<s>[INST] hi, recently i had a blood vomit . in consultation with a doctor i under went a abdominal ultra sonoraphy. the following are the results. -fatty liver -enlarged spleen : 125 mm i have been prescribed the following medicines. silimarin 140mg pantodec dsr beplex forte digecaine syrup after following the prescription for a day, i now have mild fever and stomach ache with irregular bowel movement . can you please suggest a way out. [/INST] Hi, Vomiting blood is not normal. It could be due to ulcer disease or due to varices secondary to liver disease. Since the ultrasound scan shows enlarged spleen, bleeding due to varices is more likely. An upper GI endoscopy should be done to confirm the source of bleeding. If it is varietal bleeding, it can be controlled endoscopically. You may have to be on long term medications. If it is due to ulcer disease, then you have to be tested for H.pylori infection and treat it if found to be positive. I hope that answers your question. Regards. </s>