What are the common causes of bleeding in the digestive tract?

 

Esophagus

   inflammation (esophagitis) 
   enlarged veins (varices) 
   tear (Mallory-Weiss syndrome) 
   cancer 
   liver disease 

Stomach

   ulcers 
   inflammation (gastritis) 
   cancer 

Small intestine

   duodenal ulcer 
   inflammation (irritable bowel disease) 
   cancer 

Large intestine and rectum

   hemorrhoids 
   infections 
   inflammation (ulcerative colitis) 
   colorectal polyps 
   colorectal cancer 
   diverticular disease 

 

How do you recognize blood in the stool and vomit?

   bright red blood coating the stool 
   dark blood mixed with the stool 
   black or tarry stool 
   bright red blood in vomit 
   coffee-grounds appearance of vomit 

What are the symptoms of acute bleeding?

   any of bleeding symptoms above 
   weakness 
   shortness of breath 
   dizziness 
   crampy abdominal pain 
   faintness 
   diarrhea 

What are the symptoms of chronic bleeding?

   any of bleeding symptoms above 
   weakness 
   fatigue 
   shortness of breath 
   lethargy 
   faintness 




How is bleeding in the digestive tract treated?
Endoscopy is the primary diagnostic and therapeutic procedure for most causes 
of GI bleeding.

Active bleeding from the upper GI tract can often be controlled by injecting 
chemicals directly into a bleeding site with a needle introduced through the 
endoscope. A physician can also cauterize, or heat treat, a bleeding site and 
surrounding tissue with a heater probe or electrocoagulation device passed 
through the endoscope. Laser therapy is useful in certain specialized 
situations.

Once bleeding is controlled, medicines are often prescribed to prevent 
recurrence of bleeding. Medicines are useful primarily for H. pylori, 
esophagitis, ulcer, infections, and irritable bowel disease. Medical treatment 
of ulcers, including the elimination of H. pylori, to ensure healing and 
maintenance therapy to prevent ulcer recurrence can also lessen the chance of 
recurrent bleeding.

Removal of polyps with an endoscope can control bleeding from colon polyps. 
Removal of hemorrhoids by banding or various heat or electrical devices is 
effective in patients who suffer hemorrhoidal bleeding on a recurrent basis. 
Endoscopic injection or cautery can be used to treat bleeding sites throughout 
the lower intestinal tract.

Endoscopic techniques do not always control bleeding. Sometimes angiography may 
be used. However, surgery is often needed to control active, severe, or 
recurrent bleeding when endoscopy is not successful.

 

From:Digestive Diseases Clearinghouse





Dr. Abd Hamid Mat Sain
AM(MAL), MBBS(Adelaide, Aust.), MS(UKM)
FRCS(Edinburgh,UK), FICS (USA)
Consultant Surgeon
ColumbiaAsia Medical Centre
292 Jalan Haruan 2,Oakland Commercial Centre
70300 Seremban,Negeri Sembilan
Malaysia
Ph :+606-6011988
Fax:+606-6011848
Mobile:+6012-2071913
Email :[EMAIL PROTECTED]




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