Smoking, alcohol use, gastritis, acidity, tumors of stomach and food pipe, bleeding gastric ulcer, cancer of stomach, erosion of lining of food pipe, bleeding veins at esophageal (food pipe) sphincters etc all cause vomiting of blood. This can be fresh red if coming from a place above the stomach. It can be brown or coffee colored if coming from the stomach. Tumors/cancers of the oral cavity or mouth, pyorrhea or pus in gums and Vitamin C deficiency can cause bleeding from mouth.
If there is chest pain followed by blood from mouth then this could be due to exacerbation of the GERD or gastric reflux. It could also be hiatal hernia. Treatment is a combination of drugs to reduce the acid and lifestyle changes. You will need to take a combination of medications (under medical supervision) like a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning and an antacid gel after meals for complete relief. Possibility of H pylori infection too should be looked into by a carbon urea breath test and a combination antibiotic tried. Many a times a persisting H pylori infection can be the cause behind acidity not responding to treatment.
Life style changes that will help include: Drink cold milk. Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Avoid lying down for least 2 hours after food. Maybe these tips will help you. If these tips do not help, then liver function test, pancreatic enzymes, and HIDA scan for gall bladder should be done. Food intolerance and inflammatory bowel conditions such as IBS, Crohn’s, celiac etc should be considered. Log in what you eat and see if there is a correlation between a certain food type and the symptoms.
Please consult your PCP for primary examination followed by proper
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Please consult your PCP for primary examination followed by proper referral. Take care!