Discussions By Condition: I cannot get a diagnosis.

what causes vomiting blood leading to death!

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: aaliyah
  • August 9, 2007
  • 11:07 PM

I really am trying to get answers to how my son died. my son was due to return home to the uk on 17th january this year after he fell ill, i spoke to him on the monday night which was the last time i spoke to him as he died the following morning, (sudden death) i was told that he was vomiting blood on the night but told his family not to tell me cuz ill get frightened and that he was coming home any way. Im mortified and can not move on with my life, he was my first born and i loved he so much, he was buried without my consent in his fathers country.... i have no death certificate or reason for his death.. Im trying to put to gether in my head what my son may of died from... Please help me........ he complained of chest pains a few weeks before he died...... but then while we were talking on line... he showed me on web cam where was hurting him.... he pointed to every part of his stomach, and chest... he then said he has pain in his head, and kept holding his head and blinking his eyes like he had so much stress on him... he told me that he could not sleep... i asked him to come home which i then booked his ticket, but he died the day before he was due to come home... then i was informed by his family that he was vomiting lots of blood the fews days before his death... Also he told me he was so cold.... yet where he was it was so hot to live....


Please can anybody have any ideas what may of caused his death.


Thankyou....:(

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2 Replies:

  • Bleeding esophageal varices result from dilated (wider than normal) veins in the walls of the lower part of the esophagus and sometimes the upper part of the stomach.Causes, incidence, and risk factors Return to top Bleeding varices are a life-threatening complication of portal hypertension (increased blood pressure in the portal vein caused by liver disease). The portal vein carries blood from the intestine to the liver. Increased pressure causes the veins to balloon outward. The vessels may rupture, causing vomiting of blood and bloody stools or tarry black stools. If a large volume of blood is lost, signs of shock will develop. Any cause of chronic liver disease can cause bleeding varices.Symptoms Return to top VomitingVomiting bloodBlack, tarry stoolsBloody stoolsDecreased urine outputSymptoms of chronic liver disease (such as cirrhosis)Excessive thirstPalenessLight-headednessSigns and tests Return to top Physical examination:Signs of chronic liver disease or cirrhosisLow blood pressureRapid heart rateBloody or black stool on rectal examTests to determine where the bleeding is coming from and detect active bleeding include the insertion of a tube through the nose and down into the stomach to look for signs of bleeding.The tube is known as a nasogastric or "NG" tube. Tests to visualize the varices include EGD (esophagogastroduodenoscopy).Treatment Return to top The goal of treatment is to stop acute bleeding as soon as possible, and treat persistent varices with medicines and medical procedures. Bleeding must be controlled quickly to prevent shock and death. If massive bleeding occurs, the patient may be placed on a ventilator to protect the airway and prevent blood from going down into the lungs.In endoscopic therapy, an endoscope is used. The health care provider may inject the varices directly with a clotting medicine, or place a rubber band around the bleeding veins. This procedure is used in acute bleeding episodes and as prophylactic (preventive) therapy.Acute bleeding may also be treated by a balloon tamponade -- a tube that is inserted through the nose into the stomach and inflated with air to produce pressure against the bleeding veins.In the transjugular intrahepatic portosystemic shunt (TIPS) procedure, a catheter is extended through a vein across the liver where it connects the portal blood vessels to the regular veins in the body, and decreases pressure in the portal vein system .Octreotide and vasopressin are medications that may be used to decrease portal blood flow and slow bleeding.Emergency surgery may be used (rarely) treat patients if other therapy fails. Portacaval shunts or surgical removal of the esophagus are two treatment options, but these procedures have a high death rate.Expectations (prognosis) Return to top Bleeding recurs frequently without treatment. Bleeding esophageal varices are a serious complication of liver disease and carry a poor prognosis (probable outcome). Liver transplantation should be considered for patients with bleeding varices from liver disease.Complications Return to top Recurrence of bleeding after treatmentHypovolemic shockEsophageal stricture after surgery or endoscopic therapyWorsening encephalopathy (confusion)Infection (pneumonia, blood stream infection, peritonitis)Hope this helps in your sorrow.
    rad-skw 1605 Replies
    • August 10, 2007
    • 09:33 AM
    • 0
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  • Thankyou so much, if only i got to him before died ,it was sudden.... take care:(
    aaliyah 16 Replies
    • August 10, 2007
    • 03:50 PM
    • 0
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