Thank you for your question. In order to provide an accurate diagnosis, I would need more information. I would need to review your entire medical history and also perform a thorough physical exam. In addition, you may need other testing such as blood work or imaging studies. Only after collecting this information would it be possible to offer a diagnosis. Therefore, I strongly encourage you to schedule an appointment with a primary care doctor
to discuss this concern.
blood is also known as hematemesis, and it has many potential causes. Patients with hepatic cirrhosis can develop blood vessel abnormalities called varices along the esophagus. These can bleed, sometimes leading to massive blood loss. Given your alcohol use, it is possible you have esophagitis or gastritis, essentially irritation of the esophagus and stomach. This can lead to bleeding
, and it often requires medication to resolve. Peptic ulcer disease can lead to erosion of the stomach lining, and it can cause bleeding if there is erosion into a blood vessel. If you have had ongoing vomiting, you can develop a tear in the esophageal lining, known as a Mallory-Weiss tear. This can also cause bleeding. I strongly encourage you to discuss these concerns with a primary care doctor.