Need a virtual hand hold , husband vomiting blood

You can still go and be with him though if he is too ill to speak for himself? Like you could have gone in the ambulance with him? I’ve definitely been with my mum in the receiving part of the hospital. Id go down there and make sure he is not discharged, mention negligence for sure.

Actually if he’s medically stable and remember we’ve only the opinion of a naturally anxious wife, there is no reason not to send him home! He will get scans done far quicker as an outpatient than he will staying in hospital! Too much unqualified dangerous advice being given in here! If he’s sent home, there is no best course of action is to speak to their GP, who can explain everything to them! Often what looks like a lot of blood in actuall fact isn’t!

Just quoting myself to point out there was an autocorrect to grinds, it should have been grounds obviously.

Treatment plan!

Coffee grounds is not bile! It’s the description for old blood that’s been sitting in the stomach usually caused by a bleeding ulcer! Bile is green, coffee ground is brownish black!

Do you mean what course of action is required?

Any more news. You going to have to be your husband's spoke person here and ask for scans. They need to find out what's going on

Days without going to the toilet isn’t a very long time. You can be constipated for a couple of weeks before you need to start taking it seriously. Maybe he has a stomach ulcer, sounds like it with the coffee grounds vomit. They can put him on domperidone to stop him being sick, that’ll give the ulcer time to heal. You do feel quite poorly with an ulcer.

I know you’re already worried but this sounds too serious to be discharged.
You need to be there to advocate for him - my friend’s husband was exactly like this a few months ago and after two visits to a&e he was admitted via ambulance as an emergency and eventually got the right treatment.
I really don’t want to scare you but he had a lengthy operation and his treatment is still ongoing (he opted for a different hospital for his after care).
Don’t be fobbed off OP.

This looks like a blatant copy-paste from ChatGPT (the protocol, not the reply to it)

Ask how they can know his bowel won’t rupture, make it very clear when his last bowel moment was. Ask for a second opinion from someone more senior. I presume he’s had bloods? What is his hb?

There is definitely something going on but it’s difficult to say what from the information.
I would not be at all happy with him being discharged and am surprised that they are not doing an endoscopy at the very least if there was active bleeding.

Can you ask if there is a GI bleed team to review him. There’s normally an out of hours service that will do emergency endoscopy if vomiting blood. Some causes can be treated by endoscopy others will need surgery.

The constipation sounds like it needs investigating too. Is his abdomen hard and swollen? Have they listened to his abdomen? Is he passing any wind?

Have his bloods come back? Do you know what his haemoglobin (Hb) is?

you MUST push for a scan.

I am not a ChatGPT evangelist but this is one of those times (failure by hospital) where I would be putting in everything you know about your husband’s age/state of health/symptoms to see what it throws up.
I read a piece in the Times yesterday about a woman with horrendous symptoms who kept getting fobbed off and thanks to ChatGPT she was able to present them with an alternative diagnosis which turned out to be correct! It turned out that even when the NHS had done blood tests they hadn’t done the right ones...
https://www.thetimes.com/uk/technology-uk/article/gp-doctors-dismissed-pain-chatgpt-diagnosis-symptoms-0mz73832d

His blood test will reveal more and what cause of action needed. If he is stable then they will surely follow cause of action, eg arrange more tests via outpatients appointments.
Hopefully he gets better soon 🙏

There is no way he should be sent home without investigations. If they think it’s safe should they be administering an enema? If not thought safe, why not and what does that mean?

Coffee grounds is usually digested blood.

Are they concerned about his constipation at all? I would be worried about a bowel obstruction.

Any morw news op? Did he get a scan? @Justmeeeindie

Hope he is okay!

You need to push for a CT scan - I am absolutely fuming on your behalf that they haven't offered him one!! As others have said, I think it sounds like a blocked bowel. My DH presented himself to A&E a week ago with agonising bowel cramps and they fobbed him off, even knowing he has stage 4 bowel cancer - didn't do a scan. A week later I had to rush him back there in agony and after insisting on a CT scan they found the tumour had blocked his bowel - he had emergency surgery to fit a stoma bag yesterday. I had to really convince the A&E doctor to give him that scan and every time he neede help the A&E nurses all deliberately avoided making eye contact with me as they didn't want to deal with it. Don't take no for an answer. Insist on a CT scan and if they refuse take the doctor's name and tell them if your dh comes to harm because of their decision you will sue them.

It always helps if you take photos of bloody vomit or coffee grounds - even if its in the toilet. Really helps to staff to see quantities and evidence particularly when you are being fobbed off and dismissed.
Op, hopefully you can advocate for your DH, and he gets an emergency CT scan.

Hope your DH has been admitted and stabilised and made comfortable. I have an epileptic child and I understand the trauma of calling 999. Be kind to yourself and if you get offers of help accept them be it a casserole or childcare for a couple of hours.

wishing your DH a speedy recovery.

AI slop by the look of it. When will people realise that Chat GTP generally gets stuff wrong.

My brother had a very similar experience, and it turned out to be a twisted bowel and he had major general surgery and nearly died. Vomit that looks like coffee is an emergency, so he's in the right place. I would push for scans.