One for the Doctors of PH!
Discussion
Unfortunately ended up in A & E with my girlfriend on Saturday night because she had an adverse reaction to Amoxicillin.
Long story short, she took one and it made her vomit for so long that eventually she was vomiting blood. I rang for an ambulance and drove behind, from this point I knew that things were not highly serious as they didn't blue light and drove about 23mph all the way to St James' in Leeds.
My question is at one point her blood pressure dropped really low (something over 60 ish I don't remember exactly) - what are the implications of this? We are both healthy and normal weight just to give you an indication of lifestyle, 5 veg a day, drink for pleasure occasionally (never to excess) exercise etc it was simply an adverse reaction to the medication.
Also just to note I once accompanied my Dad to Harrogate hospital when he had plowed his Ducati into a barrier at Cadwell (Nice) He had dislocated his thumb quite badly (see image)
We were laughing about it until the nurse started manipulating it and he had to be resuscitated due to the pain, something you never want to see in your life is your Dad looking dead whilst they try to bring him round. Could he have died here or was it similar to the blood pressure dropping on Saturday night?
Obviously I'm not a trained medical practitioner! I am really interested to know these things though.
Long story short, she took one and it made her vomit for so long that eventually she was vomiting blood. I rang for an ambulance and drove behind, from this point I knew that things were not highly serious as they didn't blue light and drove about 23mph all the way to St James' in Leeds.
My question is at one point her blood pressure dropped really low (something over 60 ish I don't remember exactly) - what are the implications of this? We are both healthy and normal weight just to give you an indication of lifestyle, 5 veg a day, drink for pleasure occasionally (never to excess) exercise etc it was simply an adverse reaction to the medication.
Also just to note I once accompanied my Dad to Harrogate hospital when he had plowed his Ducati into a barrier at Cadwell (Nice) He had dislocated his thumb quite badly (see image)
We were laughing about it until the nurse started manipulating it and he had to be resuscitated due to the pain, something you never want to see in your life is your Dad looking dead whilst they try to bring him round. Could he have died here or was it similar to the blood pressure dropping on Saturday night?
Obviously I'm not a trained medical practitioner! I am really interested to know these things though.
for your dad, i think he might just have passed out cause of the pain, it does happen.. Not to me yet, but it does happen.
as for the reaction, well I dont really know why they were going so slow, perhaps they were trying to do something to her in the back of the ambulance like hooking up leads an do tests an stuff which would have been hard had the vehicle been going fast over bumps an stuff
the second is a pure speculation an you should have asked her what they were saying an doing in the back of the ambulance tbh.
not a docter, just interested in all this medical and learning to be a doc
as for the reaction, well I dont really know why they were going so slow, perhaps they were trying to do something to her in the back of the ambulance like hooking up leads an do tests an stuff which would have been hard had the vehicle been going fast over bumps an stuff
the second is a pure speculation an you should have asked her what they were saying an doing in the back of the ambulance tbh.
not a docter, just interested in all this medical and learning to be a doc
The blood pressure of a health young adult ranges from 100-120 over 70-80 but differs due to body size weight etc a small build person can have a normal range below that with no problems . It sounds like your girlfriend suffered a bleed in her oesophagus due to the vomiting a common side effect of ABX. It doesn't sound like she had anaphylaxis Didn't the hospital tell give her a diagnoses ?
Slink said:
for your dad, i think he might just have passed out cause of the pain, it does happen.. Not to me yet, but it does happen.
as for the reaction, well I dont really know why they were going so slow, perhaps they were trying to do something to her in the back of the ambulance like hooking up leads an do tests an stuff which would have been hard had the vehicle been going fast over bumps an stuff
the second is a pure speculation an you should have asked her what they were saying an doing in the back of the ambulance tbh.
not a docter, just interested in all this medical and learning to be a doc
as for the reaction, well I dont really know why they were going so slow, perhaps they were trying to do something to her in the back of the ambulance like hooking up leads an do tests an stuff which would have been hard had the vehicle been going fast over bumps an stuff
the second is a pure speculation an you should have asked her what they were saying an doing in the back of the ambulance tbh.
not a docter, just interested in all this medical and learning to be a doc
Slink said:
for your dad, i think he might just have passed out cause of the pain, it does happen.. Not to me yet, but it does happen.
as for the reaction, well I dont really know why they were going so slow, perhaps they were trying to do something to her in the back of the ambulance like hooking up leads an do tests an stuff which would have been hard had the vehicle been going fast over bumps an stuff
the second is a pure speculation an you should have asked her what they were saying an doing in the back of the ambulance tbh.
not a docter, just interested in all this medical and learning to be a doc
Yeah I kind of assumed the paramedic was performing some sort of care to her whilst they were driving. It's not a problem that they were going slow. We were laughing much later on because they were saying how lovely our house was as they were tentatively walking her out of the door. They were two fantastic paramedics. I have a huge amount of respect for them and the doctors who saw us at the hospital. as for the reaction, well I dont really know why they were going so slow, perhaps they were trying to do something to her in the back of the ambulance like hooking up leads an do tests an stuff which would have been hard had the vehicle been going fast over bumps an stuff
the second is a pure speculation an you should have asked her what they were saying an doing in the back of the ambulance tbh.
not a docter, just interested in all this medical and learning to be a doc
I bumped into a guy outside the hospital who I went to school with and he was there because his cousin had trapped his dick in his zip at a party.
Good luck with your studies!
Junefrier said:
The blood pressure of a health young adult ranges from 100-120 over 70-80 but differs due to body size weight etc a small build person can have a normal range below that with no problems . It sounds like your girlfriend suffered a bleed in her oesophagus due to the vomiting a common side effect of ABX. It doesn't sound like she had anaphylaxis Didn't the hospital tell give her a diagnoses ?
You are correct with your diagnosis. It was bleeding in the oesophagus. Yes they did, my initial enquiry was more with regards to people's well being when they feel feint or really a more serious drop in blood pressure and yeah the doctor said her size meant that she could have quite a low blood pressure and it be healthy. No it wasn't anaphylaxis, I'm aware that is much worse. I know that stimulation of the vagal nerve, which is one of the big 'trunk routes' that runs right down through the middle of the torso, can make some very weird things happen blood pressure wise so it could 'just' be that her almighty heaving set that off. I'm glad she's OK - that's a horrible experience you guys had!
When you ask what the implications are, do you mean for long-term harm, or are you just trying to work out exactly what happened, or?
When you ask what the implications are, do you mean for long-term harm, or are you just trying to work out exactly what happened, or?
BlackVanDyke said:
I know that stimulation of the vagal nerve, which is one of the big 'trunk routes' that runs right down through the middle of the torso, can make some very weird things happen blood pressure wise so it could 'just' be that her almighty heaving set that off. I'm glad she's OK - that's a horrible experience you guys had!
When you ask what the implications are, do you mean for long-term harm, or are you just trying to work out exactly what happened, or?
I was more trying to work out the whole situation. She's much better now thanks for your concern. It was a very scary situation!When you ask what the implications are, do you mean for long-term harm, or are you just trying to work out exactly what happened, or?
Ruskie said:
Constant vomiting causes the capillaries in the oesophagus to rupture which is probably what your girlfriend had. Fresh (frank) blood from further down is pretty rare and normally from a Pre-existing condition such as ulcers.
Med Students throat, or Mallory-Weiss Syndrome as it's more commonly known
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