(Hematemesis)
=Osteopathic Etiology.=—Injuries to the stomach; local diseases, as
congestion, ulcers and cancer; vicarious menstruation; a mechanical
obstruction to the portal circulation; spinal lesions to the vasomotor
nerves of the stomach; alterations in the blood; perforation of the
stomach walls, involving a blood vessel; disease of some neighboring
organ.
=Diagnosis.=—A careful examination of the case and of the blood
ejected will be necessary to determine the nature of the cause. The
differential diagnosis as to the source of the blood, whether from the
stomach or lungs, was given under hemoptysis.
=Treatment.=—Correction of any lesions that may influence the blood
pressure in the region of the stomach, is the first requisite.
Treatment of the splanchnics has the greatest influence upon the
vasomotor nerves to the stomach. Treatment of the vagi nerves and of
the fourth and fifth dorsals, will quiet the violent movements of the
stomach, and thus aid in controlling the hemorrhage. Stimulation of
the cervical sympathetics and heat applied to the feet will tend to
equalize the vascular system, and thus lessen the gastric congestion.
The application of a broad flat ice-bag over the stomach will be of
great value. Keep the patient quiet in bed. Surgical interference may
be necessary.