How Dr. Rishi Chadha Diagnoses Hematemesis
1. Medical History & Physical Exam
Dr. Chadha begins by reviewing your symptoms, alcohol use, NSAID use, and any history of liver or gastrointestinal disease. He performs a focused physical exam to assess for signs of bleeding or anemia.
2. Blood Tests
Lab work is ordered to check hemoglobin and hematocrit levels, liver function tests, and coagulation studies to quantify blood loss and identify any clotting abnormalities.
3. Upper Endoscopy
An esophagogastroduodenoscopy (EGD) is performed to directly visualize the esophagus, stomach, and duodenum. This allows Dr. Chadha to locate the bleeding site and often treat it immediately with clips, bands, or injection therapy.
4. Imaging Studies
- CT scan or CT angiography to pinpoint active bleeding or evaluate for mass lesions.
- Abdominal ultrasound to assess for liver disease or portal hypertension contributing to variceal bleeding.
5. Differential Diagnosis
Dr. Chadha systematically rules out other causes of upper gastrointestinal bleeding'such as Mallory-Weiss tears, varices, tumors, or vascular malformations�to tailor the appropriate treatment plan.
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Frequently Asked Questions
What is hematemesis?
Vomiting blood from your stomach or esophagus.
Is it serious?
Yes. Always seek care fast.
What is the ICD-10 code for hematemesis?
K92.0.
Can stress cause vomiting blood?
Not usually. It's more often due to ulcers, tears, varices or other injuries.
Can I treat it at home?
No. You need a doctor to evaluate and address the underlying cause.
Will I need an endoscopy?
Most likely, yes. An upper endoscopy helps locate and often treat the bleeding source.
What else can cause hematemesis?
Peptic ulcers, Mallory-Weiss tears, esophageal varices, tumors or severe reflux.
Can I eat after vomiting blood?
Only once your doctor clears you�usually starting with clear liquids and advancing slowly.
How long does recovery take?
It varies. Some patients improve in a few days; others may need longer treatment.
Should I see a GI specialist?
Yes. A board-certified gastroenterologist like Dr. Chadha provides expert diagnosis and care.
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