A 35-year-old alcoholic has presented with 2 episodes of hematemesis. On examination his pulse rate is 100/min with BP of 90/60 mm Hg. Per abdomen examination shows spleen palpable 3 cm below costal margin. Which is true about this patient?

Ans. D The increased pressure of portal vein pressure should be lowered with octreotideRef: CMDT2019 pg. 627* The presence of splenomegaly with hematemesis points to etiology of portal hypertension. Hence after stabilization of patients with fluids, octreotide should be started to lower the pressure in portal vein.* The leading cause of hematemesis is peptic ulcer disease but this patient is having portal hypertension leading to vomiting of blood.