Patient's Query
Hello doctor,
I am getting blood from my mouth, and it is not from my gums or coughing. This bleeding is always associated with pain and gasping. What could be the reason for my issue?
Please help.
Thank you.
Hi,
Welcome to icliniq.com.
As per your description, this person is on Aspirin. Aspirin can cause ulcers in the stomach and mouth. The ulcers formed in the stomach can bleed, which will, in turn, irritate the stomach and come up to the mouth, and during this instance, if some amount of blood enters the respiratory tract, it can cause breathing difficulty. The other way around, per se, there can be bleeding into the lungs to cause gasping for breath, and this blood can come up to the mouth and cough out, which is called hemoptysis.
It will be better if you can give us more information for a better judgment of the cause.
1) Who is the patient?
2) What is the age of the patient?
3) What has precisely happened for that patient?
4) Whether the patient is an alcoholic or addicted to any drugs?
5) Is there bleeding from the mouth itself or coming up from inside somewhere?
Please revert in case of further queries.
Thank you.
Patient's Query
Hello doctor,
Thank you so much for the clarification.
It is me, the patient. I am 63 years old. I have had a chest illness for some years. I do not take alcohol or any other drugs. I was getting this on and off for the past three years.
It was spontaneous bleeding and not anywhere else; it did not taste like blood, but looked like it. The pain was lower down the throat. I had ulcers when I was young.
Thank you.
Hi,
Welcome back to icliniq.com.
If you had been admitted to the hospital, doctors would have evaluated for this.
So, what did they tell as the cause of your problem?
If you have a discharge summary, you can share it here so that I can look into it to see if any information is there.
I hope this helps.
Please revert in case of further queries.
Thank you.
Patient's Query
Hello doctor,
Thanks for the reply.
The doctors did not tell me anything. For example, during three days of hospital admission, I failed a treadmill test. I was not able to do anything at all.
But the doctors told me that I had passed it in flying colors, and I knew it was not true. I got my medical record a year later, with great difficulty, and it has the truth: I did not manage the stress test. They did not give me discharge papers but told me I was completely normal.
Please help.
Thank you.
Hello,
Welcome back to icliniq.com.
You are too stressed out. So, kindly relax. The final conclusion is that, since you are a cardiac patient and now have shortness of breath, you need to visit a cardiologist and get your heart status evaluated at present to look for any possible deterioration.
And for your gastric ulcer, you need to continue the Omeprazole tablet twice daily, half an hour before food to reduce gastric acid secretion and avoid hot and spicy foods. Add syrup Sucralfate 10 ml thrice daily, one hour before your meals, along with your Omeprazole for ulcer healing.
I hope this helps.
Please revert in case of further queries.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
I am stressed out about unanswered questions. I had that bleeding from the throat throughout an year and never again. I will note the additional medicine you have suggested and try to get it.
I forgot to tell you that I have H.pylori infection and ulcers.
Thanks.
Hello,
Welcome back to icliniq.com.
H.pylori (Helicobacter pylori) infection is an important cause of persistent gastric ulcers. So, it becomes an additional factor along with Aspirin to make your ulcers bleed. Pulmonary embolism (PE) is another important cause of chest pain and breathing difficulty, particularly when it is associated with hemoptysis.
PE is something similar to MI (heart attack). MI is the formation of a blood clot and the blockage of blood flow in blood vessels supplying the heart muscles. PE is a similar thing that occurs in blood vessels going to the lungs.
H.pylori infection needs a set of antibiotics to be taken for two weeks.
I hope you understood and got your answers.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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