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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bleeding In Spit In The Early Morning. Having Bend In The Nose, Sinus Problems, Gastric Ulcer. Solution?

weekly once are twice in the early morning i see blood comes when i spit... It is dark red in colour. I hve already gone with ENT and doctor said I have a bend in the right nose with sinus problems often i get head pain that too in left only... severe cold. I have consulted with gartro as well done with endoscopy also Doctor said it is because of Gerd and I have gastric ulcer . Iam from India and now am in Qatar am really worried on this issue... please provide me an solution
Thu, 3 Jan 2013
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Gastroenterologist,  's  Response
Hello, vdhshankar7,
The sinus problems that you are experiencing can certainly be
associated with sever GERD. Especially at nights, when you are
sleeping flat, the acid can travel upwards towrds your throat and nose
and cause irritation of the lining. You mention that you were also diagnosed
with gastric ulcer. I hope that the specialist did a biopsy of the ulcer to
make sure it was benign. If you do bleed from the gastric ulcer, the
blood turns black due to oxidation which causes black or tarry stools.
You say, you see dark blood when you spit in the morning. This could
be from the nasal passages or sinus infection associated.
I hope you have been taking a PPI drug such as Omeprazole, Rabeprazole,
Lansoprazoleor esomeprazole for your GERD and also for the ulcer.
In case of gastric ulcer, you may need a follow up endoscopy in 6-8 weeks
to see if the ulcer is completely healed. This is very important.
If the gastric ulcer was caused by NSAIDS such as Ibuprofen,Naproxen
or even aspirin, that will heal when once you get off of them.
Avoid excess caffeine, alcohol, tomato based products, excess spicy foods.
I wish you well.
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Bleeding In Spit In The Early Morning. Having Bend In The Nose, Sinus Problems, Gastric Ulcer. Solution?

Hello, vdhshankar7, The sinus problems that you are experiencing can certainly be associated with sever GERD. Especially at nights, when you are sleeping flat, the acid can travel upwards towrds your throat and nose and cause irritation of the lining. You mention that you were also diagnosed with gastric ulcer. I hope that the specialist did a biopsy of the ulcer to make sure it was benign. If you do bleed from the gastric ulcer, the blood turns black due to oxidation which causes black or tarry stools. You say, you see dark blood when you spit in the morning. This could be from the nasal passages or sinus infection associated. I hope you have been taking a PPI drug such as Omeprazole, Rabeprazole, Lansoprazoleor esomeprazole for your GERD and also for the ulcer. In case of gastric ulcer, you may need a follow up endoscopy in 6-8 weeks to see if the ulcer is completely healed. This is very important. If the gastric ulcer was caused by NSAIDS such as Ibuprofen,Naproxen or even aspirin, that will heal when once you get off of them. Avoid excess caffeine, alcohol, tomato based products, excess spicy foods. I wish you well.