Q. What are the reasons for vomiting blood?
Hello doctor,
My brother is 32 years old. He is suffering from a strange medical problem. For the last couple of years, he has been vomiting blood. The problem has worsened recently, with the blood coming from the nose and the mouth. This happens at least three to four times a week. Because of this problem, he has become really weak and has lost a lot of weight in the past six months. He also has a grade 3 hiatus hernia and PAN gastritis. We have seen many doctors to find out the root cause of his problem, but there was no luck. I had taken him to a gastroenterologist, who asked us to see a hematologist as he did not find any reasons for vomiting blood. After a few tests, the hematologist asked us to see an ENT and now we are visiting an ENT specialist. He has recommended septoplasty for his nose as he thinks that will solve the problem. Several tests, including CT scan of the chest, ultrasound and endoscopy of the abdomen, CT scan of the PNS (paranasal sinus), blood tests like PT (prothrombin time), PTT (partial thromboplastin time), fibrinogen, and factor XIII have been done in the past for this problem, but nothing came out. Currently, he is taking Nasomist nasal spray and Liquid Paraffin. I am still not convinced if the procedure recommended by the ENT doctor will cure the root cause of the problem. Please help.
Hi,
Welcome to icliniq.com. I have thoroughly gone through your case and can well understand your genuine health concerns. I want to assure you that, you do not have to worry as everything is going to be fine if proper care and treatment is opted. This looks to me a case of epistaxis (bleeding from the nose) and it is not a simple one. It has got two important medical reasons attached to the disease history. His deviated nasal septum or he has nasal polyps in the sinuses. These two are the main concerns that need to be treated on a selective basis and surgery is the best option. As he also has GERD (gastroesophageal reflux) and hiatal hernia, he needs a proper time to time follow up with a gastroenterologist. Endoscopic nasal septoplasty and polypectomy are the surgical procedures needed. It can be handled with care by experienced hands of an otorhinolaryngologist. I suggest him to take Pantocid-L (Pantoprazole) for the stomach and esophagus issues. It will help to maintain normal motility of the stomach and will relieve acidity in the stomach. Consult your specialist doctor, discuss with him or her and take the medicines with consent.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Why do I have a raspy voice from childhood?
.. nose is blocked then you may have nasal polyps or some nasopharyngeal mass like adenoid or may have deviated nasal septum. For that, an endoscopy or CT scan is required. It may alter the voice. After ruling out these possibilities, you can consult Read full
I am hearing my breathing sound when I exhale hard. Is it normal?.. here to help you. When you listen silently, you can hear the exhalation sound, and that is absolutely normal. A few people have that sound in excess, and that can happen due to nasal polyps, obesity, and breathing disorders. Read full
Kindly explain nasal CT scan taken for rebound congestion in nostril.Hi doctor, My nasal CT Scan reports say: Deviation of the nasal septum to the left side with a septal spur on the left side impinging left interior turbinate visualized ... Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
iCliniq's FREE Newsletters
Expert-backed health and wellness information, delivered to your email.
Thank you for subscribing to our Newsletters!
Also Read
PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions. Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this. Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades. Read more»
Ask your health query to a doctor online?
Ask an Internal Medicine Physician Now* guaranteed answer within 4 hours.