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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Vomiting Dark Red Object Indicate?

I ve been to the walk in clinic yesterday and the doctor today. At the doctor s office, they did a strep test. And prior to that, I had a flu test at the walk in clinic. They don t know what s wrong. I even had an x-ray done. My chest is in severe pain and two days ago I vomited up what appeared to be a dark red (almost black) blob about the size of a small fish. It was disgusting. It was a few hours after eating a veggie burrito. I ve had aches and severe post nasal drip for 4 days. What is this blob?
Tue, 17 Nov 2015
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General & Family Physician,  's  Response
Hi,
Welcome to health care magic,

Vomiting with dark red blob or eaten veggie burrito could be due to acute gastritis or gastric ulcer but it is very difficult to say from clinical point of view.

This blob could be eaten material or may be blood clot but as i said,it needs to be inspected clinically to confirm what is it.

So,it must be evaluated further by clinical examination and some relevant tests.

So,you should undergo routine blood investigations and H.pylori,liver function tests,urinalysis and stool for blood,abdominal ultrasound and upper gastrointestinal endoscopy to detect the underlying cause.

Treatment is mainly depend on the cause but she may take symptomatic treatment meanwhile.

Antacids like h2 blockers (ranitidine) or proton pump inhibitors (pantoprazole or rabeprazole) will help to reduce excess acid production in stomach.

One can also take digene gel or liquid or ulcero-protective agents like sucralfate or bismuth subsallicylate to reduce the burning sensation.

Consult gastroenterologist for detailed medical history and clinical examination to diagnose the cause.

Thanks and Regards,
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What Does Vomiting Dark Red Object Indicate?

Hi, Welcome to health care magic, Vomiting with dark red blob or eaten veggie burrito could be due to acute gastritis or gastric ulcer but it is very difficult to say from clinical point of view. This blob could be eaten material or may be blood clot but as i said,it needs to be inspected clinically to confirm what is it. So,it must be evaluated further by clinical examination and some relevant tests. So,you should undergo routine blood investigations and H.pylori,liver function tests,urinalysis and stool for blood,abdominal ultrasound and upper gastrointestinal endoscopy to detect the underlying cause. Treatment is mainly depend on the cause but she may take symptomatic treatment meanwhile. Antacids like h2 blockers (ranitidine) or proton pump inhibitors (pantoprazole or rabeprazole) will help to reduce excess acid production in stomach. One can also take digene gel or liquid or ulcero-protective agents like sucralfate or bismuth subsallicylate to reduce the burning sensation. Consult gastroenterologist for detailed medical history and clinical examination to diagnose the cause. Thanks and Regards,