January 19, 2013

Bloody pukes

We've almost been home 2 months (on January 27th), and were headed back to the hospital at the beginning of next week. Last Saturday we had to bring Hannah into the local emergency room because she was puking a little bit of blood all night followed with ALOT of blood in the morning. The doctors said that she probably just had a small tear from puking so much and that it was nothing, also that she was puking so much because she had the norwalk virus. They gave us enough Zofran(non drowsy anti nausea medication) to last us a day  2 days after that and then started puking again but not as bad. Last night(Friday) I noticed Hannah was very lethargic and puking lots again so I was going to try and call victoria hospital to get a prescription for zofran but before I could call she started puking blood.

Some of the blood puke 
The dark brownish looking stuff in side the HME is blood/puke

The blood/puke was all over her face and cloths,coming out of her nose, spots of blood all over the carpet where she had been laying, in her trach, lots in her HME, some even in her secretions when I suctioned her! Thankfully grama left the movie she was at to take us to emerge.

Hannah and grandma having a cuddle waiting to see the doctor

The Emergency doctor said the same thing as last time that it was probably just a tear but that we could wait for the on call paediatrican to come in. The pediatrican didn't have any concerns either but when I asked them to call the Victoria doctors those doctors said that they though it was a intestinal problem and that we would probably have to go to Children's hospital in Vancouver to get a intestinal scope done by the specialist there.
  Victoria doctors called today and said that we will for sure be needed to be admitted next week and they were just trying to set up appointments with specialists first.. but that if she has any more blood pukes we need to be admitted right away.
Hannah's face today from puking so much

$50 for three tiny pills!!

From google; Vomiting blood may be caused by:
  • Acute liver failure
  • Alcoholic hepatitis
  • Aspirin
  • Benign tumors of the stomach or esophagus
  • Cirrhosi  s (scarring of the liver)
  • Defects in gastrointestinal tract blood vessels
  • Dieulafoy's lesion (an artery that protrudes through the stomach wall)
  • Duodenitis (inflammation in the first part of the small intestine)
  • Esophageal cancer
  • Esophageal varices     (enlarged veins in the esophagus)
  • Esophagitis (inflammation of the esophagus)
  • Gastric erosions (breakdown of tissue lining the stomach)
  • Gastric varices (enlarged veins in the stomach)
  • Gastritis    (inflammation of the stomach)
  • Mallory-Weiss tear (tear in the esophagus associated with pressure caused by vomiting or coughing)
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Pancreatic cancer
  • Pancreatitis     (pancreas inflammation)
  • Peptic ulcer
  • Portal hypertension (high blood pressure in the portal vein)
  • Prolonged or vigorous vomiting
  • Stomach cancer
In infants and young children, vomiting blood may also result from:
  • Birth defects
  • Blood clotting disorders
  • Milk allergy
  • Swallowed blood, such as from the nose
  • Swallowed object

1 comment:

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