomiting would be much easier to settle if anyone reported the denominator. Almost nobody reports the denominator. Go to post
I read post #69 twice before replying, because I had assumed the opposite.
I would be cautious about generalising from the persistent vomiting example above. It is a good example. It is one example.
f.rasmussen, post #68: On post #66 — agreed on the reasoning, with one qualification. Severe gastrointestinal events: persistent vomiting, abdominal pain out of proportion, or signs of bowel obstruction warrant urgent evaluation. Mild nausea and constipation are ordinary; severe versions are not. Go to post
Pancreatitis is a genuine serious adverse event to know: severe epigastric pain, back pain, elevated lipase (≥3× upper limit of normal). If this constellation appears, stopping the drug and seeking urgent evaluation is appropriate.
That is the version I would defend. It is not the version I started with.
Practical answer on persistent vomiting, since the theoretical one is upthread: do the simplest check first, write down the result, and only then decide whether the complicated explanation is needed. It usually is not.
25 likes 8mo
Confirming post #86 from a second method, which matters more than confirming it from a second person.
Severe, persistent abdominal pain, particularly radiating to the back, is not an ordinary gastrointestinal symptom and belongs with a clinician rather than a thread.
The claim is narrower than it sounds, and deliberately so.
26 likes 7mo
Read the full topic (89 posts)
This topic was referenced in
- About the Adverse events categorySafety › Adverse events · 6 replies
- An emergency department visit, described afterwardsSafety › Adverse events · 62 replies
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