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gastrointestinalscopes

GASTROINTESTINAL BLEEDING refers to any bleeding that starts in the gastrointestinal tract, which extends from the mouth to the large bowel. The degree of bleeding can range from nearly indiscernible to acute, massive, and life-threatening. Bleeding may come from any location along the gastrointestinal tract, but is frequently divided into upper GI tract and lower GI tract. Gastrointestinal bleeding can occur at any age from birth on. reflection of Gastrointestinal bleeding can range from microscopic bleeding, only the amount of blood is so tiny that it can only be detected by gastrointestinal scopes to massive bleeding. Various causes of bleeding are related to conditions that can be heal or controlled, such as hemorrhoids. The cause of bleeding may not be sedate, but locating the originator of bleeding is important. Common Causes of gastrointestinal bleeding include Hemorrhoids, Duodenal ulcer, Gastric ulcer, Bleeding diverticulum,ulcerative colitis, Crohn’s disease, esophageal varices, Arterio-venous malformations, nosebleed, Mallory-Weiss tear, Esophagitis, Dysentery, Ischemic bowel, Colon cancer.

HOME CARE for gastrointestinal bleeding are home stool tests for microscopic blood that may be recommended for people with anemia or for colon cancer screening. Medical history questions to document GI bleeding in detail may include, Where you vomiting blood?, Did you vomit material that looks like coffee grounds?, Do you have a history of peptic ulcer or duodenal ulcer?, Have you ever had symptoms like this before?, What other symptoms do you have?, When did it start?, Is it off-and-on or does it continue?, What did you notice?, Were there black, tarry stools or was there obvious blood in the stools? GI bleeding may come from various parts of the GI tract in esophagus, Stomach, Small Intestine, Large Intestine, Rectum and may be caused by various things. The manifestations of GI bleeding depend on the location and rate of bleeding. The clinical evaluation of gastrointestinal bleeding depends on the hemodynamic state of the patient and the suspected source of the bleeding. GASTROINTESTINAL BLEEDING is most commonly a result of benign anal pathology, life-threatening hemorrhage, cancers, and polyps must be considered in making the diagnosis. Management of GI bleeding is determined by the severity of the bleed, algorithms differ with major bleeding and minor bleeding. The diagnostic tool of choice for all cases of upper gastrointestinal bleeding is esophagogastroduodenoscopy; for acute lower gastrointestinal bleeding, it is colonoscopy, or arteriography if the bleeding is too spry. When bleeding cannot be identified and controlled, intraoperative enteroscopy or arteriography may help localize the bleeding source, facilitating segmental resection of the bowel. Stabilization is followed by immediate endoscopic evaluation and therapy as indicated. Gastrointestinal bleeding can present in several forms, depending on the rate of blood loss: microscopic blood loss presents as iron-deficiency anemia or hemoccult-positive stools; hematemesis is vomiting of fresh blood; “coffee-ground” emesis is vomiting of altered black blood. The physician should look for evidence of liver disease, PUD, coagulopathy, previous abdominal aortic aneurysm repair, and significant comorbidities such as heart disease and diabetes mellitus.



Author:
gastrointestinalscopes
Time:
Friday, May 11th, 2007 at 10:29 am
Category:
Gastroinstetinals Scope
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