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Refractory vomiting in woman with diabetes
  1. Chia-Yu Chiu,
  2. Marwa Saleem
  1. Department of Medicine, Lincoln Medical Center, New York, NY, USA
  1. Correspondence to Dr Chia-Yu Chiu, Internal Medicine, Lincoln Medical Center, Bronx, NY 10451, USA; chiuc2{at}

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A 68-year-old woman with diabetes mellitus presented to the ED with non-bilious, non-bloody vomiting for 2 days. The patient had chronic low back pain and had been taking ibuprofen for 1 month. She was discharged with the diagnosis of ibuprofen-induced gastritis and prescribed famotidine. The patient returned next day because of worsening vomiting. She denied abdominal pain except for a feeling of stomach distension. There was no fever or tenderness on exam. She was hospitalised for 2 days and treated with intravenous fluid, metoclopramide and ondansetron. Two days after discharge, the patient returned to the ED with the same complaint. The white blood …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.