got banded 2 years ago lost 100lb so far to my goal weight of 210lb.

Just about 10 days ago started feeling tightness and difficulty keeping food down and on top of that i started to choke while i sleep, saliva and black matter getting in the airway.

The black matter mix with saliva seems to looks like black dust particles mixed with Water when i Regurgitate (vomit)

anyone knows !!! help please...

brian

How long has this been happenning? If you suspect it is blood, I would go to an ER immediately to be checked out. Better safe than sorry.

How long has this been happenning? If you suspect it is blood, I would go to an ER immediately to be checked out. Better safe than sorry.

I agree! You'd better get checked out!

Yes, if the vomit kind of looks like coffee grounds, then you probably have some intestinal bleeding and need medical attention. Please take care of yourself.

As a nurse...I wholeheartedly agree with everyone else!! You could have an internal GI bleed, and this needs immediate medical attention! ASAP!!!!

As a former victim of internal bleeding, I say.....get to the ER ASAP! I almost waited too long....fortunate to be here today.

vomiting blood or coffee-ground like material, is a symptom of gastritis or When vomit is reddish or the color of coffee grounds, it may mean there is serious internal bleeding. The reddish color may be fresh blood and dark blood may be blood that has been digested.

You really need to go to the doctor, I would say ASAP. Good luck and please keep us posted as to the outcome.

Do you have black tar-like stools as well? That is another indicator of Upper GI bleeding.

This is a quote from the Emergency Physcician's Review,

"coffee ground emesis (vomit) contains gross blood that has been coagulated and oxidized by stomach acid and appears as "coffee grounds" floating in stomach aspirate. It usually indicates a signifcant upper GI bleed that has stopped."

The bold and underline is mine. The following is a quote from the following weblink:

http://www.emedicine.com/med/topic3566.htm

Acute gastrointestinal (GI) bleeding is a potentially life-threatening abdominal emergency that remains a common cause of hospitalization. The incidence of upper gastrointestinal bleeding (UGIB) is approximately 100 cases per 100,000 population per year (Fallah, 2000). Bleeding from the upper GI tract is approximately 4 times as common as bleeding from the lower GI tract and is a major cause of morbidity and mortality. Mortality rates from UGIB are 6-10% overall (Fallah, 2000).

Another thing to keep in mind....while sleeping, it is very easy to aspirate (breathe in to your lungs) the vomit, this can lead to respiratory distress, pneumonia and other respiratory related illnesses.

As another nurse-- DITTO ALL THE ABOVE Get to the ER tonight

Go. Go now if you haven't already.

Just so no one panics: I totally agree that this situation should be brought to a doctor's attention as SOON as possible. But residual blood in vomit doesn't always mean a life-threatening emergency is taking place.

I had esophagitis last spring and had two episodes of the coffee-ground thing going on. It sure is scary, I'll say that, but the NP and gastroenterologist I saw about it both said it's not uncommon with the level of irritation I had. No treatment beyond an unfill and Prevacid was called for. Everything was fine.

So don't delay a call your doctor, but don't panic. Just do everything you can to resolve the irritation until you can get a firm diagnosis and treatment. Stay strictly with liquids and avoid anything acidic. Ask for a prescription for the interim that will calm things down.

Good luck, and please let us know how you're doing!

First of all i want to thank all of you out there for all the concerned advice that i got.

i went and saw my gen med doctor and got referred to a gastrointologist for an upper GI check so far on on liquids such as soups and carrot juice i will keep this post updated with results Again thank you all so much for your concern. <O:p></O:p>

Brian.<O:p></O:p>

Good luck, this sounds rather alarming. I would completely freak out!

Let us know how it turns out!

Take care. Shawn