Vomiting after drinking 10-15 pints of beer daily for 15-20 days. First watery vomit then red colour blood with mucus and fowl smell then again with brown colour blood what may be the cause
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NHS vomiting blood emergency call ambulance coffee grounds vomit
This is an emergency. Vomiting bright red blood followed by brown or coffee-ground-like blood after heavy alcohol use may mean an upper gastrointestinal bleed. Go to the nearest emergency department now, or call emergency services if bleeding is continuing, you feel faint, confused, very weak, have black/tarry stools, severe abdominal pain, trouble breathing, or a fast heartbeat.
Possible causes include:
- A tear in the lower esophagus from repeated retching, called a Mallory-Weiss tear
- Alcohol-related inflammation/erosions of the stomach lining (gastritis)
- A bleeding stomach or duodenal ulcer
- Bleeding swollen veins in the esophagus or stomach (varices), especially if there is alcohol-related liver disease or cirrhosis. This can be rapidly life-threatening.
Brown blood may be blood that has partly digested in the stomach. The foul smell and mucus do not make this safe or rule out serious bleeding.
Until assessed:
- Do not drink any more alcohol.
- Do not take aspirin, ibuprofen, naproxen, diclofenac, or blood thinners unless a clinician specifically tells you to.
- Do not drive yourself. Have someone take you or call an ambulance.
- Avoid food and drink in case urgent endoscopy is needed, unless emergency staff advise otherwise.
The hospital may need blood counts, liver and clotting tests, IV fluids, medicines, and an urgent camera test (upper endoscopy) to find and stop the bleeding. Vomiting blood requires immediate examination, as MedlinePlus advises.
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