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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vomiting And Blood In The Stool?

My daughters boy friend is a heavy drinker and only 21 years old, has been a heavy drinker for 4 years plus. he has beed puking and pooping blood off and on for the last year. he went to the ER two days ago and his test were all on the high side I've listed the ones below that were extreamly high, should we all be concerned and is it real bad when he has been puking blood. Has there been a lot of damage with these levels ALT 133 AST 175 Glucose 101 Bilirubin 1.5 MCH 35.0 Lymphocytes 14 neutrophils 75 mcv 99 pl count 238 hematocrit 45.8 sodium 141 chloride 105 gfr 90 albumin 5.1 protein 8.3
Thu, 2 Jul 2015
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Psychiatrist,  's  Response
hello user , i understand your concern and yes you should be concerned with these kind of symptoms . the blood in vomiting and stool are indicative of alcoholic liver disease , possibly with cirrhosis . although there could be other causes too like esophagitis,peptic ulcer , gastritis etc. his liver enzymes like ast & alt are raised , and bilirubin is borderline high , but he require further investigations like some imaging like usg abdomen, endoscopy and some blood tests like prothrombin time ,INR etc , best to consult a gastroenterologist for the same - he should quit alcohol for recovery , but quitting suddenly may result in troublesome withdrawl symptoms so better to do that under supervision of a psychiatrist/addiction specialist . hope i answered your query , if satisfied please rate the answer- any followup queries are welcome
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What Causes Vomiting And Blood In The Stool?

hello user , i understand your concern and yes you should be concerned with these kind of symptoms . the blood in vomiting and stool are indicative of alcoholic liver disease , possibly with cirrhosis . although there could be other causes too like esophagitis,peptic ulcer , gastritis etc. his liver enzymes like ast & alt are raised , and bilirubin is borderline high , but he require further investigations like some imaging like usg abdomen, endoscopy and some blood tests like prothrombin time ,INR etc , best to consult a gastroenterologist for the same - he should quit alcohol for recovery , but quitting suddenly may result in troublesome withdrawl symptoms so better to do that under supervision of a psychiatrist/addiction specialist . hope i answered your query , if satisfied please rate the answer- any followup queries are welcome