[44F] Experiencing recurrent vomiting of blood post-heart valve transplant

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

Vomiting Blood (Hematemesis)

• Gastrointestinal Bleeding: Given the bright red blood and clots, this could be due to a bleeding source in the upper gastrointestinal tract, such as the esophagus, stomach, or the first part of the small intestine. Conditions like esophageal varices (often related to cirrhosis), peptic ulcers, or gastritis could be potential causes.
• Esophageal Varices: Since you have cirrhosis, esophageal varices (enlarged veins in the esophagus) are a significant concern. These can rupture and cause severe bleeding.
• Mallory-Weiss Tear: This is a tear in the lining of the esophagus, often caused by severe vomiting or retching.

Chest Vibration

• Cardiac Issues: Given your recent heart valve transplant, any new chest symptoms should be evaluated by a healthcare provider. The vibration could be related to your heart or the recent surgery.
• Reflux or Esophageal Spasm: Sometimes, gastrointestinal issues can cause sensations that feel like chest vibrations.

Unifying Diagnosis

• Complications from Cirrhosis: Your cirrhosis could be contributing to multiple symptoms, including esophageal varices and gastrointestinal bleeding.
• Post-Surgical Complications: Given your recent heart valve transplant, it's crucial to consider any complications related to the surgery, such as infections or issues with the valve.

What you can do

Vomiting Blood

• Seek Immediate Medical Attention: Vomiting blood is a medical emergency. You should go to the emergency room or contact your healthcare provider immediately. They will likely perform tests such as an endoscopy to identify the source of the bleeding.
• Avoid Certain Medications: Until you see a doctor, avoid taking NSAIDs (like ibuprofen) or aspirin, as these can exacerbate bleeding.

Chest Vibration

• Monitor Symptoms: Keep track of when the chest vibrations occur and any associated activities or symptoms. This information will be helpful for your healthcare provider.
• Follow-Up with Your Cardiologist: Given your recent heart valve transplant, it's essential to consult your cardiologist to rule out any complications related to the surgery.

General Tips

• Stay Hydrated: Vomiting can lead to dehydration, so try to drink small sips of water or an electrolyte solution if you can tolerate it.
• Elevate Your Head: When lying down, elevate your head to reduce the risk of reflux, which might be contributing to your symptoms.

What you should look out for

Given the severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Increased Vomiting or Blood Loss: If you vomit more blood or the episodes become more frequent.
• Severe Chest Pain: Any increase in chest pain or new symptoms like shortness of breath.
• Dizziness or Fainting: These could be signs of significant blood loss or other complications.
• Changes in Stool Color: Black, tarry stools can indicate gastrointestinal bleeding.

Remember, while I can provide information and suggestions, I am not a substitute for professional medical advice. Please consult your healthcare provider for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.