The symptom of vomiting black water in advanced gastric cancer suggests bleeding in the upper gastrointestinal tract, which can be treated symptomatically with drugs to stop bleeding and protect the gastric mucosa.
Patients with advanced gastric cancer vomiting black water suggests that it should be due to ulceration and bleeding of the tumor, because the blood supply of the stomach tumor is very rich and prone to rupture of blood vessels, so this symptom suggests that the patient’s condition is very serious. If not treated aggressively, it can easily lead to the occurrence of hemorrhage or cause perforation and anemia.
Patients with black water vomiting need to be treated according to the principles of treatment for upper gastrointestinal bleeding, which requires a high degree of attention, starting with water fasting and absolute bed rest, preferably with drugs that inhibit gastric acid secretion, such as omeprazole or esomeprazole or pantoprazole, and with drugs that protect the gastric mucosa, such as aluminum thioglycollate gel. If vomiting is more frequent, intravenous access should be established and treatment with balanced salts or intravenous omeprazole and antihemorrhagic medications should be administered. Also pay attention to monitoring vital signs and checking blood count. If the blood count is severe, blood transfusion is needed. If there is significant vomiting of blood, surgical treatment is required if necessary.