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What Does Dilated Food Pipe And Vomiting Up Of Blood Suggest?
Question: My relative is a 55 year old female - diabetic and has been detected with a dilated food pipe causing blood vomiting and loss of blood. Current haemoglobin count is 4.8. She is currently under admission at a hospital - request secondary opinion for medication and long term implications.
Brief Answer:
Let the diagnosis be confirmed.
Detailed Answer:
Hi.
Thanks for your query.
Read and understood the problem your relative is suffering from.
To recapitulate: Female / 55 - diabetic - dilated food pipe - the blood in vomit - Hb 4.8 - admitted - wants second opinion for medication and long term implications.
My thoughts and Advise;
- Dilated food pile means there is an obstruction somewhere in the food pile. The causes can be stricture, cancer or Achalasia cardia associated with less motility due to diabetes.
-So no absorption of the necessary elements adding the the low hemoglobin, weakness and all the co-morbidities (secondary effects and disease)
If she was my patient, I would have order the following investigations :
Endoscopy, biopsy
CT scan
Barium study if necessary
CT scan
This will give the probable diagnosis and a plan for further treatment.
-Correction of all the medical conditions to make her fit medically.
I hope, this answers your query, please feel free to ask any relevant queries and give a full feedback of all the reports, and her progress for me to give you more opinion. I shall be happy to assist you and Her more.
Let the diagnosis be confirmed.
Detailed Answer:
Hi.
Thanks for your query.
Read and understood the problem your relative is suffering from.
To recapitulate: Female / 55 - diabetic - dilated food pipe - the blood in vomit - Hb 4.8 - admitted - wants second opinion for medication and long term implications.
My thoughts and Advise;
- Dilated food pile means there is an obstruction somewhere in the food pile. The causes can be stricture, cancer or Achalasia cardia associated with less motility due to diabetes.
-So no absorption of the necessary elements adding the the low hemoglobin, weakness and all the co-morbidities (secondary effects and disease)
If she was my patient, I would have order the following investigations :
Endoscopy, biopsy
CT scan
Barium study if necessary
CT scan
This will give the probable diagnosis and a plan for further treatment.
-Correction of all the medical conditions to make her fit medically.
I hope, this answers your query, please feel free to ask any relevant queries and give a full feedback of all the reports, and her progress for me to give you more opinion. I shall be happy to assist you and Her more.
Above answer was peer-reviewed by :
Dr. Prasad
Thank you for the detailed analysis sir, I am attaching here endoscopy reports for further suggestion. Please advise.
Brief Answer:
Esophageal varices is enlarged blood vessels called the veins
Detailed Answer:
Thanks for the reports you have provided.
It shows Esophageal varices. These will be secondary to some liver or abdominal pathology like liver cirrhosis or so.
The Doctor will do further many tests including ultrasonography of the abdomen, all blood tests. The varices will be treated by banding or so.
The root-cause which caused this has to be found out and treated under the guidance of a Gastroenterologist.
I am sure, blood transfusion is going on as the Hemoglobin is 4.8 / Please ensure that she receives sufficient Quantity of blood as advised by your Doctor.
I hope this answers your query.
You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant
Esophageal varices is enlarged blood vessels called the veins
Detailed Answer:
Thanks for the reports you have provided.
It shows Esophageal varices. These will be secondary to some liver or abdominal pathology like liver cirrhosis or so.
The Doctor will do further many tests including ultrasonography of the abdomen, all blood tests. The varices will be treated by banding or so.
The root-cause which caused this has to be found out and treated under the guidance of a Gastroenterologist.
I am sure, blood transfusion is going on as the Hemoglobin is 4.8 / Please ensure that she receives sufficient Quantity of blood as advised by your Doctor.
I hope this answers your query.
You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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