What exactly happens when you choke

Vomiting blood

Vomiting blood (Hematemesis) is almost always an emergency situation. Indications of the source of the bleeding result from the previous history, accompanying symptoms as well as the amount and appearance of the vomit. B. foamy blood does not come from the digestive tract, but from the lungs. "Real" blood vomiting usually comes from diseases of the stomach or duodenum. If traces of blood are found in the vomit after previous, bloodless vomiting, they usually result from minor injuries to the mucous membrane that occur during the act of vomiting. Vomit blood can also look like coffee grounds if it has been left in the stomach for a long time and has been exposed to gastric acid. This is the case with minor bleeding, e.g. B. as a result of esophageal diseases and stomach tumors.

Symptoms, their causes, measures and self-help

  • Vomiting of frothy blood

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  • Traces of blood in the vomit after repeated vomiting

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  • Massive vomiting of blood; possibly stomach pain and / or bloating; possibly black tarry stool

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  • Massive vomiting of blood with jaundice (jaundice) and water belly; possibly black tarry stool

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  • Severe vomiting of blood and chest pain, usually after a previous strong cough or violent, bloodless vomiting

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  • Massive vomiting of blood when taking medication

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  • Repeated vomiting of small amounts of blood or liquids that look like coffee grounds; possibly swallowing difficulties; possibly heartburn, pain behind the breastbone or in the upper abdomen; possibly black tarry stool

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  • Single vomiting of coffee-like liquid, with or without a previous nosebleed

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Vomiting of frothy blood

Causes:

Activities:

  • Call an emergency doctor if no illness is known to be the cause
  • Otherwise to the attending physician on the same day

Traces of blood in the vomit after repeated vomiting

Root cause:

  • Irritation of the esophageal mucosa

Measure:

  • On the same day to the family doctor

Massive vomiting of blood; possibly stomach pain and / or bloating; possibly black tarry stool

Causes:

Measure:


Massive vomiting of blood with jaundice (jaundice) and water belly; possibly black tarry stool

Root cause:

Bleeding from esophageal varices (esophageal varices), e.g. B. at

Measure:


Severe vomiting of blood and chest pain, usually after a previous strong cough or violent, bloodless vomiting

Causes:

  • Mallory-Weiss syndrome (severe bleeding, often triggered by vomiting; especially in the case of chronic alcohol abuse as a result of severe damage to the esophageal mucosa)
  • Bleeding from esophageal varicose veins (esophageal varices)

Measure:


Massive vomiting of blood when taking medication

Root cause:

  • Side effects of painkillers and rheumatism drugs (NSAIDs)

Measure:


Repeated vomiting of small amounts of blood or liquids that look like coffee grounds; possibly swallowing difficulties; possibly heartburn, pain behind the breastbone or in the upper abdomen; possibly black tarry stool

Causes:

Measure:

  • On the same day to the family doctor

Single vomiting of coffee-like liquid, with or without a previous nosebleed

Root cause:

  • Swallowed blood e.g. B. from nosebleeds

Measure:

  • The same day to the family doctor if there was no previous nosebleed

Your pharmacy recommends

Since the cause is practically always serious illnesses, vomiting blood should always be clarified by a doctor.

Authors

Dr. med. Arne Schäffler; Dr. med. Brigitte Strasser-Vogel; Section "Your pharmacy recommends": Dr. med. Arne Schäffler; Sandra Göbel | last changed on at 14:52


Important note: This article has been written according to scientific standards and has been checked by medical professionals. The information communicated in this article can in no way replace professional advice in your pharmacy. The content cannot and must not be used to make independent diagnoses or to start therapy.