O.A, 62 years old man, Transport Manager, referred from a private hospital for Upper Gastrointestinal (G.I) endoscopy due to an Upper G.I bleeding.
He presentedshowed up on 23rd December, 2019 with an hemoptysis. Onset whose onset was 2 months before presentationthe patient's arrival at this hospital..
He was newlyhad been recently diagnosed with hypertension, 2 days before presentation athe went to the referral centre.
The first episode of blood vomiting of blood was noted 2 months earlier, the quantity could not be ascertained, however but was said to be massive, and containing clots. There was associated melaena, and Symptomssymptoms resolved spontaneously. He had another episode of haematocheziahematochezia 2 days before presentationhis arrival, following the ingestion of a herbal concoction. He had another episode of 500mLproduced further 500ml containing mostly clotted blood at presentation before the upper G.I endoscopy. There was an associated abdominal pain localized to the epigastrium, and melaena, howeverbut there was no haematocheziahematochezia. No pain onwhen swallowing, nauseano nausea, abdominal swelling, abdominal distension, constipation or diarrhea. No bleeding from any other orifices or easy bruisability. HistoryA history of NSAIDs use could not be ascertained. He does not take alcoholic beverages. No history of yellowness of the eyes, passage of dark coloureddark-coloured urine, pruritus. No previous history of PUD. No history of weight loss, anorexia. No history of reduction in urine output, haematuria, frothiness, irritative or obstructive urine symptoms. No hiccups or peri-orbital puffiness. No history of dizziness, falls, loss of consciousness, headache, seizure, differential limb weakness. No history of previous surgery, blood transfusion, diabetes, or asthma.
He was married in a polygamous setting, with 8 children. Nil known drug reactions or allergies.