Why is the woman vomiting blood?

There are many problems in the human body, and these problems are caused by many reasons, including vomiting blood. In fact, vomiting blood is mostly a manifestation caused by lesions in our internal organs. Once it occurs, it should be checked and treated in time. There are many clinical manifestations before vomiting blood. So why do women vomit blood?

Vomiting blood can be upper gastrointestinal bleeding or hemoptysis caused by bronchiectasis. There are four main diseases that cause upper gastrointestinal bleeding. The most common is gastroduodenal ulcer. About 50% of patients with upper gastrointestinal bleeding are caused by gastroduodenal ulcer. Rupture and bleeding of esophageal varices caused by liver cirrhosis account for about 25%. Drinking large amounts of alcohol or taking certain drugs such as hormones (such as prednisone) or antipyretic analgesics (such as aspirin, indomethacin, ibuprofen, etc.) for a long time can easily cause erosion of the gastric and duodenal mucosa, induce gastric and duodenal ulcers, and be complicated by upper gastrointestinal bleeding.

In addition, gastric cancer is also a common disease that causes upper gastrointestinal bleeding. Middle-aged and elderly people with upper gastrointestinal bleeding, especially those with stomach problems accompanied by chronic anemia, should be alert to the possibility of gastric cancer. Generally speaking, upper gastrointestinal bleeding in young people is mostly caused by gastric and duodenal ulcers. In addition to gastric and duodenal ulcers, gastric cancer factors should also be considered in middle-aged and elderly people. The main symptoms of patients with upper gastrointestinal bleeding are vomiting blood and black stools. If the bleeding is heavy and rapid, it may manifest as vomiting blood; if the bleeding is light and slow, it may manifest as black stools. Patients with hematemesis will have black stools within a few days after vomiting the blood. The color of vomited blood can be brown, dark red or bright red depending on the amount of bleeding, the rate of bleeding and the time it stays in the stomach.

Vomiting blood is often preceded by nausea and discomfort in the upper abdomen (commonly known as the pit of the stomach). Vomiting a lot of blood and accompanied by severe shock symptoms such as dizziness, palpitations, thirst, cold sweats, and fainting is a sign of massive upper gastrointestinal bleeding and the condition is quite serious. For patients with recurrent gastric and duodenal ulcers or bleeding complications, in addition to the eradication of Helicobacter pylori, maintenance treatment is an important treatment measure to prevent recurrence. This maintenance treatment is mainly based on H2 receptor antagonists (such as Tagamet, Ranitidine, Famotidine). Currently, half of the standard dose is taken at bedtime. The duration of maintenance treatment should be determined according to the condition of the disease, ranging from 3-6 months to 1 or 2 years, or even longer.

Hemoptysis refers to bleeding in the respiratory tract below the larynx, which is coughed up through the mouth. Hemoptysis is usually accompanied by coughing. Blood in sputum or coughing up blood is called hemoptysis. Patients with severe hemoptysis may sometimes suffocate due to blood clots blocking the trachea. When coughing up blood, the throat will first itch and smell fishy, ​​then the blood will come out with coughing, often mixed with sputum, which is pink or bright red in color and sometimes foamy. Small amounts of bleeding occur simultaneously with coughing and sputum, that is, blood in the sputum. Massive hemoptysis often occurs when blood vessels in the bronchial wall rupture and a large amount of bright red blood is suddenly coughed up, up to 200 to 300 ml. The patient is frightened and may even faint.

Hemoptysis and hematemesis are both vomited out from the mouth and are sometimes easily confused, but the treatment methods for the two are not completely the same and should be differentiated. (1) Rest quietly, do not panic, tilt your head to one side or take a semi-recumbent position, clean the blood clots in the patient's mouth and nose in time, and keep the airway open. In case of severe hemoptysis, the head should be lowered and the feet should be raised to drain the blood in a normal position to prevent the coughed up blood from being inhaled into the trachea and causing suffocation. If there is blood in the sputum, you can take cough suppressants and sedatives orally to reduce chest vibration and stop the bleeding. (2) A cold water bag can be placed on the patient’s chest to apply pressure and stop bleeding. (3) Appropriate use of hemostatic drugs, such as Anluoxue, Zhixuemin, vitamin K3, Yunnan Baiyao, Panax notoginseng powder, etc.