Reflux: If the lung evaluation is negative and the patient is having episodes of vomiting, i would recommend looking into the prospect that this could be reflux. Perhaps, your friend is irritating his esophagus all the way up to his sinuses with the vomiting and has a form of chronic reflux bronchitis. I would use a ppi medication to acid suppress and consider a GI evaluation for possible endoscopy.
Answered 5/9/2019
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