Gastrointestinal Bleeding

Gastrointestinal Bleeding

Fall into two broad categories: upper and lower sources of bleeding. The ligament of Treitz is the anatomic landmark of separation of upper and lower bleeds.

Signs / Symptoms

What's common signs of gastrointestinal bleeding?

  • Black or tarry stool
  • Bright red blood in vomit
  • Cramps in the abdomen
  • Dark or bright red blood mixed with stool
  • Dizziness or faintness
  • Feeling tired
  • Paleness
  • Shortness of breath
  • Vomit that looks like coffee grounds
  • Weakness

Common causes

What's common causes of gastrointestinal bleeding?

  • Angiodysplasia: Abnormal or enlarged blood vessels in your GI tract.
  • Benign tumors and cancer
  • Colitis: Ulcers in intestine a complication of colitis.
  • Colon polyps
  • Diverticular disease
  • Esophageal varices
  • Esophagitis
  • Gastritis
  • Hemorrhoids or anal fissures
  • Mallory-Weiss tears.
  • Peptic Ulcers

 

Departments & Emergency

If person have a shock symptom such as drop in blood pressure or Not peeing or pee infrequently, in small amounts or rapid pulse or unconsciousness, it is an emergency and need to go to hospital or call emergency

If person do not have shock symptom and have one or more signs/symptoms it is recommended a visit to Internal Medicine/Gastroenterology and Hepatology/General Surgery specialist in an appropriate time.

Diagnosis

History of previous bleeding, physical exam and tests. Lab tests to help diagnose the cause of GI bleeding include:

  • Stool tests can show occult bleeding.
  • Blood tests help determine the extent of bleeding and whether person have anemia.
  • Gastric lavage
  • Endoscopy provide examining passage using a special instrument. An endoscopy procedure may help see if and where the GI bleeding and the bleeding’s cause.
  • Imaging tests to help find the cause of GI bleeding.
  • Surgery

Treatment

  • Treatment during a diagnostic procedure such as endoscopy
  • Medicines for infections or ulcers
  • Surgery
  • For prevention, limit the amount of nonsteroidal anti-inflammatory drugs (NSAIDs) and recommendations for treatment of gastroesophageal reflux (GER)

FAQ

Can a GI bleed heal itself?

Often, GI bleeding stops on its own.

Can stress cause bloody stools?

While stress can contribute in a variety of stomach symptoms it does not typically cause rectal bleeding

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