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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blood In Vomit, Sharp Pain In Chest And Abdomen With Dizziness?

Hiya I have been vomiting blood for the last few months definately not ulcer as I have had several OGD s, blood tests, xrays and scans everything else is working fine im in alot of pain and because I m allergic to alot of pain killers I get given morphine when I go to hospital. As the docs can t find anything wrong with me I think thy think im a addict hence the reason I really dont want to go to hospital again! I have been curled up on my sofa now for four days unable to move im barely eating and all I can keep down is water. I have lost 4 and a half lbs in 4 days just don t know what to do. Is billiary cirrohis (apolagies for spelling!) a possibility my aunt had it before she died? I have been vomiting just blood several times a day for thelast 2 months. I have a pain in the middle of my chest sharp pains when I breathe and general tightness when I move. The upper abdominal pain that I have is excrusiating I find it hard to walk from one room to another to go to the loo I feel constantly cold and shivery even when Im piled high with blankets. When I stand I have temporary blindness which has started getting worse to the point where every time i sit up or move even slowly my head goes dizzy and my eyes black out for up to 20 seconds.
Mon, 28 Jan 2019
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General Surgeon 's  Response
Hi,

Noted your history and understood your concerns.
Since all the tests are negative and you are still vomiting blood means there is a problem that has not yet been diagnosed.
Hence I would advise you the following:
Request for a few days admission under observation. This will enble to see whether there is actually the blood that is coming out and it can be easy to find out the source as this can come from oral cavity, pharynx, esophagus or stomach. Endoscopy during or immediately after the bleeding can find out the causes such as small hemangioma or so.
Secondly request for Angiography during such a period as this can find out the area of bleed.
You also need symptomatic treatment as you have shivering, severe weakness and so on as you have mentioned.
It is possible that you may also need blood transfusion if you have lost a lots of blood.
Symptomatic and supportive treatment will help you to recover faster.
The Doctors will also be in a position to find the cause of the pains that you have for proper management.

Take care.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General & ENT Surgeon
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What Causes Blood In Vomit, Sharp Pain In Chest And Abdomen With Dizziness?

Hi, Noted your history and understood your concerns. Since all the tests are negative and you are still vomiting blood means there is a problem that has not yet been diagnosed. Hence I would advise you the following: Request for a few days admission under observation. This will enble to see whether there is actually the blood that is coming out and it can be easy to find out the source as this can come from oral cavity, pharynx, esophagus or stomach. Endoscopy during or immediately after the bleeding can find out the causes such as small hemangioma or so. Secondly request for Angiography during such a period as this can find out the area of bleed. You also need symptomatic treatment as you have shivering, severe weakness and so on as you have mentioned. It is possible that you may also need blood transfusion if you have lost a lots of blood. Symptomatic and supportive treatment will help you to recover faster. The Doctors will also be in a position to find the cause of the pains that you have for proper management. Take care. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General & ENT Surgeon