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Vomiting blood

Also known as Hematemesis

Hematemesis or haematemesis is the vomiting of blood. The source is generally the upper gastrointestinal tract. Patients can easily confuse it with hemoptysis (coughing up blood), although the latter is more common.

Source: Wikipedia

What causes it?

The most common causes of vomiting blood are gastrointestinal hemorrhage, gastritis, and gastroduodenal ulcer. Other possible causes, such as hyperemesis gravidarum, are more rare.


What might my doctor prescribe?

Common Tests and Procedures

Patients with vomiting blood often receive hematologic tests, complete blood count, intravenous fluid replacement, kidney function tests, electrolytes panel, glucose measurement, radiographic imaging procedure and urinalysis .

Common Medications

The most commonly prescribed drugs for patients with vomiting blood include pantoprazole, famotidine, prochlorperazine (compro), sucralfate (carafate), atropine / hyoscyamine / phenobarbital / scopolamine, octreotide, droperidol, tetracycline, sodium polystyrene sulfonate (kayexalate), alpha 1-antitrypsin, hypromellose (genteal), sodium citrate and methenamine .

Who is at risk?

Groups of people at highest risk for vomiting blood include age 15-29 years.

Age

< 1 years
0.5x
1-4 years
0.3x
5-14 years
0.5x
15-29 years
1.8x
30-44 years
1.2x
45-59 years
1.0x
60-74 years
0.6x
75+ years
0.7x

Sex

Male
1.3x
Female
0.8x

Race/Ethnicity

Black
1.0x
Hispanic
1.0x
White
1.0x
Other
0.6x
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