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If you dont get medical help soon, you might be at risk for complications that dehydration can cause, including: Seizures Shock Kidney failure Muscle spasms or weakness Heart rhythm problems In very rare cases, brain swelling (cerebral edema) Besides dehydration, too much vomiting can also cause complications like: Inflammation in your esophagus (esophagitis) Malnutrition, or not getting proper nutrition Tears in your esophagus (Mallory-Weiss syndrome) Tooth decay Low potassium (hypokalemia) Low levels of phosphorus in the blood (hypophosphatemia) Air trapped in the chest cavity between the lungs (pneumomediastinum) Aspiration pneumonia

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Time was, and not too long ago, that he was executive chef at a successful French brasserie in Manhattan, long married, slip-sliding into his mid-40s, with the creaky knees to remind him of it and a modest writing career to get his mind off of it