Blood Clots and Chili Skin in Vomit: Key Insights - Gastroenterology and Hepatology

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Vomiting blood clots? Discoloration of chili skin?


Hello, I have a question.
Yesterday, when I intentionally induced vomiting, I noticed some red and dark red substances in the vomit that looked like chili skin.
No matter how I tried to wash it off with water or wipe it, it wouldn't dissolve.
However, when I dabbed it with a little water on a tissue, it left a slight pink stain.
So I would like to ask: 1.
If it is a blood clot, would it not dissolve? 2.
But if it is chili skin, isn't it lipid-soluble? Could it be that it is still being digested, which is why it can leave a stain?

davis, 20~29 year old female. Ask Date: 2017/10/08

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: 1.
Clotted blood may still disperse due to external forces.
2.
Chili skin is likely fibrous and difficult to digest.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/10/08

More Info


When it comes to understanding the presence of blood clots or chili skin-like material in vomit, there are several important factors to consider. First, let's address your observations regarding the red and dark red substances you noticed in your vomit.
1. Blood Clots: If the material you observed is indeed a blood clot, it can appear as dark red or even brownish. Blood clots can sometimes be thick and may not dissolve easily in water, which aligns with your observation that the material does not break down when you attempt to rinse it. Blood can coagulate and form clots in the stomach, especially if there has been bleeding from the upper gastrointestinal tract. This could be due to various reasons, including ulcers, gastritis, or even more serious conditions like esophageal varices or tumors. If the material is indeed a clot, it is crucial to seek medical attention promptly, as it may indicate an underlying health issue that requires immediate evaluation.

2. Chili Skin: On the other hand, if the material resembles chili skin, it could be undigested food particles. Chili skin is indeed not fat-soluble, and it can retain its color even after being in the digestive system. The fact that it leaves a pinkish stain when wet suggests that it may contain pigments that can leach out when moistened. This is typical for certain foods that are rich in color, such as chili peppers, which contain compounds like capsaicin that can impart a vivid hue.
In terms of digestion, the human stomach is quite effective at breaking down food, but some fibrous materials, especially those with tough skins, may not be fully digested. This can lead to the appearance of recognizable food particles in vomit, particularly if the food was consumed shortly before vomiting.


Recommendations:
- Medical Evaluation: Regardless of whether the material is a blood clot or undigested food, it is advisable to consult a healthcare professional. Vomiting, especially with the presence of unusual substances, can be a sign of gastrointestinal distress or other medical conditions that may require treatment.

- Monitoring Symptoms: Pay attention to any additional symptoms you may experience, such as abdominal pain, changes in bowel habits, or any signs of bleeding (like black or tarry stools). These can provide important clues to your healthcare provider.

- Dietary Considerations: If you suspect that the material is related to your diet, consider keeping a food diary to track what you eat and any subsequent gastrointestinal symptoms. This can help identify any specific foods that may be causing issues.

In conclusion, while it is possible that the material in your vomit could be either a blood clot or undigested food, the presence of blood warrants a careful and prompt medical evaluation. It is always better to err on the side of caution when it comes to potential health issues.

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