Stomach Issues: Symptoms of Possible Gastric Bleeding

About the stomach?

In the past few weeks, I have been experiencing discomfort in my stomach, accompanied by a metallic taste in my mouth and slight traces of blood in my saliva.
Could this indicate a gastric bleed? Additionally, over the past two days, I have felt dizzy when hungry, and after eating, I experience a rapid heartbeat and chest tightness.
Could these symptoms be related to my stomach? I had an endoscopy two to three years ago, which revealed the presence of Helicobacter pylori.
Thank you.

123, 20~29 year old female. Ask Date: 2009/09/25

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, symptoms of gastric bleeding include not only hematemesis but also melena, hematochezia, anemia, and tachycardia.
Therefore, the absence of gastrointestinal symptoms related to stool may indicate that it is not gastric bleeding.
Additionally, if a patient experiences gastrointestinal bleeding accompanied by hematemesis, the volume of blood loss should exceed 1500 cc, necessitating urgent medical attention; symptoms may not persist for several weeks.
Furthermore, individuals with a history of Helicobacter pylori infection are at high risk for gastric and duodenal ulcers and should receive aggressive treatment (triple therapy).
If there are still significant concerns regarding peptic ulcers, it is advisable to seek a specialist's opinion and undergo an endoscopy.
Wishing you good health, Dr.
Yao Zhenrong, Taoyuan Hospital, Department of Health.

Reply Date: 2009/09/25

More Info

When experiencing symptoms such as a metallic taste in the mouth, especially with the presence of blood in saliva, it is crucial to consider the possibility of gastric bleeding. Gastric bleeding can manifest in various ways, including vomiting blood (hematemesis), passing black or tarry stools (melena), or even experiencing a metallic taste due to blood in the gastrointestinal tract. The symptoms you describe, particularly the blood taste and dizziness when hungry, could indicate a serious underlying issue that requires immediate medical attention.

The presence of Helicobacter pylori (H. pylori) infection, which you mentioned having two to three years ago, is significant. H. pylori is a common bacterium that can lead to chronic gastritis and peptic ulcers, which can subsequently result in gastric bleeding if left untreated. If you have not undergone treatment for this infection since your last endoscopy, it is essential to discuss this with your healthcare provider. The symptoms of increased heart rate and chest tightness after eating could also be related to anxiety or stress, especially if you are experiencing discomfort and uncertainty about your health.

Given your symptoms, it is advisable to seek medical attention promptly. A healthcare professional may recommend further diagnostic tests, such as a repeat endoscopy, to evaluate the current state of your stomach and check for any signs of bleeding or ulceration. Blood tests may also be necessary to assess your hemoglobin levels, which can indicate whether you are losing blood internally.

In the meantime, it is essential to monitor your symptoms closely. If you experience any of the following, seek emergency medical care immediately:
- Vomiting blood or material that looks like coffee grounds
- Black or tarry stools
- Severe abdominal pain
- Dizziness or fainting spells
In terms of self-management, consider the following:
1. Dietary Adjustments: Avoid spicy, acidic, or irritating foods that can exacerbate gastric discomfort. Focus on a bland diet that includes foods like bananas, rice, applesauce, and toast (the BRAT diet).

2. Hydration: Ensure you are well-hydrated, especially if you are experiencing any vomiting or diarrhea.

3. Medication: If you are currently on medications for gastric issues, ensure you are taking them as prescribed. Avoid NSAIDs (non-steroidal anti-inflammatory drugs) as they can irritate the stomach lining.

4. Stress Management: Engage in relaxation techniques such as deep breathing, meditation, or gentle exercise to help manage stress, which can exacerbate gastrointestinal symptoms.

In conclusion, while your symptoms may be related to gastric issues, the presence of blood in your saliva and the other symptoms you describe warrant immediate medical evaluation. Do not hesitate to reach out to your healthcare provider to discuss your symptoms and the need for further investigation. Early intervention can prevent complications and lead to more effective treatment.

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