Sometimes , we did not realise that we having problem with
our gut, and actually our gut undergo bleeding problem. So here , I will share
with you different types of bleeding in gut.
Types:
1. Hematemesis:
this is bleeding characterise by vomiting of blood. It can cause by esophageal
varises( cause by portal hypertension), esophegeal ulcer, mallory weis syndrome
gastric ulcer. Patients usually vomits up bright red, undigested blood. But in
gastric bleeding, the vomited blood is digested by gastric juices and has
appearance of “coffee ground”.
2. Melena:
appear in feces with tarry black , semisolid appearance, foul smell, usually
originate from upper git(stomach, small intestine). But to appear as melena,
blood must be at least 50 -100ml.
3. Enterorrhagia:
appear as fresh, bright red blood on the feces, originate from lower git.
Usually appear in patients with haemorrhoids, ulcerative colitis.
4. Occult
bleeding: blood that cannot recognize by naked eye, but we can use benzidine
test. Usually originate in the upper git, when chronically can lead to iron
deficiency anemia.
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