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Sever heartburn and acidity, noticed few drops of blood with saliva after coughing. Something to be worried about?

Hi. My husband is a 29 year old male who has almost daily heartburn and acid reflux. If he eats something very spicy it may cause him to vomit. This morning when he woke up he started to cough and gag, and vomited a small amount of clear saliva mixed with a few drops of blood. He drinks a few alcoholic bereaves daily and smokes cigarettes. Do we need to go to a hospital about the blood? The rest of the day he has been experiencing sever heart burn and acid.
Asked On : Wed, 1 May 2013
Answers:  1 Views:  35
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Internal Medicine Specialist 's  Response
Your husband is suffering either Gastro-oesophageal reflux disease (GORD). Coughing and gag like sensation may happen in GORD. Vomitting of few drops of blood happen due to Oesophagitis and ulceration. If only few drops, not repeated and huge in amount you need not worry. You can manage at home. At first life style changes like habit of smoking cigarettes, and consumption of alcoholic bereaves and very spicy foods which aggravate the situation are to be avoided. Midications include: 1) Antacids help to neutralise the acid to taken 3-4 times after food. 2) Histamine 2 receptors antagonists - Cimetidine, Ranitidine, Famotidine, capable of reducing the gastric acid output by 70 or 90 percent, can be given in divided doses. Or 3) Proton pump inhibitor - Omeprazole, pantoprazole, and lansoprazole can be given in morning empty stomach, if required extra dose to be gin in the evwning emty stomach, 4) Prokinetic medicines domperidone and metoclopramide are also helpful as they speed up the passage of food through the stomach. If problem persist, better consullt a physician.
Answered: Wed, 1 May 2013
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