Need a virtual hand hold , husband vomiting blood

I spent more than three weeks in hospital this year with pneumonia and pleurisy. Pleurisy is, I'm told, one of the most painful conditions you can have.

I cannot praise the kindness and medical care I received too highly. I left feeling so grateful.

People are always running the NHS down but it can be wonderful.

Wake up and smell the coffee. This is not an isolated incident.
I tell you what? Carry on sticking your head in the sand.

Please don't quote this in your complaint, as it looks like generic tripe that a medical student might say, is clearly American practice (from the spelling and use of Ringer's), and there are some glaring errors (no point in doing faecal occult blood if the patient is actually vomiting/crapping blood - it's not occult blood, it's visible) and some glaring admissions (no coagulation profile, no mention of actual risk stratification scores that will help to predict who can and can't be discharged, transfusion targets (there is evidence of harm when over- transfusing, it's clinical judgement).

Here is a guidline of treatments/Investigations. Do you have anyone who can advocate for him
⚠️ 1. Initial Assessment

• A → Airway, B → Breathing, C → Circulation
• Vital signs: Check for hypotension, tachycardia, fever
• Assess for complications:
• Bleeding: Hematemesis, melena, hematochezia, low Hb
• Perforation: Sudden severe pain, rigid abdomen, free air on X-ray
• Obstruction: Vomiting, distension, inability to tolerate oral intake

• Blood tests:
• Full blood count (Hb, WBC)
• Urea, electrolytes, creatinine
• Liver function tests
• Group and cross-match (if bleeding suspected)
• Amylase/lipase (if perforation or pancreatitis suspected)
• Stool test: For occult blood or H. pylori antigen (if stable)
• Imaging:
• Erect chest X-ray (for free air → perforation)
• Abdominal ultrasound or CT (if diagnosis uncertain)
• Endoscopy: Usually done after stabilization, for diagnosis and possible therapy (bleeding control, biopsy).

• IV access ×2, large bore
• Fluid resuscitation: Normal saline or Ringer’s lactate
• Blood transfusion if Hb <7 g/dL (or <9 if cardiac disease)
• IV proton pump inhibitor (PPI):
• Omeprazole 80 mg IV bolus, then 8 mg/hour infusion
• NPO (nil per os) – no oral intake
• NG tube if vomiting or upper GI bleeding
• Call gastroenterology or surgery urgently for possible endoscopy or intervention

• Oral or IV PPI: Omeprazole, pantoprazole, or esomeprazole
• Pain control: Avoid NSAIDs and opioids if possible
• Test for Helicobacter pylori
• If positive → Triple therapy:
• PPI (e.g. omeprazole 20 mg BID)
• Clarithromycin 500 mg BID
• Amoxicillin 1 g BID (or metronidazole if penicillin allergy)
• For 14 days
• Avoid irritants: NSAIDs, alcohol, smoking, spicy foods

• Admit if:
• Active bleeding
• Hemodynamic instability
• Perforation or obstruction
• Severe pain or vomiting
• Elderly or comorbid patients
• Discharge with outpatient follow-up if:
• Stable
• No red flags
• Can tolerate oral meds and fluids
• Given H. pylori test and PPI prescription

• Review in 2–4 weeks
• Repeat endoscopy if:
• Ulcer was gastric (to rule out malignancy)
• Symptoms persist
• Ensure eradication of H. pylori confirmed by breath or stool test (after 4 weeks off PPI)

Wake up and smell the coffee. This is not an isolated incident.
I tell you what? Carry on sticking your head in the sand.

What a leap from someone being constipated to the country taking a nose dive

I can assure you, they will have done bloods which will have checked if they needed to transfuse him!

This country has taking a nose dive.

When a country stops investing in its own people, everything stops there and then.

Yes very he hasn’t had any movements at all in days

I can assure you, they will have done bloods which will have checked if they needed to transfuse him!

But then again he MAY need them, how would anyone know if he's kicked out with no diagnostics to speak of?

You had the same - a number of years ago - probably when beds weren't at a premium as they are now -

You may have needed a blood transfusion - the OP husband may not
You may have needed iron transfusion - the OP husband may not