Causes and treatment of vomiting with blood

Vomiting accompanies any type of intoxication, being a powerful protective factor that increases the body's resistance.

The various causes of vomiting with blood can be divided into inflammatory and intoxication-related, but these causes are often related.

The cause of vomiting with blood can be:

  • Stomach ulcer
  • Severe vomiting
  • Expansion of the veins of the esophagus or stomach,
  • Tumors and lesions in the stomach or esophagus,
  • Intestinal damage caused by radiation
  • Infections, such as hepatitis or H. pylori infections,
  • Use of certain medications, such as aspirin, NSAIDs, or blood thinners,
  • Alcoholism,
  • Poisoning.

Diseases that lead to vomiting with blood:

  • Gastroenteritis,
  • Gastroesophageal reflux disease,
  • Intestinal blood vessel disease,
  • Inflammation of the esophagus, intestines, pancreas,
  • Pancreas cancer,
  • Acute liver failure and cirrhosis,
  • Portal hypertension - high blood pressure in the portal vein,
  • Low platelets, hemophilia, anemia, or leukemia.

Blood vomiting in infants and young children can be caused by the following conditions:

  • Congenital malformations
  • Clotting disorder
  • Vitamin K deficiency
  • Milk allergy.

At risk, which may cause vomiting with blood, include alcoholics and pregnant women.

For those who abuse alcohol, vomiting with blood occurs most often due to increased pressure in the esophagus, stomach, and intestines due to violent vomiting. Accompanying symptoms may include sudden and severe chest pain, which can spread to the back, sweating, shortness of breath, and stomach pain.

Alcohol scarring of the liver causes the blood vessels to dilate, which can lead to hemorrhage. Concomitant symptoms may include vomiting with lots of bright red blood, weakness, fainting, and rectal bleeding.

An ulcer can develop due to the acid found in alcohol. This can lead to irritation and the development of stomach ulcers. Symptoms include bloody vomiting and intestinal bleeding, abdominal pain, or pain in the lower chest.

Vomiting with blood during pregnancy is usually caused by prolonged vomiting. However, other conditions can cause bloody vomiting. It can be bleeding in the upper intestine when the vomit is black or dark brown. Black, tarry stools may occur with bleeding in the intestines.

Depending on the cause of the bleeding, people may experience other symptoms that should be discussed with a doctor.

A person should immediately consult a doctor if he experiences symptoms that indicate the presence of shock:

  • Dizziness, weakness, fainting,
  • The skin is sticky and pale
  • Palpitations, restlessness,
  • Dilated pupils,
  • Blurred vision
  • Nausea,
  • Rapid, shallow breathing,
  • Decreased urine output.

Diagnosis and treatment of vomiting with blood

The treatment for vomiting with blood depends on the cause of the disease. This may require certain tests, including blood and stool tests. Endoscopy may also be recommended. Computed tomography and x-ray helps doctors identify the source of bleeding.

Blood vomiting may require some medication, a blood transfusion, or surgery.

Postoperative Blood Vomiting

The postoperative period is characterized by the residual effect of drugs for general anesthesia. It can manifest as irritation of the stomach and severe bouts of nausea, especially if the anesthesia was not local or spinal.

Of particular importance in assessing the patient's condition is the volume of surgical intervention, the amount of released blood and the time of occurrence of vomiting. Vomiting of blood on the first day after surgery is a natural reaction of the body, sometimes as a result of accumulation of intestinal gases and does not require specific treatment, except for subcutaneous administration of certain drugs, providing rest for the stomach and, if necessary, setting an enema.

Excessive bleeding, as well as profuse vomiting, which developed 1-3 days after the operation, may indicate the development of postoperative complications (suppuration, development of intestinal obstruction) and require urgent measures up to repeated intervention.

Vomiting for poisoning

Symptoms and first aid for poisoning depend on the type of poisonous substance.

Food poisoning is rarely accompanied by heavy bleeding and involves emergency gastric lavage. Poisoning with alcohol and aggressive chemicals can cause heavy bleeding. The presence in the vomit of a large amount of red blood during poisoning indicates a deep lesion of the mucous membranes.

In the case of chemical poisoning, the intake of a large amount of liquid can become a catalyst for dangerous reactions in the stomach and, against the background of severe vomiting, can significantly complicate a person’s condition, including death.

Causes of vomiting with blood after alcohol

The use of small doses of high-quality alcohol cannot cause profuse vomiting with an admixture of blood in a healthy person. But you must understand that drinking alcohol can be the last straw, which will radically change the course of a chronic disease or inflammatory process. It will complicate the state of “dormant” ulcers, which a person may not even suspect, will deepen possible erosive lesions of the mucous membranes of the upper gastrointestinal tract.

A huge danger is the so-called “scorched” vodka or the use of its substitutes in the form of chemically aggressive fluids that can cause an instant burn of the mucous membranes of the esophagus and stomach. In such cases, according to resuscitation surgeons, the affected membranes are separated from the submucosal layer like a stocking removed from the leg, leading to generalized bleeding and fatal outcome.

Vomiting blood and diarrhea

Diarrhea is a vivid symptom of intoxication and (or) intestinal infection and a powerful factor that causes dehydration in a short time, which is especially dangerous for young children against the background of severe vomiting.

The causes of vomiting with blood and diarrhea can be:

  • infections of the upper gastrointestinal tract and intestines,
  • inflammatory processes of the upper gastrointestinal tract and intestines,
  • neoplasms, including benign ones, which often cause inflammation and severe obstruction of any gastrointestinal tract,
  • food poisoning.

Diagnosis of a disease accompanied by diarrhea necessarily includes an endoscopic examination (in case of excessive blood loss) and laboratory tests of feces (determination of the type of pathogen). Successful therapy is impossible without this.

Pregnant vomiting blood

A similar symptom, if it is not caused by other pathologies, accompanies severe forms of toxicosis along with severe swelling, general weakness and jumps in blood pressure. Bleeding and vomiting in advanced cases most often causes rupture of the vessels of the esophageal-gastric transition in connection with excessive tension during vomiting.

Vomiting with blood in pregnant women is an extremely rare occurrence, as pregnant women suffering from severe toxicosis are under the special supervision of doctors. Anti-emetic therapy measures prevent both such conditions and the likelihood of severe dehydration of the mother and child.

Vomiting with blood and bile

An admixture of blood and bile in the vomit indicates involvement in the pathological process of the biliary tract or excessive effort with strong vomiting, causing spasm of the duodenum and reflex ejection of bile. This phenomenon is age-specific.

Causes of bile vomiting in adults:

  1. inflammatory diseases of the biliary tract (stones when moving from the gallbladder can seriously injure the bile ducts and provoke internal bleeding),
  2. pyloric and / or biliary tract tumors,
  3. uncontrolled use of non-steroidal anti-inflammatory drugs,
  4. an attack of acute cholecystitis or pancreatitis,
  5. initial symptoms of bowel obstruction.

  • the use of food that is not appropriate for the child’s age (excessively fatty or acute), to which an immature infant gastrointestinal tract reacts with severe vomiting,
  • congenital malformations of the digestive system, for the first time giving such symptoms,
  • an attack of acute appendicitis.

The inclusion of low-quality and dangerous products for the child in the children's diet should be excluded categorically.

Vomiting with blood in children

In addition to the reasons listed above, a child can cause vomiting with blood:

  1. nose or throat bleeding, when blood flowing along the back of the larynx enters the stomach,
  2. damage to the mucous membranes with swallowed sharp objects,
  3. hemorrhagic disease of the newborn, but, as a rule, it is diagnosed in the hospital and does not become unexpected for the mother.

In a critical situation, the mother should exercise restraint so as not to cause a frightened baby tantrum.

Diseases that may cause vomiting of blood

The outpouring of blood occurs as a result of rupture of the walls of blood vessels (with aneurysm, trauma, sclerosis, congestion) or their erosion from germination by a tumor or in the inflammatory process.

The list of diseases in which vomiting with blood may occur is as follows:

  • acute and chronic ulcers of the esophagus, stomach or duodenum,
  • hemorrhagic gastritis,
  • rupture of the diverticulum of the esophagus, stomach or duodenum,
  • rupture of the varicose vein of the esophagus,
  • cirrhosis of the liver,
  • submucous neoplasms localized in the esophagus, stomach or duodenum, including benign,
  • rupture of the esophageal-gastric transition (including with severe dry cough),
  • pulmonary tuberculosis (in this case, the blood may have a foamy consistency),
  • rupture of vessels located in the nasopharynx,
  • ingestion of poison
  • a number of blood diseases (e.g. hemophilia, anemia, leukemia).

A rather rare cause of hemorrhage is neurogenic causes that cause bleeding in the body cavity (with hysteria), bleeding from the lips or nasal mucosa during menstruation.

Call a doctor

The cessation of vomiting with blood does not mean at all that internal bleeding is completely excluded. It can stop by itself because of a vasospasm caused by irritation or blood clotting from contact with a damaged vessel wall coming from a damaged site. But under adverse conditions, it is possible to repeat it and go to the dangerous phase of the disease that has become its cause. Therefore, a visit to the doctor should not be postponed.

Vomiting in children, even with a small amount of blood, is the reason for an immediate medical examination. Only he can give an adequate assessment of the condition of the child.

First aid

First aid for severe vomiting of blood - an immediate call to the ambulance team. Drinking plenty of water can make blood clotting difficult, especially if the bleeding area is large. The person who is vomiting should, if possible, lie motionless on his side, so as not to provoke an increase in bleeding.

Drinking plenty of water and especially washing the stomach at home without understanding the causes of bleeding can only increase vomiting. And muscle tension during vomiting can seriously complicate a person’s condition: against the background of bleeding, a sharp drop in blood pressure and the development of a shock state can occur. Upon admission to the hospital, the efforts of doctors will be primarily aimed at removing a person from shock, and valuable time for assistance - the maximum reduction in blood loss - will be missed.

Medical assistance for copious vomiting is necessary regardless of the type and volume of blood inclusions. Before the arrival of the ambulance crew, a person should not be left alone. It should reassure and morally support the patient, as he experiences fear, anxiety, and, possibly, severe pain.

Note! There is a specificity of the human psyche, confirming the fact that a person is a “daytime” creature: at night, he always perceives any problem more acutely.

Drug therapy

When making a diagnosis, the doctor is obliged to find out all the circumstances preceding the attack of vomiting with blood (including the presence of a traumatic factor), and assess the severity of the person’s condition based on the following symptoms:

  1. indicators of his blood pressure, temperature, condition of the skin, clarity of consciousness,
  2. nature of vomiting - it is single or multiple,
  3. the ratio of the volume of vomit and blood,
  4. the presence of various impurities in the vomit.

If a person is admitted to the hospital, if he is conscious, a special probe is introduced, with the help of which the stomach is cleaned and the place and cause of bleeding is visually determined. The content of therapeutic measures depends on this. An intragastric tube endoscope also allows you to make the necessary injections to stop blood flow and treat the bleeding area of ​​the mucosa.

Therapy of vomiting with an admixture of blood is very individual. A mandatory temporary refusal of food that can cause repeated bleeding is assumed.

Diet therapy for vomiting blood

As a rule, large blood loss deprives a person of appetite, and in the absence of nausea, drinking plenty of fluids and restoring the body's water-salt balance becomes especially relevant.

The diet of a person during the recovery period depends on the cause of the bleeding and vomiting. The gentle nature of the diet is designed to minimize the burden on the digestive tract. The consistency and temperature of food should be such as not to irritate the mucous membranes and not provoke excessive production of gastric juice, increase its acidity and repeated bleeding.

Traditional medicine

Folk remedies become relevant if doctors consider that a person’s condition does not require immediate hospitalization, and the nature of the bleeding is such that it does not pose a threat to life. In this case, medical efforts should be aimed at combating dehydration, and traditional medicine becomes part of the therapeutic scheme.

During this period, according to the doctor’s testimony, vitamin hips from rosehips, medicinal decoctions of chamomile and mint, mineral water without gas or saline solutions are taken. In case of ulcerative lesions of the gastrointestinal tract, herbal remedies that reduce acidity are used.

Prevention of vomiting with blood

There is no specific prophylaxis of vomiting with blood, since it is an indicative, but still part of the clinical picture of a specific pathological process.

The vast majority of cases of vomiting with blood are associated with advanced inflammatory diseases of the digestive tract. The best prevention of dangerous, life-threatening conditions is the medical support of the disease and its adequate treatment. People suffering from peptic ulcer disease, it is simply vital once a year to carry out all the necessary procedures, laboratory and physical examinations.

A person who has even experienced a single attack of vomiting with blood must understand that with a high degree of probability he can recur, and in a very complicated version. Therefore, you should seek help as soon as possible, especially if an attack has occurred in a small patient.

What triggers vomiting?

What to do if a person vomits blood? This is one of the most disturbing symptoms that the body gives, it manifests itself most often in adults and the elderly. The presence of blood bodies in vomiting indicates very serious problems in the esophagus, where bleeding occurs, which makes itself felt in the vomit.

If the blood in the vomit is not the result of nosebleeds, this is a very dangerous symptom. Without a moment's delay, a person should seek medical help. Otherwise, it is fraught with serious complications. When doctors call during bleeding, it is worth preserving the blood masses, since they will help to determine the exact amount of blood by analysis.

Symptoms such as nausea and vomiting of blood indicate the following:

  1. Destruction of the mucous membrane in the stomach or damage to the esophagus. The cause of destructive force is mainly high pressure arising from continuous coughing or vomiting signals.
  2. Varicose walls of the stomach. If the blood has a bright red color, this is a sign that the bleeding has started recently. Usually this does not have serious consequences, the bleeding stops. If the blood is dark, this is a more alarming sign. This indicates a sedentary and long flow of blood. This can lead to undesirable complications.
  3. An ulcer in the stomach and nearby the duodenum. When the disease is started, the effects can be seen in the blood masses, usually of a dark color.
  4. Occurring bleeding in the esophagus and stomach.
  5. Cirrhosis of the liver. A gag reflux with blood impurities occurs, as a rule, after drinking strong drinks containing alcohol. Vomiting of blood after alcohol is quite common. Due to the high pressure, the walls of the veins in the esophagus are destroyed. This situation is very dangerous and requires an immediate visit to a specialist.
  6. Acute gastritis. Blood discharge is rarely a symptom, usually usually alcohol again. Blood masses are small and pass quickly.
  7. Bleeding inside the body. Usually black discharge of blood in the vomit. Seek immediate medical attention.
  8. Stomach cancer. Bleeding becomes a sign of this disease, and this happens quite often: in about 15% of cases.

Also, the reasons for the release of blood masses in a child are as follows:

  1. Bleeding in the lungs or nose. The child bleeds blood, which, passing through the esophagus, stomach, creates a vomit.
  2. Damage to internal organs as a result of inflammatory processes and during the action of certain drugs, ulcers and tumors.
  3. Deformity of the liver. A sign is a strong secretion of bile.

As a rule, in all cases it is accompanied by poor health, nausea, weakness in the body, swelling, and high blood pressure. This pathology is extremely dangerous because there is a violation of the supply of blood to the placenta. For children, this situation threatens to result in death.

How to distinguish bloody vomiting from hemoptysis?

Hemoptysis is a very unpleasant process and outwardly it is very similar to the gag reflex with blood. Therefore, it is useful to know what are the differences between the two ailments:

  • with hemoptysis, the blood just coughs up, with vomiting - it is secreted,
  • with hemoptysis, blood has a pronounced alkaline reaction, bloody vomiting has an acid reaction,
  • with hemoptysis, the blood often foams, the emetic reaction does not have this,
  • hemoptysis can last several hours and days, on the contrary, bleeding is short and profuse,
  • with hemoptysis, there is almost no feces with blood, with vomiting it is.

Disease self-medication

If you want to tear, and the impurities of the blood released are insignificant in volume, this is not a reason for great concern. But when the discharge becomes permanent, this is a good reason, so as not to hesitate to seek help from a doctor. After calling a specialist, you should not just sit and wait for help. You can resort to some measures to slow the emetic reaction on your own.

So what needs to be done if the goal is to restrain the development of the disease? These independent and urgent measures are:

  1. Gastric lavage. All you need to do is to consume a very large amount of hot water, not hot, but warm. This is the purification of blood vessels and the removal of harmful compounds.
  2. Dehydration Prevention. It is necessary to drink non-carbonated mineral water in small volumes. A decoction of rose hips is also suitable.
  3. The use of drugs designed to restrain the vomiting reflex. As a means, Motilium or Tserukal are suitable.
  4. The use of herbal decoctions that are aimed at neutralizing the inflammatory effect.
  5. The use of water-salt substances to maintain the balance of electrolytes in the body.

Patients always need a long, calm sleep, a complete lack of stress. It is better to refuse food for a while.

After 2-3 hours, it is permissible to take liquid broth or liquid porridge. The main thing is that the stomach does not experience rough, hard pressure.

You also need to remember that all of the above methods of struggle will not help get rid of the disease. They only temporarily restrain the development of the disease. Therefore, in any case, it is necessary to seek medical help as soon as possible. Procrastination is unacceptable, threatens with complications, and even a fatal outcome is possible.

Even the slightest bleeding is already an occasion to call an ambulance. By themselves, such problems almost never go away. But in the future they will almost always provide a lot of health problems.

Causes of vomiting, vomiting with blood

  1. Digestive system diseases:
  • Chronic diseases of the gastrointestinal tract - stomach or duodenal ulcer, duodenitis, gastritis, enterocolitis, cholelithiasis,
  • Acute diseases - peritonitis, appendicitis, pancreatitis, cholecystitis, intestinal obstruction, bleeding in the digestive tract,
  • Anomalies of the digestive tract - atresia, pyloric stenosis, defects in the pancreas,
  • Violations of the motor functions of the stomach and intestines,
  • Gastrointestinal infections - viral, helminthiases, food toxicoinfections,
  • Oncological diseases.
  1. Diseases of the central nervous system:
  • Tumors and brain injuries
  • Increased intracranial pressure,
  • Infections of the brain (encephalitis, meningitis).
  1. Diseases of the cardiovascular system:
  • Heart failure,
  • Hypertension,
  • Myocardial infarction.
  1. Diseases of the inner ear:
  • Labyrinthitis
  • Meniere's disease.
  1. Diseases of the endocrine system:
  • Thyrotoxicosis,
  • Phenylketonuria,
  • Ketoacidosis in diabetes mellitus,
  • Adrenal insufficiency.
  1. Psychogenic factors
  • Hysterics,
  • Fear and anxiety
  • Habitual vomiting (manifested as an expression of emotions).
  1. Toxic poisoning, a side effect of drugs.

What is vomiting with blood

This is a dangerous symptom that indicates the presence of blood in the contents of the stomach. There it may appear due to bleeding and violation of the integrity of the walls of blood vessels. It is worth distinguishing vomit with blood from the usual. They can be confused if, before vomiting, a person ate meat food, the pulp of some fruits, beets, coffee, tomato or pomegranate juice. Blood in the vomit manifests itself non-uniformly, more often in the form of clots. It comes in two colors:

  • Bright scarlet. This is blood of normal consistency, which indicates that bleeding has begun recently. More often it is associated with the esophagus.
  • Dark, with clots. Such blood suggests that bleeding has been going on for several days. Her color changes to dark coffee, as she interacted with gastric juice and managed to curl.

Foamy blood consistency indicates the pulmonary origin of the bleeding. Symptoms of bloody vomiting are no different from the usual signs:

  • prostration,
  • severe weakness
  • unpleasant aching abdominal pain,
  • profuse salivation
  • nausea.

Sudden and severe pain in the esophagus or stomach may indicate bloody vomiting. Such symptoms indicate damage to the mucous membrane or rupture of the walls of blood vessels. Blood can not always be seen in the vomit. Its presence is evidenced by a specific taste - a feeling of metal in the mouth. Due to irritation of the mucosa in the esophagus, burning sensation can be felt. Due to severe blood loss, a person feels severe weakness, a drop in pressure, dizziness.

With nosebleeds or toxic damage to the body, loss of consciousness is possible. Ejected masses with blood acquire the smell of iron, although they can smell differently:

  • Acidic odor indicates a stomach ulcer or other processes with increased acid formation.
  • It smells rotten when food stagnates in the stomach.
  • The smell of feces indicates intestinal obstruction.
  • When consuming alcohol substitutes, it smells of chemicals.
  • The smell of acetone indicates diabetes.
  • In renal failure, vomit smells like ammonia.

Causes of Blood Vomiting

The main reason for this deviation is excess blood in the stomach due to internal bleeding. The presence of dizziness, fever, temperature, and thirst indicates significant blood loss. Hemoptysis, i.e. a cough with blood indicates inflammatory processes in bronchitis, pneumonia, malignant tumors in the lungs, tuberculosis, injuries or bruises, and pulmonary hemorrhage. Blood with vomiting can appear in the following cases:

  • volvulus,
  • acute gastritis of the stomach,
  • abdominal injuries
  • liver pathology
  • very high blood pressure, toxicosis, or late pregnancy failure,
  • high pressure in the stomach or esophagus,
  • gastrointestinal ulcers,
  • duodenitis - inflammation of the duodenum,
  • oncological diseases of the gastrointestinal tract,
  • Melory-Weiss syndrome,
  • varicose veins of the esophagus or upper stomach,
  • toxic alcohol poisoning,
  • side effects of steroid hormones and non-steroidal anti-inflammatory drugs that destroy the gastric mucosa.

The function of bile is to partially digest food in the stomach. This fluid is produced by the liver. Then it enters the stomach, where it processes the products. You can notice bile in the vomit by an unpleasant bitter taste and a greenish-yellow hue. Its appearance indicates complete emptying of the stomach after repeated vomiting.

The same can happen with intoxication of the body, including alcohol, viral diseases, diabetes mellitus, bile reflux. Vomiting of bile with blood has several other reasons:

  • ingestion of concentrated acids or alkalis into the digestive system,
  • damage to the esophagus due to excessive consumption of food,
  • gastritis progression,
  • bleeding of ulcerative foci,
  • thermal or chemical burns of the digestive tract mucosa,
  • violation of the integrity of the veins of the digestive system,
  • the occurrence of cracks in the place of combination of the esophagus with the stomach due to strong vomiting,
  • deformation of the mucous membrane of the esophagus, which is typical for chronic alcoholics,
  • bleeding in the respiratory system.

After alcohol

Due to alcohol abuse the night before in the morning a person develops a hangover syndrome. It is manifested by severe headache, dizziness, nausea and vomiting. So the body reacts to alcohol intoxication and tries to get rid of excess ethyl alcohol. Blood in vomit appears only in people with health problems. A plentiful feast with excess alcohol only exacerbates the problem. Possible causes of this pathology include:

  • acute gastritis
  • cirrhosis of the liver ("alcoholics disease"),
  • damage to the mucous membrane of the stomach or esophagus,
  • prolonged binge with frequent drinking,
  • low quality alcohol.

In pregnant

Vomiting in pregnant women in the early stages, up to 20 weeks, is considered normal if it occurs 2-4 times a day. This is a mild toxicosis. Blood impurities in the vomit are a dangerous signal. The reasons for this pathology:

  • Gastrointestinal disease. They are exacerbated by a growing fetus, which creates an additional burden on the body. According to statistics, about 70% of expectant mothers have gastritis. It provokes severe degrees of toxicosis.
  • Preeclampsia This is one of the forms of gestosis (late toxicosis) and a harbinger of its most severe, terminal stage - eclampsia. The latter is accompanied by an increase in pressure to a level that is dangerous to the life of the mother and child. At the stage of preeclampsia, swelling, increased protein in the urine, and hypertension are observed. In severe form, headache, visual impairment, sharp pains in the stomach appear.

Such a deviation in children is more often associated with blood entering the stomach from the outside. A child swallows it with nosebleeds or mechanical damage to the oral mucosa, for example, in the case of swallowing sharp or small objects. Other possible causes:

  • disruption, nervous strain, tantrums,
  • violation of the integrity of the pulmonary veins and arteries,
  • maternal blood that passes into the stomach of a baby with breast milk.


To make a diagnosis, the doctor needs to know the parameters of the masses leaving the stomach. This applies to the frequency of vomiting, the volume of discharge and the time the symptom appears (before or after eating). Other signs by which the doctor can suspect a particular disease are also of importance. Symptoms that a specialist takes into account include:

  • tachycardia,
  • diarrhea (black, offensive)
  • bloating
  • pallor of the skin and mucous membranes,
  • weakness,
  • fever.

Laboratory diagnosis is of secondary importance. It allows you to confirm the presence of internal bleeding or pathologies of organs. Such a diagnosis involves the following studies:

  • General and biochemical blood tests. These studies reveal anemia - a decrease in hemoglobin levels. Additionally, tests detect a decrease in hematocrit, which indicates an increase in blood viscosity.
  • Urinalysis When studying the composition of urine, the doctor manages to assess the condition of the kidneys, heart, blood vessels and the immune system.
  • Coprograms. This is a study that helps to study the state of the digestive system. The procedure involves the assessment of the chemical and physical composition of feces.

In addition to laboratory tests, the patient is referred to a number of instrumental studies. They help to more accurately study and evaluate the condition of internal organs. When vomit appears in the blood, the following procedures are performed:

  • ECG. This is echocardiography, which is performed to identify heart problems.
  • X-ray and ultrasound examination of the abdominal organs. Such studies reveal pathologies of the digestive system.
  • Endoscopic examination of the walls of the stomach and esophagus. With this procedure, a special device with a video camera at the end is inserted through the mouth into the gastrointestinal tract. So the doctor can find the source of bleeding. With nausea during the procedure, the patient’s oropharynx is sprayed with lidocaine.
  • Angiography with contrast. This study is carried out in case of impossibility of endoscopic examination. The procedure is to visualize the vessels of the affected area, which helps to detect the source of bleeding.To do this, before the study, a substance that reacts to radiation is introduced into the bloodstream of the patient.

What to do if vomiting occurs with blood

If the alleged cause is internal bleeding or injury, an ambulance must be called urgently. The same applies to repeated vomiting and a gradual worsening of a person's condition. Prior to the arrival of an ambulance, the patient needs first aid

  1. Lay the victim on a bed, preferably on his side. Cover it with a blanket, especially with fever (this will improve blood circulation), put a pillow under your head.
  2. Put a basin near the bed in case of a new attack of vomiting.
  3. Monitor the level of pressure and pulse in the patient.
  4. Give him plenty of water to avoid dehydration. Normal water will do. Gagging will help soothe sweet green tea.
  5. In case of fainting, it is imperative to ensure that the patient’s head does not fall and does not lie on his back. At the beginning of vomiting, a person can choke on his own vomit.

In no case should you leave the patient alone. When vomiting, he may choke. Without knowing the cause of the pathology, one should not give a person any medicine. It is strictly forbidden to force the victim to eat. Food can provoke new vomiting. If the blood during vomiting appeared due to alcohol poisoning, then the treatment consists of detoxification therapy and diet. The first is gastric lavage and subsequent intake of sorbents, for example, activated carbon.

Treatment of vomiting, vomiting with blood

Treatment of vomiting is usually aimed at eliminating the cause of its occurrence. Symptomatic drug treatment is also used:

  • Tranquilizers (diazepam, phenozepam),
  • Antipsychotics (haloperidol, etaperazine),
  • Antihistamines (promethazine hydrochloride, dimenhydrinate),
  • Dopamine antagonists (metoclopramide, cerucal),
  • Antagonists of serotonin receptors (ondansetron, granisetron, tropisetron).

The choice of certain drugs is carried out after consulting a doctor. Self-medication is excluded.

Watch the video: Hi9. Vomiting blood Symptoms. Dr. E. Ramanjaneyulu. Gastroenterologist (October 2019).