Mallory-Weiss syndrome

The physiological purpose of nausea is to discourage food intake, and vomiting is meant to expel food or other toxic substances present in the upper part of the gastrointestinal tract. Protracted vomiting may not only cause electrolyte imbalance, dehydration, or a malnutrition syndrome, but may also lead to mucosal laceration and upper gastrointestinal hemorrhage (Mallory-Weiss syndrome). 

Peptic ulcer is not cirrhosis-related. Duodenal ulcers are more common than gastric ulcers. Frequency of peptic ulceration in cirrhotic patients is about 8-10%, although 60—70% of these cases are as)miptomatic. Gastric ulcers heal more slowly and recur more frequently than in non-drrhotic patients. (55) This condition may be caused by chronic alcohol abuse, portal hypertension or Helicobacter pylori infection (40—50%, with elevated gastrin in the serum). (134, 205) Mallory-Weiss syndrome is often associated with cirrhosis, but there is in fact no causal relationship between the two. Gastroparesis with delayed gastric emptying is frequently observed. (190)... 

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