Gastrointestinal (GI) bleeding is a common clinical problem frequently requiring hospitalization. It can vary in degrees, from massive life-threatening hemorrhage to a slow, insidious chronic blood loss. The overall mortality for severe GI bleeding is approximately 8 percent, but this number is diminishing with the arrival of superior diagnostic techniques and newer medical treatments. Many bleeding episodes resolve on their own, but it is still imperative that the bleeding site be determined. An exact diagnosis may prevent a recurrence of bleeding and may help us treat future episodes more effectively. Also, making an accurate diagnosis can allow a patient to be treated appropriately for the underlying condition that caused the bleeding in the first place. The symptoms of GI bleeding depend on the acuteness and on the source of the blood loss. Mild, chronic GI blood loss may not show any active bleeding, but can still result in an iron deficiency anemia. Many of these patients never notice any blood loss, but it occurs in small amounts with the bowel movement so that it is not noticeable. Blood in the stool often can be detected by hemoccult testing (testing for blood in your stool) during a routine office examination. The most common cause of an upper GI bleed is ulceration, either in the duodenum (just beyond the stomach), in the stomach lining itself, or in the esophagus. Esophageal varices, or varicose veins, are usually the result of underlying chronic liver disease like cirrhosis and these can often bleed very briskly. A tear at the junction of the esophagus and stomach sometimes also occurs as a result of repeated vomiting or retching. In addition, tumors or cancers of the esophagus or stomach can also cause bleeding. For more information and the best consultation please visit us at DR. RAJESH UPADHYAY | GASTRO & LIVER CENTRE.
If you want to know more please contact us at 9899095985.
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