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Suggest Treatment For Bloody Smelly Vomiting For My Grandfather
Hello sir...my grandfather is hospitaliz..He is in serious condition...He got a major heart attack...two days before..and after that blood vomiting does not stop till yet..smelly vomiting...and doctors here can t diagnose the reason n solution...plz help us...we r from pakistan...plzzz help us...and suggest some solution..we hv just know that his liver is not working..and water in lungs
posted on
Wed, 13 Jul 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 27 Sep 2019
Answered on
Mon, 30 Sep 2019
Last reviewed on
Hi,
He might be having blood vomiting from stomach and food pipe due to increased pressure caused by shrunken liver called liver cirrhosis. It's a very serious condition and needs liver transplant for proper management but at this moment bleeding needs to be stopped.
One way is to do upper Gastrointestinal tract endoscopy or OGD along with banding of blood vessels which are bleeding and side by side blood transfusion to cope with lost blood.
But due to heart attack and fluid accumulation in lungs due to hearts getting weak to pump blood forward rather dumping it backwards leads to pulmonary edema or what we call water in lungs usually.
In such condition blood thinners can't be given to open heart vessels as in order to do so, the gastric tract bleeding can get worst. Blood transfusion can cause more fluid in lungs and difficulty breathing. So it's a very tough situation to be into.
Chain of management should be doing upper GI endoscopy, band ligation, stopping bleeding, alongside diuretics to remove fluid from lungs if blood isn't very low and ionotropic support for a while to increase the BP and try to ease his heart out supportively as angiography can also be difficult immediately.
Once fluid is reduced from lungs , bleeding stops, BP builds up, blood transfusion to cope with the lost blood, slowly, only way to hope for any chance of recovery after that.
Hope I have answered your question. Let me know if I can assist you further.
Wishing you a speedy recovery.
Regards,
Dr. Saddiq Ulabidin, General & Family Physician
He might be having blood vomiting from stomach and food pipe due to increased pressure caused by shrunken liver called liver cirrhosis. It's a very serious condition and needs liver transplant for proper management but at this moment bleeding needs to be stopped.
One way is to do upper Gastrointestinal tract endoscopy or OGD along with banding of blood vessels which are bleeding and side by side blood transfusion to cope with lost blood.
But due to heart attack and fluid accumulation in lungs due to hearts getting weak to pump blood forward rather dumping it backwards leads to pulmonary edema or what we call water in lungs usually.
In such condition blood thinners can't be given to open heart vessels as in order to do so, the gastric tract bleeding can get worst. Blood transfusion can cause more fluid in lungs and difficulty breathing. So it's a very tough situation to be into.
Chain of management should be doing upper GI endoscopy, band ligation, stopping bleeding, alongside diuretics to remove fluid from lungs if blood isn't very low and ionotropic support for a while to increase the BP and try to ease his heart out supportively as angiography can also be difficult immediately.
Once fluid is reduced from lungs , bleeding stops, BP builds up, blood transfusion to cope with the lost blood, slowly, only way to hope for any chance of recovery after that.
Hope I have answered your question. Let me know if I can assist you further.
Wishing you a speedy recovery.
Regards,
Dr. Saddiq Ulabidin, General & Family Physician
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