Esophageal Tear

Esophageal tear or rupture is a serious medical condition that requires immediate medical intervention. The major cause of esophageal perforation are regarded to be esophageal endoscopy and surgical procedures. Other causes include chronic vomiting or trying to vomit, ingestion of bones and acids, and persistent esophageal ulcers in immunocompromised. Esophageal hols present with pain and difficulty swallowing, fever, and rapid breathing and heart rate. Treatment includes surgical repair of the perforation or occlusion of the hole with a stent based on the severity.

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Kindly suggest the condition of the patient on seeing the investigations attached.

Query: Hi doctor, The patient was admitted due to eight episodes of hematemesis, weight loss and loss of appetite since last six months. It was accompanied by bone pain, abdominal pain, abdominal distension, jaundice, vomiting, altered bowel habit, fever, shortness of breath, decrease urine output or al...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to I had undergone the patient's reports (attachment removed to protect patient identity). First of all, the patient has a tear in esophageal mucosa because of which bleeding occurred. To prevent bleeding, I suggest vasoconstrictor agent, adrenaline injection in the mucos...  Read Full »

My pregnant wife has some blood in her vomiting. What is the cause?

Query: My doctor,My wife is pregnant and this is her third month. During vomiting, she noticed blood. What is the reason? Kindly suggest me.  Read Full »

Dr. Prathap

Answer: Hi, Welcome to It is unusual for a pregnant woman to vomit blood. The reason may be excess, repeated vomiting caused esophageal tears, which leads to blood in the vomitus. If hematemesis is persistent and there are signs of decreased perfusion like cold extremities, giddiness, low bl...  Read Full »

Blood in vomit after drinking too much alcohol. Kindly help.

Query: Hello doctor,I am a 20 year old male. About three days ago, I vomited bright red blood after consuming excessive alcohol. This is the first time I have consumed more than one beer and I was also unconscious. I have not been having any pains or any other symptoms. After the first vomit of blood, I pu...  Read Full »

Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to I went through your post. At this age, bleeding with vomiting is likely due to an injury to the lower esophagus because of the force of the vomit. If the bleeding was severe, then an upper GI (gastrointestinal) endoscopy is necessary for two reasons. Alcohol drinking ...  Read Full »

What is the chance of my vitamin intake went down the respiratory pipe?

Query: Hello doctor, I think I swallowed a vitamin down the wrong pipe. I took several vitamins. One of which might have gone down the wrong pipe. I felt discomfort so I started drinking water to help it go down. Then I still feel like it was stuck so I forced myself to throw up and one of the vitamins ca...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Did you have any coughing or choking sensation during the consumption of tablets? It is unlikely to have gone in any wrong pipe, as there are only two pipes, one is respiratory and the other is a food pipe. If it has not gone into respiratory then it must have gon...  Read Full »

Why is there blood and burning feel after forceful vomit?

Query: Hello doctor, Yesterday I ate some pizza and drank tea at around 9 pm at a party. I had a feel like there was something stuck at my upper stomach and had a little pain. I was ignoring it, but then I got worried it might be something bad. So I forced myself to vomit, and I kept vomiting for half an h...  Read Full »

Dr. Happykumar Kagathara

Answer: Hello, Welcome to 1) Your symptom is suggestive of a small linear esophageal tear due to forceful vomiting. 2) In this condition, linear tear develops on the inner wall of the lowermost part of the esophagus. This is responsible for a small amount of blood in vomit and pain in the ch...  Read Full »

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