Many families will keep some medicines, such as antipyretics, antidiarrheal medicines, digestive aids , etc. Occasionally, I have a headache, brain fever, abdominal pain, and diarrhea, so I take a little bit without going to the hospital. The case we are talking about today is quite alarming, because this medicine is often available and often taken, but most people do not understand its risks.
Summary of medical records
The patient is a 36-year-old woman who was on a business trip a few days ago. She ate a little bit, felt a little bloated, and had a dull upper abdomen pain. Self-consideration is indigestion. I just had domperidone at home. I remembered it as a digestive aid, so I ate it myself. After eating, it seemed to relieve at first, but the symptoms were still intermittent, so I ate one pill three times a day for 3 days according to the instructions. As a result, black stools began to appear last night, and I felt fatigue and sweating, so I came to the emergency department. routine blood test showed a decrease in hemoglobin and an increase in biochemical urea nitrogen, all suggesting the possibility of gastrointestinal bleeding, and then the stool occult blood was positive, which can basically be determined to be gastrointestinal bleeding, and the possibility of gastrointestinal ulcers is relatively high. .
hemoglobin decreased
urea nitrogen increased
occult blood positive
Since the possibility of ulcers is considered, gastroscopy shows that there is a bleeding in the duodenal bulb. Root blood vessels are eroded, which is very dangerous and can easily cause massive bleeding in the digestive tract and endanger life. Through the hemostatic clip, the intravenous acid inhibitor treatment was continued, and the patient recovered well.
What is the problem with butanoline here?
Everyone should know by now that the stock medicine I don’t let everyone take is domperidone.Everyone may be wondering, isn't butyrolin helping digestion? Why can't this patient have bloating? Below is a screenshot of the domperidone manual.
domperidone is domperidone, its role is mainly to promote gastrointestinal peristalsis, but when the gastrointestinal bleeding, increases gastrointestinal peristalsis will increase the bleeding, so this time is Disabled. Some people may say that at the beginning he didn't know that he was bleeding from the digestive tract, or it was simply indigestion. Of course, this possibility is still relatively high in general, but this girl has had gastrointestinal bleeding in the past. Medical history, medication needs to be more cautious. Although domperidone has been advertised as a digestive drug, it is actually a prokinetic drug with many side effects and is not suitable for self-administration as an over-the-counter drug. Let's take a look at the specific indications and adverse reactions of domperidone.
Domperidone manual
Indications: is used for indigestion, bloating, belching , nausea, vomiting, abdominal distension and pain.
Adverse reactions: 1. Occasionally, mild abdominal cramps, dry mouth, rash, headache, diarrhea, nervousness, fatigue drowsiness , dizziness, etc. 2. Sometimes it leads to elevated serum prolactin levels, galactorrhea, and feminization of male breasts, but it can return to normal after stopping the drug.
Note: 1. Use with caution when pregnant.Breastfeeding women should stop breastfeeding while using this product.
2. It is recommended that children use domperidone suspension .
3. Heart patients (arrhythmia) and cancer patients undergoing chemotherapy should be cautious when applying, which may aggravate arrhythmia .
4. If overdose or serious adverse reactions occur, seek medical attention immediately.
5. Those who are allergic to this product should not use it with caution.
6. It is forbidden to use this product when its properties change.
7. Please put this product out of the reach of children.
8. If you are using other medicines, please consult your physician or pharmacist before using this product
Medication for children: children under 1 year old due to imperfect blood-cerebrospinal fluid barrier development, so it cannot be ruled out for babies under 1 year old. The possibility of central side effects .
Summary
Domperidone is a common family medicine, but many people may not know its indications, contraindications, side effects, etc. Domperidone is mainly used for lack of gastric motility, and cannot be used blindly for all dyspeptic symptoms. It is forbidden for gastrointestinal bleeding, perforation, obstruction, etc., for use during pregnancy and lactation, and for infants under 1 year old. Toddlers. also needs to emphasize that people with heart disease should not take it as much as possible, because domperidone can cause and aggravate arrhythmia . It is precisely because of this that the United States has banned it, and the FDA has issued a black box warning.
Because of the above reasons, I do not recommend that you keep domperidone at home, because in most cases it is not symptomatic and has more side effects.Some are more serious and can be replaced with other drugs.
In the comment section, you can talk about the common medicines you have at home, or you can talk about your knowledge of domperidone, and exchange your experience.
I am Dr. Wang Mingxuan, and I regularly chat with you about medical knowledge and clinical cases. If you are interested, you can follow me. Thanks again for watching, and see you next time. #健康明星计划# #北京头条# #健康中国# #科普大战#
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