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What Causes Presence Of Blood In Vomit?

Posted on Tue, 21 Oct 2014

Question: Blood from vomiting

Answered by Dr. Anshul Varshney (1 hour later)

Brief Answer:
I need further details.

Detailed Answer:
Dear Friend.
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
The blood in vomitings can be due to many reasons most common at your age is Pain killer induced ulcer bleed, forceful vomitings.
I would like to know:
1. When did you have the first episode?
2. Any Pain killers you have taken?
3. Any alcohol intake recently?
4. Any history of Chronic pain abdomen?
5. How much blood it was?
6. Are you sure blood was in vomiting and not in cough?
Revert with these details.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (10 minutes later)

Hello sir. Friday night I was out drinking with my friends saturday morning I did not feel well. I got out of the shower and got sick 4 times in which they were all clear in color with some yellow bile. I then spit and noticed it was red maybe from a small tear. I drank a red bull to help with the head ache and layer down. 20 minutes later I felt sick and went to the bathroom to vomit. The first vomit may have been a little red but the second was like Gatorade. I did not get sick anymore last night around 5 I made my self vomit to make sure there was not blood and it was clear also the same this morning and it was clear. No stomach pains my blood pressure and pulse are fine and my stool is fine. My doctor on the phone said it's a tear from dry heaving as forceful vomiying and as long as the bleeding stopped yesterday not to worry. Should I worry I feel fine now.

Answered by Dr. Anshul Varshney (14 minutes later)

Brief Answer:
Detail Follows.

Detailed Answer:
Dear Friend.
There must be tear due to forceful vomiting. Start on a combination of Pantoprazole and Domperidone once a day. Take lot of oral fluids.
Don't consume alcohol.
Do this for 7 days and then follow up again with me.
In case you again get blood in vomiting get upper GI Endoscopy done.
Take soft , bland diet.
If you have any further query please ask me.
Stay Healthy

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (8 minutes later)

Thanks sir so you don't think it's cancer

Answered by Dr. Anshul Varshney (20 minutes later)

Brief Answer:
Detail Follows.

Detailed Answer:
Dear Friend
Don't worry at all.
This is not cancer.
Do as i have advised, you will be fine. But i need to see you back after 7 days.
Stay Healthy

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (2 minutes later)

Ok sir thanks I'm a hypochondriac so that makes this much worse

Answered by Dr. Anshul Varshney (4 minutes later)

Brief Answer:
Detail follows.

Detailed Answer:
Dear Friend
I understand.
Trust me, if you had no history of Alcohol consumption then i would have thought of other causes.
But there is nothing to worry.
Stay Healthy

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar