Hematemesis: Causes, Clinical Features, and Emergency Management

Hematemesis: Causes, Clinical Features, and Emergency Management

Question. Write a Short Note On Hematemesis.

Answer.

Hematemesis Clinical Features

• Patient presents with vomiting of blood or complaint of passing the *tarry stools.
• Many patients present with coffee-ground vomiting are present.
• In cases of severe hemorrhage, there may be fresh rectal bleeding or *giddiness and *syncope due to sudden hypovolemia.
• Hematemesis is mixed with food particles.

Hematemesis: Causes, Clinical Features, and Emergency Management

Hematemesis Management

General

• Put the patient on the bed.
• Arrange a fresh blood transfusion.
• Maintain nutrition and hydration.
• Pass a Ryle’s tube and do constant suction. In cases of suspected peptic ulcer an antacid in gel form is given too early.

Specific

• Treat underlying conditions appropriately.
• Once the crisis is over and the bleeding subsides, treatment is to be planned according to the basic disease. Druginduced hematemesis shall require symptomatic relief.

Causes of Hematemesis and Clinical Features