Approach to Upper Gastrointestinal Bleeding - causes, symptoms (melena) and treatment

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Published 2021-12-20
Patients with acute upper gastrointestinal (GI) bleeding commonly present with hematemesis (vomiting of blood or coffee-ground-like material) and/or melena (black, tarry stools).

Common causes of UGI bleeding include peptic or duodenal ulcers, erosive gastritis, GORD, Variceal haemorrhage/bleeding, angiodysplasia and mallory Weiss tear. More uncommon causes of UGI bleeding include GAVE, cameron lesions, hemobilia and succus pancreaticus

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All Comments (21)
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  • @AlecFlackie
    Very interesting as I work as a nurse in a GI endoscopy unit. Good revision.
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  • I have had black stool from Tuesday and it is now Monday for me. I didnโ€™t pass a stool for 2 days and I passed one 5 minutes ago and it doesnโ€™t seem as dark as it was and only a trace amount of blood whereas before it was quite a lot. Does this mean itโ€™s ok now or what should I do? Iโ€™ve had a pain in the left side of my stomach for a good few days now as well and it triggers when I have a bowel movement and when I eat. I believe this may be a stomach ulcer but I am not sure. I got tablets from A&E and they told me I have a respiratory tract infection which I donโ€™t understand has anything to do with my black stool. My bloods and urine came back normal. What should I do?
  • @funbumskum
    Looking at my father's death certificate and seeing this is the main cause of his death
  • Hi, any way I can contack you via email please. Something is wrong with me and I need help
  • @user-yk6hn8xk1n
    I have been throwing up blood cloths and when i go to the toilet in my urine and stool theres blood what should i do?
  • @hannahhaq2208
    Is it possible for COVID-19 vaccines to have an impact and or be a result of a change in the gastrointestinal areas? Especially with elderly adults?