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Suggest Treatment For Vomiting, Stomach Pain And Raw Throat After Alcohol Intake

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Posted on Mon, 5 Jan 2015
Question: I drank pretty heavily last night and I hardly ever drink and this morning I woke up to the normal hangover and puking but as I was heaving and trying to get it all out of my system I was straining pretty hard and the last bit that I vomited was a good amount of blood. Currently I no longer feel like I have a "hangover" but I do have a small stomach pains and my throat seems raw. I know I shouldn't of drank that much and I don't have insurance to go to the ER. Currently 21 years old and in a bit of shock. Any advice would be great, thank you.
doctor
Answered by Dr. Dr. Matt Wachsman (1 hour later)
Brief Answer:
sorry, can only give the information

Detailed Answer:
and cannot say for your particular situation without examine you. AND
1) alcohol causes ulcers which can be fatal. Alcohol is an organic solvent and also stimulates acid secretion. It can therefore erode the stomach, intestines, or the esophagus (if there's any reflux and alcohol increases reflux).
2) vomiting often strains/tears muscles causing perforation. The good news is that this type of perforation generally is temporary and heals on its own rapidly (most of the time). The bad news is while it is healing it will cause bleeding which can be severe to the point of being fatal.
So.. someone bleeding after an alcoholic binge can have an absolutely preventable fatal disease. It is treatable and the fatality easily prevented. Frankly, the cheapest treatment is (sorry) to go for emergency evaluation and demand stomach pumping. If there is no acute bleeding and the pain is mostly gone... then the risk is not very much. They will recommend scoping and short stay BUT, the stomach pumping pretty much rules out nearly all continuing bleeding and most (but not all) risk.
Provided no drinking alcohol for most of a month AND that there's no other problme like liver disease or clotting problems.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (5 minutes later)
Ok, it was a bright red blood could that mean anything? I currently feel fine just hunger pains because I'm too scared to swallow anything. Would it be safe to eat for the time being or drinking any liquids? It is currently 6pm eastern time where I am and I threw the blood up nearly 3 hours ago. If I wait it out till tomorrow morning and I feel fine would you still say I should visit the ER?
doctor
Answered by Dr. Dr. Matt Wachsman (5 minutes later)
Brief Answer:
sticking to my first answer

Detailed Answer:
as I always do.

I noted the bright red blood description prior to answering. It means a great deal.
If the blood is in the stomach then it gets digested and is NOT red/bright/liquid.
This indicates that the bleeding source is likely higher up (top of stomach and up) and NOT lower down (NOT duodenum... probably not even stomach). That would imply the
" often strains/tears muscles causing perforation " part. Which is really bad and really short lived. CAN be very very bad if there is liver cirrhosis and more areas to bleed in the esophagus (and really poor ability to stop bleeding due to the liver disease).
The brief evaluation in the ER can show if the bleeding is continuing (which would be bad; also not very likely) and can show if the liver is failing (which would be worse and even less likely).
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (5 minutes later)
Okay, thank you Dr. XXXXXXX Wachsman.

I have to get on top of this before it gets worse. Currently have no other choice but to wait it out until tomorrow morning for a ride to the ER. I greatly appreciate your time.

when you say really bad and short lived? Do you mean the pain is really bad and it heals quickly?
doctor
Answered by Dr. Dr. Matt Wachsman (27 hours later)
Brief Answer:
pretty much, yes

Detailed Answer:
Spontaneous tears in the esophagus. The fundamental thing is that with vomiting with alcohol it depends totally on the underlying person. Mostly.... there isn't a tear. There is an irritation, or a very superficial tear that doesn't go all the way through. In this context, if someone has severe liver disease, it's very bad. Otherwise, it spontaneously stops. Rapidly. Nothing on testing afterwards. Generally, there isn't much pain and what pain there is is like a superficial skin tear. Bad at first, and goes downward most of it goes in hours.

Pain isn't generally really bad. If it's really bad and stays or if it gets worse or if there is continuing bleeding or fever/chills... immediate surgical evaluation is needed.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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Suggest Treatment For Vomiting, Stomach Pain And Raw Throat After Alcohol Intake

Brief Answer: sorry, can only give the information Detailed Answer: and cannot say for your particular situation without examine you. AND 1) alcohol causes ulcers which can be fatal. Alcohol is an organic solvent and also stimulates acid secretion. It can therefore erode the stomach, intestines, or the esophagus (if there's any reflux and alcohol increases reflux). 2) vomiting often strains/tears muscles causing perforation. The good news is that this type of perforation generally is temporary and heals on its own rapidly (most of the time). The bad news is while it is healing it will cause bleeding which can be severe to the point of being fatal. So.. someone bleeding after an alcoholic binge can have an absolutely preventable fatal disease. It is treatable and the fatality easily prevented. Frankly, the cheapest treatment is (sorry) to go for emergency evaluation and demand stomach pumping. If there is no acute bleeding and the pain is mostly gone... then the risk is not very much. They will recommend scoping and short stay BUT, the stomach pumping pretty much rules out nearly all continuing bleeding and most (but not all) risk. Provided no drinking alcohol for most of a month AND that there's no other problme like liver disease or clotting problems.