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Diet and treatment for blood in vomit due to reflux oesophagitis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2009
Answered : 676 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hello! Oh good it works.
User :   I just have a quick question. I'm not really sure what to do - I woke up this morning and wasn't feeling too great. I ended up throwing up and blood started coming up. It stopped shortly after, but I just want to find out if it's serious enough to where I need to find a clinic.
Doctor :   Ok
Doctor :   How many times did you vomit?
User :   Twice, apparently the sticky rice didn't agree with me last night.
Doctor :   Oh is it that you started eating it new
User :   Blood started coming up toward the end of the first time, and the second it seemed to just be what was 'left over' in my tummy. But there's a sharp pain now, I was thinking maybe I just cut my esophogus or something, however one manages to do that.
User :   I haven't eaten at all today, if that's what you're asking
Doctor :   I was asking about the sticky rice
Doctor :   How much blood did you vomit?
Doctor :   What is your age?
User :   Maybe two caps worth, then the second time it was all mixed in, but there was no blood by the end of the second time I was vomiting so I thought it was just left over.
User :   21
Doctor :   Is it first time you vomited first?
Doctor :   *blood
User :   That I can ever remember, yes.
Doctor :   Do you have pain in the stomach
Doctor :   How is your stool?
Doctor :   Do you smoke or take alcohol ?
User :   No, stomach feels fine. A little watery, nothing completely out of usual.
User :   I had a few beers with dinner last night. A glass of wine the night before.
Doctor :   fine,
Doctor :   I think nothing is worrisome with you
Doctor :   You can take PRILOSEC 20 mg
Doctor :   a day
Doctor :   for next 3 days
Doctor :   Stick to bland diet for next 3 days
Doctor :   Do not take alcohol
Doctor :   and spicy food
Doctor :   for the next said days
User :   Okay. What do you think it was?
Doctor :   It seems to be acute gastritis
Doctor :   reflux oesophagitis
Doctor :   after a forceful vomitus there might be a small injury
Doctor :   to the inner epithelium of the food pipe
Doctor :   which can bleed and show up in the vomitus
Doctor :   This heals faster though
Doctor :   if you take the measures
User :   Okay. Should I try to avoid throwing up again if I get naseaus?
Doctor :   that I mentioned
Doctor :   Yeah
Doctor :   You should not induce it
Doctor :   for yourself
Doctor :   It leads to more force
User :   Oh no I wouldn't, I was just feeling a little ill the last day or two and I think the vomiting is just a result of that.
Doctor :   Ok do not worry
Doctor :   take bland diet
Doctor :   more fluidy
Doctor :   and take the PRILOSEC for three days once a day before breakfast
User :   Okay. Thanks very much for your time and help, I really appreciate it.
Doctor :   Have you fill the feedback form
User :   I did, thank you.
Doctor :   Anything else I can help you
User :   No, that's all. Thanks again.
Doctor :   Ok
Doctor :   bye
User :   Bye
User :   Hello?
Doctor :   are you back?
User :   I am, I just had one more brief question
Doctor :   ok
Doctor :   plz poceed
User :   If my stomach did start hurting, does that mean it's anything different?
User :   Then what we discussed earlier?
Doctor :   let me go through your previous history
Doctor :   as a trauma has occured it will take some time to heal
Doctor :   stomach will hurt till that time
Doctor :   once the recovery is complete it will not hurt
User :   Ah, okay. I just wanted to make sure it wasn't something worse. Thanks.
Doctor :   ok
User :   Thanks
Doctor :   Is there any thing else I can help you with?
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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