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Hematemesis

Based in Houston, Dr. Bharat Pothuri at GastroDoxs provides expert care for hematemesis-vomiting blood. Through detailed history, lab tests, and endoscopy, he uncovers causes like ulcers or varices. Personalized treatment plans ensure swift bleeding control, symptom relief, and continued support.

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Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

What Is Hematemesis?

Hematemesis is the vomiting of blood-bright red or -coffee-ground- in appearance-originating from bleeding in the upper digestive tract (esophagus or stomach). The ICD-10 code is K92.0.

Common Causes and Risk Factors

  • Peptic ulcers in the stomach or duodenum
  • Gastritis (inflammation of the stomach lining)
  • Esophageal varices (swollen veins due to liver disease)
  • Mallory-Weiss tears from forceful vomiting
  • Use of NSAIDs or blood-thinning medications
  • Heavy alcohol consumption or chronic liver disease

Signs and Symptoms

  • Vomiting bright red blood or dark -coffee-ground- material
  • Nausea, frequent gagging, or retching
  • Abdominal pain or cramping
  • Lightheadedness, dizziness, or fainting
  • Rapid heartbeat (tachycardia) or low blood pressure

Expert Treatment for Hematemesis by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Physical Exam

He reviews your history of vomiting blood or coffee-ground material, character and timing of epigastric pain, medication use (NSAIDs, anticoagulants), alcohol intake and prior GI issues.

Blood Tests

Complete blood count to assess blood loss, liver function tests (AST, ALT, bilirubin), coagulation profile (INR/PTT) and H. pylori serology if ulcers are suspected.

Endoscopic Evaluation

  • Upper endoscopy (EGD) to directly visualize bleeding sites-ulcers, varices, Mallory-Weiss tears-and perform hemostatic therapy (clips, bands or injections).

Imaging Studies

  • Abdominal ultrasound to evaluate liver disease or portal hypertension.
  • Contrast-enhanced CT scan to identify active bleeding, masses or pancreatitis if pain is severe.

Advanced Testing (if needed)

Angiography or tagged red-cell scan for intermittent bleeding not seen on endoscopy, and-rarely-a biopsy to rule out malignant lesions.

Bharat Pothuri
Treatment

Our Team offers a full range of care for hematemesis.

1. Lifestyle and Diet Tips

  • Eat small meals throughout the day
  • Avoid alcohol, caffeine, and spicy foods
  • Stop NSAIDs if possible
  • Practice stress-reducing habits

2. Medications

  • PPIs (like omeprazole) to lower stomach acid
  • Sucralfate to protect the stomach lining
  • Antiemetics to reduce nausea
  • Octreotide for bleeding from swollen esophageal veins

3. Minimally Invasive or Advanced Procedures

  • Endoscopic treatment with clips, bands, or injections
  • Variceal banding to stop bleeding from esophageal veins
  • A TIPS procedure (shunt) for liver-related bleeding
  • Radiology-guided treatments for ongoing or hidden bleeding
618

Patients Treated

Dr. Pothuri has treated more than 618 patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What causes hematemesis?

Vomiting blood often stems from stomach ulcers, gastritis, esophageal varices, or Mallory-Weiss tears. NSAIDs, blood thinners, and heavy alcohol use can also trigger bleeding.

When should I go to the ER?

Seek emergency care if you're vomiting large amounts of blood, feel faint or lightheaded, have a rapid heartbeat, or show signs of low blood pressure.

How is the cause diagnosed?

Dr. Pothuri takes a detailed history, orders blood and liver tests, and performs an upper endoscopy. CT scans or ultrasounds may be used to locate and assess bleeding.

Can lifestyle changes help?

Yes. Avoid NSAIDs, alcohol, caffeine, and spicy foods. Eat small, frequent meals and practice stress-reduction to support healing.

What if I have nausea too?

You'll receive anti-nausea medications alongside acid-blocking drugs and protective agents to soothe your stomach lining.

How long does recovery take?

Recovery time varies by cause and severity. Most patients notice significant improvement within a few days of treatment and dietary adjustments.

What's the ICD-10 code for hematemesis?

The ICD-10 code for hematemesis is K92.0.

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