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Is Internal Bleeding Possible After Drinking Alcohol?

Posted on Sat, 8 Nov 2014

Question: A month ago I was out with friends and drank to much I was hung over the next morning and vomited/ dry heaved 11 times then I vomited blood 2 times. I gave not vomited since and it's been a month. Am I still bleeding internally

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
explained

Detailed Answer:
hi,

Upper GI bleed could be due to number of reasons. Taking into consideration the drinking history , it could have been a local erosion, tear or polyp that was damaged.

To allay any fears, please get a Gastroenterology consult done to assess you for the need of upper GI endoscopy , as only that can accurately rule out any related condition which was responsible for the blood in vomitus.

Get a Chest X ray stool R/E , Ultrasound abdomen and pelvis, Hepatitis profile , LFTs, RFTs, CBC done in consult with your doctor to rule out other causes of the upper GI bleed.

Let me know if you have any query

wishing you best of health

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (4 minutes later)

I had a cbc done 4 months ago and everything was normal along with a metabolic screening I was dry heaving pretty hard and my initial vomit was clear. It doesn't sound like cancer does it

Answered by Dr. Dr. Muhammad Sareer Khalil (4 minutes later)

Brief Answer:
explained

Detailed Answer:
hi,

Cancer can only be diagnosed via endoscopy and biopsy , If you have been a chronic smoker and consuming alcoholic in large amount frequently then you have a greater chance.

Please don't worry , cancer is among one of the possibilities , it could be esophagitis, GERD or a simple erosion that healed itself.

To have peace of mind, get tested.

May the odds be in your favor.

thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 minute later)

Ok thanks yea I'm only 24 and have had no other symptoms

Answered by Dr. Dr. Muhammad Sareer Khalil (18 minutes later)

Brief Answer:
welcome

Detailed Answer:
you 're welcome.

Though I would still recommend you go and get examined and tested to avoid any long term complications.

May the odds be in your favor.

thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (6 minutes later)

Would a possible esophageal tear be the first thing you would think of?

Answered by Dr. Dr. Muhammad Sareer Khalil (10 minutes later)

Brief Answer:
explained

Detailed Answer:
hi,

Its called Mallory–Weiss syndrome , If you had alcohol, severe retching, coughing, or vomiting, in your history , then an esophageal tear would be on the top of my diagnosis list.

thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (2 minutes later)

Yes sir I dry heaved 2 times got sick 4 times in which were all clear then retched 4 more times then vomited once clear then got sick 20 minutes later 2 times and it was pink

Answered by Dr. Dr. Muhammad Sareer Khalil (4 minutes later)

Brief Answer:
explained

Detailed Answer:
hi,

By stating this , you confirmed my suspicion, an endoscopy should be indicated in your case to see for the inflamed mucosa. Please take Sucralfate and Esomeprazole till you meet your doctor. avoid spicy and hard stuff in meals.

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (3 minutes later)

Does is still sound like a tear

Answered by Dr. Dr. Muhammad Sareer Khalil (2 minutes later)

Brief Answer:
yes it does

Detailed Answer:
hi,

Yes with the retching and forceful vomiting , it does seem like a tear.

thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 minute later)

Thank you sir I was so worry I was bleeding internally but it's been a month I would be in bad shape by now if I was still bleeding internally

Answered by Dr. Dr. Muhammad Sareer Khalil (2 minutes later)

Brief Answer:
explained

Detailed Answer:
do not worry,

you are not bleeding internally,

internal bleeding is massive and there is significant drop in blood pressure with thread pulse and state of shock with altered consciousness.

thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (8 minutes later)

Ok awesome thanks you sir sometimes I get a taste of blood in my mouth but I also have chronic sinuses and I think that's why I'm a hypochondriac

Answered by Dr. Dr. Muhammad Sareer Khalil (6 minutes later)

Brief Answer:
explained

Detailed Answer:
hi,

Anosmia due to chronic atrophic sinusitis can develop, though you should undergo an antibiotic course of Augmentin to clear your sinuses with anti histamines and nasal sprays like rhino clenil.

Altered sensation in your mouth , has this been present for long or after the vomiting episode ?

for the hypochondriac issue
I would suggest you consult a psychiatrist
so that a XXXXXXX mental state exam is performed.
to ascertain depression and or anxiety,
Meds can be adjusted afterwards in addition
to cognitive behavioral therapy. Yoga and meditation , too have proven benefit
in addition to relaxing exercise.

thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 minute later)

It's been going on since dec last year off and on but my sinuses have also been on and off

Answered by Dr. Dr. Muhammad Sareer Khalil (7 minutes later)

Brief Answer:
explained

Detailed Answer:
hi.

Causes of impaired taste range from the common cold to more serious medical conditions involving the central nervous system
The common cold, flu, sinus infections, and throat infections such as strep throat and pharyngitis can all be factors in your experiences of impaired taste. Salivary gland infections may also cause your sense of taste to be “off.”

Other causes of impaired taste include:
•smoking
•gum inflammation (such as gingivitis or periodontal disease)
•medication use (including lithium, thyroid medications, and cancer treatments)
•Sjogren’s syndrome (an autoimmune disease that causes dry mouth and dry eyes)
•head or ear injuries
•nutritional deficiencies, especially vitamin B-12 and zinc

Treating the underlying condition that causes your impaired sense of taste can help restore your taste. Bacterial sinusitis, salivary glands, and throat infections can be treated with antibiotics. Symptoms of colds, flu, and allergic rhinitis that impact taste may be relieved with decongestants or antihistamines. Once you are feeling better, your taste will most likely return quickly.

Your doctor may prescribe medications to minimize the effects of a nervous system disorder or an autoimmune disease that cause impaired taste.

Zinc supplementation can improve taste in some people, according to the Bastyr Center for Natural Health. Studies reported in the Journal of Dental Research showed that 140 mg of zinc taken daily for three months improved taste in up to 50 percent of study participants.

Let me know if you have any query

wishing you best of health

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (3 minutes later)

Thank you sir I get a lot of post nasal drip I believe that's where the blood taste comes from sometimes it will have a small pink tint to it when my sinuses are acting up presently right now my nose is stuffed up my eyes are swollen and the mucus is white and sometimes green my doc believes I have an ongoing upper respiratory infection due to sinuses

Answered by Dr. Dr. Muhammad Sareer Khalil (10 minutes later)

Brief Answer:
more info

Detailed Answer:
have you undergone any antibacterial treatment for the sinuses, if so which antibiotics did you use ?

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 minute later)

No sir I haven't just a over the counter decongest ion

Answered by Dr. Dr. Muhammad Sareer Khalil (2 minutes later)

Brief Answer:
antibiotics

Detailed Answer:
then you definitely require a course of antibiotics

Augmentin 1 g bd for 7 days
rhinoclenil nasal spray
betnesol nasal drops
desloratidine 5 mg od at night

thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (0 minute later)

Ok cool do do you think that could cause pink in my spit sometimes

Answered by Dr. Dr. Muhammad Sareer Khalil (2 minutes later)

Brief Answer:
AFB, x ray ches

Detailed Answer:
post nasal drip could certainly do that, but that depends if there is an associated cough. If cough is present with pink spit AFB sputum and chest x ray must be done

thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 minute later)

No cough just randomly spit sometimes suck the back of my throat

Answered by Dr. Dr. Muhammad Sareer Khalil (2 minutes later)

Brief Answer:
phlegm

Detailed Answer:
that is phlegm and the rhinoclenil or mometasone furoate spray will take care of that in addition to the anti histamines.

as you finish the antibiotics course you may follow up on the results of the treatment.

thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 minute later)

So not cancer right it's been off and on for 10 months

Answered by Dr. Dr. Muhammad Sareer Khalil (4 minutes later)

Brief Answer:
explained

Detailed Answer:
I will repeat my self again,

Cancer is unlikely but not out of the question, it can only be ruled out via endoscopy and biopsy.

thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar