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Bleeding

Classified into upper Gi and lower Gi

Upper Gi bleed is defined as bleeding from eso or passing black stool

Lower Gi bleed defined as bleeding from colon and anorectum

 

Causes of upper Gi bleed

  • Peptic ulcer
  • Esophageal or gastric varix
  • Esophagitis
  • Bile duct or pancreatic blockage
  • Epistaxis

Causes of lower Gi bleed

  • Diverticulosis
  • Colon cancer
  • Hemorrhoids
  • IBD
  • Ischemic colitis
  • Infectious colitis

Diagnostic test

  • Fecal Occult blood
  • Colon cancer
  • Upper Gi endoscopy / Colonoscopy
  • CT scan
  • Enteroscopy

Treatment

  • Stabilization
  • Definitive therapy as per the cause