The main causes of vomiting blood after drinking alcohol and methods of treatment


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  • Features and accompanying manifestations
  • Main reasons: why vomits blood after drinking alcohol
  • How to help
  • How to treat a person if he vomits blood after drinking alcohol
  • Rehabilitation period
  • What are the consequences of lack of treatment?

Alcohol negatively affects all organs and systems. This has been proven by many tests. The situation is more dangerous if there are diseases of the digestive system. Patients may experience vomiting of blood after drinking alcohol. This is a manifestation of dangerous processes in the body, so urgent treatment will be required.

Features and accompanying manifestations

Vomiting after drinking alcohol indicates that the person has been poisoned. But, if blood admixtures are observed, this symptom indicates that the vessels have ruptured and hemorrhage has occurred inside the body. Therefore, an urgent examination is necessary to determine the severity of the pathological process.

With small blood losses in the body, up to 200 ml, there may be no associated manifestations. Although the patient may have this condition accompanied by:

  • mild nausea;
  • dry mouth;
  • chills;
  • loss of strength.

If the bleeding is severe, the condition worsens and, in addition to general malaise, the person begins to have noise in the ears, the heart beats rapidly, dizziness, and blood pressure readings are significantly higher than normal.

In this condition, sweating increases and the skin turns pale. Strong thirst leads to a hoarse voice. If the stomach or intestines are damaged, the patient may experience black, loose stools.

This is a dangerous condition that requires medical attention. Only a medical institution can take measures to prevent shock and death of the patient.

Before bleeding, the victim often feels severe pain, but gradually its intensity decreases. If the level of blood pressure in the artery increases significantly, the patient loses consciousness.

Symptomatic therapy

The appearance of blood in the contents of the stomach indicates serious diseases of the digestive system or other organs, so self-medication or delay in seeking medical help can be harmful to health. Patients with coffee-ground vomiting require rest and urgent hospitalization to determine the causes of the symptom and select a treatment regimen. At the preclinical stage, applying cold to the abdomen is acceptable. Intensive therapy is aimed at stopping bleeding and normalizing hemodynamic parameters.

Main reasons: why vomits blood after drinking alcohol

Vomits blood after drinking alcohol for various reasons. This condition is typical for damage to the stomach and esophagus. The development of a pathological condition is associated with the influence of many factors, which can only be determined by qualified diagnostics of the body. Drinking alcohol often results in the following consequences:

  1. Mallory-Weiss syndrome. According to ICD-10, this condition is classified as gastroesophageal rupture hemorrhagic syndrome. In this case, the mucous membrane is covered with linear breaks. This is a consequence of recurrent vomiting, which can occur with alcohol abuse. Gradually, the surface of the mucous membrane becomes covered with small lesions, which, under the influence of frequent vomiting, enlarge and form tears. Treatment consists of using conservative methods. Severe cases require surgery.
  2. Internal varicose veins. If you vomit blood after drinking alcohol, and the clots have a scarlet tint, this may be a sign of dilation of blood vessels in the gastric mucosa. Constant blood pressure provokes thinning of the walls of blood vessels, they cannot withstand and rupture. It is much more dangerous if the blood clots become dark in color. This phenomenon indicates prolonged and intense bleeding and requires immediate medical attention.
  3. Stomach ulcers. Under the influence of ethyl alcohol, the acidity of gastric juice increases, which is accompanied by destruction of the walls of the stomach. This is manifested by painful sensations in the upper abdominal cavity after eating. Gradually, the pathology leads to loss of appetite, constant heartburn and nausea, and a feeling of heaviness in the stomach. Gradually, ethanol provokes profound changes in the glandular apparatus of the digestive system. First, there is an increased production of mucus, with hydrochloric acid, pepsin and various enzymes. This causes exacerbation and new lesions of the mucous membrane. The patient's large vessels are destroyed, which can cause blood loss. Often in this condition, perforation of the ulcer occurs, in which the contents of the stomach penetrate into the abdominal cavity and an inflammatory process occurs.
  4. Cirrhosis. After drinking alcohol, people suffering from liver diseases, namely cirrhosis . If a person has been diagnosed with this disease, he must permanently abstain from any drinks containing alcohol. The disease is characterized by dilation of the vessels of the esophagus. Under the influence of blood pressure, they can rupture and cause severe bleeding. With cirrhosis, constant monitoring of the body's condition is necessary. Only this can save you from developing severe complications.

There are other factors under the influence of which a person vomits blood after drinking alcohol. This problem may be encountered by those who have inflammation, cancer or chronic diseases.

Severe vomiting after heavy drinking - what to do

It’s good if the drinker’s relatives know how to stop vomiting after an alcoholic binge. But they cannot always cope with intoxication on their own. If the above listed dangerous symptoms occur, attempting treatment at home is strictly prohibited. Only an experienced narcologist who has a whole arsenal of modern antiemetic drugs will help here.

If the patient feels tolerant and does not vomit very often, he can be helped as follows:


  1. Give a weak solution of potassium permanganate to drink. It should have a light pink color (in no case saturated, as it can burn the mucous membranes).
  2. Cleanse the intestines with an enema.
  3. Give an absorbent tablet (for example, activated carbon).

It is also important to give the patient plenty of fluids to drink. In case of intoxication, still mineral water or herbal decoctions are suitable.

How to help

If a person finds himself in such a situation, he needs the help of others. In such a situation, you must perform the following actions:

  1. Put the patient to bed. It should be positioned on its side. This way, vomit will not accumulate in the respiratory tract and an attack of suffocation can be avoided.
  2. Cover with a blanket and open the windows to allow oxygen into the room.
  3. Warm the patient. This will lead to improved blood circulation.
  4. To prevent blood stagnation, the person should be turned over periodically. The patient should not be left unattended. If his condition worsens, he may choke on vomit.
  5. Place a basin near the bed, as vomiting may continue for some time.
  6. Ensure normal drinking regime. A person should drink more clean water. Sorbents will also help. It is enough to give the patient activated carbon to drink to speed up the cleansing of the body.
  7. Measure pulse and blood pressure, if available.

You should not feed the victim, because eating will only complicate the functioning of the digestive system and worsen the condition. That's all you need to do in this condition.

Thanks to proper first aid, you can alleviate the condition of the victim and prevent the development of complications. It is important to get the patient to the hospital as quickly as possible. Especially if high fever joins the general symptoms.

First aid

If after drinking alcohol a person vomits blood, emergency assistance must be provided. A particularly alarming symptom is if the patient loses strength, is in a pre-fainting state, and the skin suddenly turns pale. This indicates severe bleeding that is life-threatening. If left untreated, it can cause death.

First aid is provided to those who are nearby. If a person is conscious, he must carry out the activities himself. It is necessary to take a horizontal position. To improve blood circulation, you can cover yourself warmly. It is forbidden to leave the patient alone. With severe weakness during the gag reflex, he may choke. Therefore, it is recommended to place the patient on his side.

To relieve poisoning, it is recommended to give an adsorbent, for example, activated carbon. Drinking plenty of fluids will also help. But it must be clean water, without gas and flavoring additives. You can use Regidron to normalize the water-salt balance. It is important that mineral waters should not be used if you have a stomach ulcer. Eating is prohibited until the exact cause of the bleeding is determined.

In severe cases, doctors use radical methods to quickly stop bleeding. After the diagnosis, the severity of the bleeding is determined, then the doctor prescribes one of the procedures:

  • Balloon tamponade using a probe.
  • Gastric lavage to remove blood clots and alcohol residues.
  • Minor operations, for example, ligation, sclerotherapy, performed endoscopically.
  • Drug therapy aimed at inhibiting bleeding and accelerating regeneration.

In severe cases, open surgery . It includes vein suturing, bypass surgery, and transsection of the esophagus.

Great importance is given to drug therapy . Numerous reviews prove that treatment at the first signs of bleeding allows you to solve the problem without surgery and prevent the development of life-threatening complications.

Drug therapy is carried out as part of first aid. It is performed both at home and in a hospital setting. it is not recommended to do anything before the doctor arrives . Doctors often use the following drugs:

  • Solutions for restoring water-salt balance. They will help prevent dehydration. This could be Gastrolit or Regidron.
  • To accelerate the removal of decomposition products, adsorbents are needed. This will help reduce alcohol intoxication and alleviate the patient’s condition. Polysorb, Smecta, Activated carbon are used.
  • The greatest load falls on the liver, so drugs are chosen that are aimed at maintaining the organ. They should not only help her cleanse the blood of toxins, but also restore damaged cells. For this purpose, Karsil, Heptor and others are appointed.
  • Long-term consumption of alcoholic beverages leads to intestinal dysfunction. The microflora is especially affected, so the course of medications should include probiotics. To eliminate heaviness and nausea, you can take Cerucal and Motilium.
  • The appearance of bile in the vomit may indicate the development of complications from the gallbladder. To eliminate this symptom, Hofitol is prescribed.

It is important to alleviate the general condition of the patient. Nootropics are used to normalize the functioning of the nervous system and brain . This could be Piracetam, Phenibut and others.

As a supplement, you can also use folk recipes. They are used only with the permission of a doctor and under his supervision. Before trying this or that recipe, it is important to exclude individual intolerance to the components and other contraindications.

When vomiting with blood, you can use the following recipes :

  • A whole quince fruit is crushed and filled with a glass of water. The mixture must be boiled. This compote will help eliminate nausea and vomiting. To do this, you need to take one spoonful of the drink every half hour.
  • Dried orange or lemon peels. They should be crushed and poured with a glass of vodka. It is recommended to prepare this remedy in advance and keep it at home. To eliminate nausea and vomiting, take 25 drops in a glass of water.
  • Chickweed herb is also great for treating bleeding symptoms. You can make juice from fresh herbs or brew dried ones. Take a spoonful until the condition eases.
  • Chicken bone broth. It must be cooked without salt and spices. Only cranberries are allowed to be added. Take several times a day as food.

How to treat a person if he vomits blood after drinking alcohol

After the victim is admitted to a medical facility, you first need to find out why he is vomiting blood after drinking alcohol. For this purpose, diagnostic studies of internal organs are carried out. is mandatory , during which a probe with a camera at the end is placed in the oral cavity and advanced through the esophagus into the stomach, checking the condition of the mucous membranes as it moves. Blood and urine are also checked. After receiving the results, a diagnosis will be made and treatment will be prescribed.

If you seek help in time, you can get by with medications. In severe cases, surgery or endoscopic techniques may be required. Since this condition can occur for various reasons, complex therapy is required.

First, to remove blood clots, the stomach is washed with cold water. Its temperature should not be higher than +4 degrees. Using a probe, the intensity of the bleeding is monitored. After this, medications . To narrow the blood vessels, they resort to blockade with adrenaline. Treatment includes medications such as vasodilators and vasoconstrictors, as well as balloon tamponade with two types of probes.

Diagnostic methods

It is important for the doctor to understand the causes and source of bleeding, and choose the right treatment tactics. Often you have to act very quickly. First of all, you need to find out what diseases the patient suffers from and whether he has taken any medications recently. Then an examination is carried out, which may include:

  • Chest X-ray.
  • General and biochemical blood tests (to diagnose anemia and assess liver parameters).
  • Stool test for occult blood.
  • Plain radiography of the abdominal cavity.
  • Contrast-enhanced radiography.
  • Endoscopic examination - FGDS.

Rehabilitation period

After therapeutic measures, the condition improves within a few days. In the future, the patient is contraindicated from drinking alcoholic beverages. If you continue to drink alcohol, the condition will worsen and emergency measures will be required.

A special diet plays an important role in recovery. It is aimed at reducing the load and accelerating the recovery of the gastric mucosa.

Doctors recommend giving up fried, spicy and salty, smoked and canned foods for several weeks. A low-smoking diet is recommended for any stomach disease. It allows you to relieve the digestive system and avoid deterioration in health . In the acute period, it is better to completely refuse food and drink a lot of clean water without gas. After a day, a small amount of broth or slimy porridge is allowed.

Gradually, the frequency of meals can be increased. At the beginning of treatment, you cannot eat anything other than liquid and warm food, which has a gentle effect on the digestive system.

The patient's diet should consist of mucous soups, porridges with water, and jelly. Over time, it can be varied with soft-boiled eggs and meat soufflé. The diet must be prescribed by the attending physician. At the same time, it takes into account the state of the body. In addition to proper nutrition, vitamin and mineral complexes may be recommended to speed up recovery.

Diet

You will have to not only forget about alcohol, but also completely reconsider your diet. At first, it is better for the patient not to eat. The most important thing now is to drink plenty of fluids to prevent dehydration. It is useful to drink teas based on calendula, rosehip or chamomile. They have a calming effect, relieve inflammation and help you recover faster from illness.

Usually, significant relief occurs within 2-3 days. This is only if the patient observed bed rest and followed all the doctors’ orders. Properly selected food will help replenish the supply of nutrients and will not irritate the esophagus and stomach. During this period, it is important not to overload the liver and pancreas. All fried and fatty foods are completely excluded. You should also not eat marinades, preserves, raw vegetables and fruits, as well as red meat. Food should be soft, pureed, and at a comfortable temperature.

It is best to start with weak tea and jelly, gradually moving on to liquid porridge and diluted chicken broth. Next, move on to chopped chicken pulp and soft-boiled eggs. It is recommended to drink vitamin C to strengthen the body. After complete recovery, you will need to strictly follow a diet and regularly visit a gastroenterologist. A specialist will help you choose the right diet for the future.

What are the consequences of lack of treatment?

Vomiting blood after alcohol is most often caused by disorders in the digestive system. If you ignore the symptoms and do not visit a medical facility, this may result in suffocation due to large amounts of vomit entering the respiratory tract. Also, blood loss will first cause anemia, followed by shock and death.

After discharge, the patient must follow a diet, avoid alcoholic beverages, and undergo examinations by a gastroenterologist at least once a year. This will prevent relapse and allow timely detection of the development of complications or other pathological conditions.

Medicines to help with vomiting

For frequent vomiting, when there is a risk of dehydration, doctors use effective antiemetic drugs (antiemetics). They allow you to stop painful attacks and prevent health-hazardous consequences. They work by blocking various pathogenetic components of the gag reflex.

Antiemetics include serotonergic and dopaminergic drugs, some antihistamines, anticholinergic drugs, and NK1 receptor antagonists. It is not recommended to take them without a doctor's prescription, as negative side effects may occur.

Treatment of vomiting in the clinic of JSC "Medicine" (clinic of academician Roitberg)

Often the symptom goes away on its own. However, if its appearance was dictated by the presence of a serious illness, a visit to a specialist is required. Depending on the cause of vomiting, the diagnosis may be carried out by a general practitioner, pediatrician, gastroenterologist, infectious disease specialist or gynecologist.

An experienced doctor will carry out the required diagnostics, make a diagnosis and draw up the most appropriate treatment plan, first of all prescribing anti-vomiting medication.

JSC “Medicine” (clinic of academician Roitberg) employs the best specialists of the capital and region, conducting diagnostics using the most modern equipment of proven world brands. All this together makes the treatment process quick and as convenient as possible for the patient.

You can make an appointment with a doctor by calling +7 24 hours a day or using the feedback form on the official website of the medical center. The clinic is located in the central district of Moscow at 2nd Tverskoy-Yamskaya lane, building 10, next to the metro stations “Belorusskaya”, “Mayakovskaya”, “Tverskaya”, “Novoslobodskaya”, “Chekhovskaya”.

Literature:

  1. Grinenko A. Ya. Chronic alcohol intoxication. - St. Petersburg: Legal Center Press, 2007. - 537 p.
  2. Drozdov E. S., Zenchenko E. I. Alcoholism: 100 questions and answers. - M.: Soviet Russia, 1988. - 133 p.
  3. Melnikov A.V. Alcoholism. A recovery guide for drinkers and their loved ones. - M.: Practical Medicine, 2021. - 256 p.
  4. Luzhnikov E. A., Sukhodolova G. N. Acute poisoning in adults and children. - M.: Eksmo, 2009. - 560 p.

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Other ways to combat the gag reflex during alcohol poisoning

The following simple techniques help some people with alcohol intoxication:

  • taking five grams of vitamin C;
  • drinking small sips of a weak solution of baking soda (take 5 teaspoons of the composition per liter of water);
  • using freshly squeezed lemon and orange juice (but you should not drink them if you have stomach diseases);
  • Take three tablespoons of glucose solution every hour.

It is clear that these recommendations will not help with severe vomiting after binge drinking. You can resort to them only in case of nausea or periodic vomiting. If an alcohol addict feels very bad and there is blood in the vomit, it is unacceptable to refuse medical help.

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