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What Causes Gastritis When I Cough Or Vomit?

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Posted on Wed, 25 May 2016
Question: Hello, I have gastritis and smotimes when i cough i vomit, I just started working out after some time off and I'm currently experiencing heartburn . After my morning workout I got a vitamin cocktail #10 injection I threw up and noticed some fresh blood in my vomit ????
I also have IBS as well as inflammatory arthritis and low in potassium for many years
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Answered by Dr. Panagiotis Zografakis (43 minutes later)
Brief Answer:
investigation is required

Detailed Answer:
Hello,

although the fresh blood you've vomited is probably a Mallory-Weiss syndrome, which is a self limited bleeding injury of the esophagus (an esophageal tear due to forceful vomiting), investigation is required to make sure that no other more serious event has taken place. A bleeding peptic ulcer for example could also cause bleeding and vomiting blood. An upper gastrointestinal endoscopy is required to find out.

The symptom of heartburn is indicative of a chronic "irritation" which could represent gastroesophageal reflux disease, esophagitis or ulcers.

Prilosec is OK to use and will help with the heartburn but the investigation is an essential step in the management of such situations.

Kind Regards!
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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What Causes Gastritis When I Cough Or Vomit?

Brief Answer: investigation is required Detailed Answer: Hello, although the fresh blood you've vomited is probably a Mallory-Weiss syndrome, which is a self limited bleeding injury of the esophagus (an esophageal tear due to forceful vomiting), investigation is required to make sure that no other more serious event has taken place. A bleeding peptic ulcer for example could also cause bleeding and vomiting blood. An upper gastrointestinal endoscopy is required to find out. The symptom of heartburn is indicative of a chronic "irritation" which could represent gastroesophageal reflux disease, esophagitis or ulcers. Prilosec is OK to use and will help with the heartburn but the investigation is an essential step in the management of such situations. Kind Regards!