What disease is vomiting blood a symptom of

For human health, vomiting blood is a relatively serious symptom. Although there are many reasons that lead to vomiting blood, if it reaches the point of vomiting blood, it means that the cause of the disease has reached a very serious level. To sum up, the main causes of vomiting blood include digestive system diseases, blood diseases, infectious diseases and some other reasons. When treating, it is necessary to first diagnose the cause of this symptom!

1. Causes

It is mostly caused by excessive consumption of alcohol, hot, spicy and fatty foods, depression, anger, worry, overwork and physical weakness, which lead to excessive heat in the stomach, depression of the liver turning into fire, or deficiency of the heart and spleen qi and loss of blood control. Some are caused by external factors. Vomiting blood can be divided into exogenous vomiting blood, internal injury vomiting blood, yin deficiency vomiting blood, mental fatigue vomiting blood, fatigue vomiting blood, qi stagnation vomiting blood, stagnation of heat in the body, stomach injury vomiting blood, alcohol injury vomiting blood, etc. Please see each item for details.

Blood comes from the stomach and esophagus and is spit out through the mouth. The blood is red or dark purple and often contains food residues. This is called hematemesis, also known as hematemesis. It is common in upper gastrointestinal bleeding caused by diseases such as peptic ulcer, chronic gastritis, cirrhosis, and gastric cancer in Western medicine.

2. Other causes of disease

1. Digestive diseases

(1) Esophageal diseases: esophageal varicose vein rupture, esophagitis, esophageal diverticulitis, esophageal cancer, esophageal foreign body, hiatal hernia, esophageal trauma, etc. Bleeding from esophageal varicose veins is often the most serious. Esophageal foreign bodies (such as fish bones) piercing the aorta can cause fatal bleeding.

(2) Gastroduodenal diseases: peptic ulcer, acute erosive gastritis, stress ulcer, gastric cancer, gastric mucosal prolapse, gastric artery sclerosis, etc. Bleeding is often more severe in duodenal bulb ulcers, and bleeding from stress ulcers, gastric cancer and gastric arteriosclerosis is also more serious.

(3) Hepatobiliary diseases: such as cirrhosis, rupture of esophageal and gastric varicose veins, acute hemorrhagic cholangitis, ampullary cancer, etc.

(4) Pancreatic diseases: pancreatic cancer.

2. Blood diseases: leukemia, thrombocytopenic purpura, hemophilia, Hodgkin's disease, polycythemia vera, hereditary hemorrhagic telangiectasia, etc.

3. Acute infectious diseases: leptospirosis, hemorrhagic measles, fulminant hepatitis, etc.

4. Other causes: uremia, polyarteritis nodosa, hemangioma, overdose of anticoagulants, etc.

3. Key points of diagnosis

The blood comes out with vomiting, and its color is dark purple, brown, or bright red, often containing food residues. There are often chronic diseases such as stomachache, flank pain, jaundice, and accumulation of symptoms, which are triggered by improper diet, emotional imbalance, excessive fatigue, and sudden changes in climate. The stool is as black as lacquer, or even dark red. Fecal occult blood test was positive. X-ray barium meal radiography, fiber gastroscopy, B-ultrasound and other examinations can often reveal the primary disease.

Vomiting blood is mostly caused by heat damaging the stomach meridian, spleen deficiency and loss of control, or blood stasis in the stomach meridian, which results in blood not flowing through the meridians and overflowing outside the vessels. In clinical practice, it is necessary to distinguish between deficiency and excess. Excessive syndrome is mostly due to heat (stomach heat and liver fire), while deficiency syndrome is mostly due to weak spleen. Clinically, most patients suffer from heat. The main method of treatment is to clear away heat, purge fire, reduce adverse effects, cool blood and stop bleeding, or invigorate Qi and restrain blood. Avoid using drugs that disperse dryness and heat, so as to prevent the blood from rising up along with the qi and fire and aggravating the bleeding.