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Mallory–Weiss tear

Syndroma Mallory–Weiss · Mallory–Weissův syndrom

What it is

A split in the lining where the gullet meets the stomach, torn by forceful retching — often after alcohol — so that you vomit blood.

Symptoms & signs

  • Vomiting fresh blood after retching
  • black stools
  • dizziness from blood loss
  • upper abdominal or chest pain

🚩 Get help if…

  • call 112 / 911 now Vomiting a lot of blood, or blood again and again
  • call 112 / 911 now Dizzy or fainting, pale and sweaty
  • call 112 / 911 now Black, tarry stools
  • call 112 / 911 now Severe chest pain after retching

Where it strikes

Medical treatment

  • Endoscopy
  • most stop bleeding by themselves
  • endoscopic clips or adrenaline injection
  • acid suppression (PPI)
  • anti-sickness drugs and treating the cause of vomiting

Natural & lifestyle

  • Moderate alcohol
  • treat nausea early
  • no NSAIDs while it heals

Emerging & experimental

  • Haemostatic powders
  • over-the-scope clips

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Ginger for the nausea behind it — trials support ginger for nausea, not for the tear mixed evidence
  • Slippery elm and marshmallow root — soothing coatings; untested anecdotal / traditional
  • Aloe vera juice — anecdotal; it can act as a laxative anecdotal / traditional

ICD codes