Blood in Vomit: Causes and Concerns After Drinking - Gastroenterology and Hepatology

Q: Blood in Vomit: Causes and Concerns After Drinking

Hello： If you are drinking alcohol and experiencing vomiting, there is a possibility of hemorrhagic gastritis or esophageal tears (Mallory-Weiss syndrome). <br>If the bleeding continues and the amount increases, it is advisable to visit the emergency department or a gastroenterol

Vomiting blood?

Hello doctor, I went out drinking yesterday, and at first, when I vomited, it was red (I’m not sure if it was because I had cranberry juice).
The vomit was very acidic, but I noticed there was a particularly bright red, stringy liquid in the urinal, which looked like blood when I wiped it on toilet paper (it wasn’t a large amount).
I vomited three more times afterward, but it didn’t resemble the first time, and there were no traces of blood.
If I had injured myself from vomiting too hard, wouldn’t I see blood every time? However, I didn’t have any blood in the subsequent episodes.
What could be the issue?

Xiao Ming, 20~29 year old female. Ask Date: 2016/07/07

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If you are drinking alcohol and experiencing vomiting, there is a possibility of hemorrhagic gastritis or esophageal tears (Mallory-Weiss syndrome).
If the bleeding continues and the amount increases, it is advisable to visit the emergency department or a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2016/07/07

More Info

When it comes to vomiting blood after drinking alcohol, there are several potential causes and concerns that should be addressed. The presence of blood in vomit, known as hematemesis, can be alarming and may indicate underlying health issues that require medical attention.

One of the primary reasons for vomiting blood after consuming alcohol is the irritation and inflammation of the stomach lining, known as gastritis. Alcohol is a known irritant that can lead to the erosion of the stomach lining, resulting in bleeding. This is particularly true if large quantities of alcohol are consumed or if the individual has a history of alcohol abuse. In severe cases, this irritation can progress to the formation of ulcers, which can also bleed.

Another possible cause of blood in vomit is a condition known as Mallory-Weiss syndrome. This occurs when excessive vomiting leads to tears in the lining of the esophagus, particularly at the junction where the esophagus meets the stomach. These tears can cause significant bleeding, which may present as blood in vomit. The fact that you experienced bright red blood during your initial vomiting episode could suggest that the bleeding originated from the upper gastrointestinal tract, which is consistent with either gastritis or Mallory-Weiss tears.

The observation of "fresh red strands" in your urine could be concerning as well. While it is possible that this could be related to the vomiting (for example, if there was some blood that was swallowed and then expelled), it is also important to consider other potential causes. Hematuria, or blood in the urine, can arise from various conditions, including urinary tract infections, kidney stones, or trauma. It is crucial to differentiate whether the blood in your urine is related to your vomiting or if it is a separate issue that needs to be addressed.

Regarding your concern about the absence of blood in subsequent vomiting episodes, it is possible that the initial episode was severe enough to cause some bleeding, but subsequent vomiting did not exacerbate the condition. The body can sometimes heal minor injuries relatively quickly, and if the irritation was not severe, the bleeding may have stopped on its own. However, this does not mean that the underlying issue has been resolved.

In terms of management, it is essential to avoid further alcohol consumption, especially if you have experienced these symptoms. Alcohol can exacerbate existing gastrointestinal issues and lead to further complications. Staying hydrated and consuming a bland diet may help soothe your stomach. However, if you continue to experience symptoms such as vomiting blood, abdominal pain, or changes in your urine, it is crucial to seek medical attention promptly. A healthcare provider may recommend diagnostic tests, such as an endoscopy, to assess the condition of your gastrointestinal tract and determine the appropriate treatment.

In summary, vomiting blood after drinking can be caused by gastritis, ulcers, or Mallory-Weiss syndrome, and the presence of blood in urine may indicate a separate issue. It is vital to monitor your symptoms closely and consult a healthcare professional if they persist or worsen. Taking these symptoms seriously is essential for your health and well-being.

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