- by Bangalore Baptist Hospital
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- Nov 11 2017
WHAT IS HEMATEMESIS?By-DR. DOMINIC .G. BENJAMIN
It is described as the vomiting of blood or regurgitation of stomach contents mixed with blood, or the regurgitation of blood only.
• Any bleeding from the gastrointestinal tract (GI tract) like the esophagus, stomach, or intestine.
• Bleeding peptic ulcer
• Disorders of the blood vessels of the gastrointestinal system.
• Swallowing of coughed up blood or even a nosebleed.
• Gastric or intestinal varices
• Tumours in the stomach or oesophagus
• Radiation exposure
• Haemorrhagic fever
• Coughing hard and excessively
• Cancer of the oesophagus, stomach or upper intestine.
• Excessive use of NSAID’s (nonsteroidal anti-inflammatory drugs)
• In children, Hematemesis is much more common than adults and may be related to foreign body ingestion.
• A feeling of fullness in the abdomen
• Loss of weight
• Rapid shallow breathing
• Doctor ask for a medical history of the patient.
• He checks vital signs like pulse, breathing and blood pressure.
• CBC test is done and it should be checked frequently during the first day.
• Basic metabolic profile (BMP) is used to evaluate for renal comorbidity.
• Measurement of coagulation parameters is necessary to assess for continued bleeding.
• The liver profile is done to identify hepatic comorbidity and suggest underlying liver disease.
• Calcium level is checked.
• Gastrin level is checked.
• Troponin test is used to identify patients with severe coronary ischemia.
Transfusion will be recommended to bolster blood volume if a patient has lost a lot of blood. Surgery, medications, and diet are recommended by the doctor.
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