GI SYMPTOMS
GI SYMPTOMS
Gastrointestinal Bleeding
Gastrointestinal bleeding also known as GI hemonnage in all forms of bleeding in the GI Tract, from the mouth to the rectum.
Classified :
- Upper GI Bleed – Prox to ligament of TREITZ.
- Lower GI Bleed – Distal to Ligament to TREITZ.
Causes :
- Peptic Ulcer Disease – Diverticulosis
- Gastro duodenal erosions – Angibetaria
- Esophagitis – Tschemic colitis
- Varices – Colorectal Neoplasma
- Mallory Weiss Tear – Post Polyp ectomy bleeding
- Vascular Malfermation – Soletry Rectal Ulcer
Symptoms :
- Duration and quantity of bleeding
- Associated symptoms
- Alcohol
- NSAID
- Allergies
- Associated Medical Wellness
- Previous Sx
- B/O Bleed – Hemetemerris (vomiting blood) with bleeding of the esophagus.Stomach or proximal small bowel.
- Malena or bladectomy stool – Result from the presence of approx is to zoom of blood in the GI tract for a polyps period.
- Hematodrezia or bloody stool.
- Bright Red or Marrorn most often signitis CGIB .
- Could be due to bresh UGIB with rapid transct time through bowel with 10-15% pt.
Diagnosis :
- Vital signs and postural changes in heart rate and blood pressure are unsensitive and non specific
- Tachy Cardia
- Jadipnea
- Hypertention
- Skin Signs :- Color / Warmth and moisture to assess for shock or presence of lesion such as telangietaris bruises to assess for vascular diseases or hypo coagulable states.
- Rectal Examination : Test for occult blood
- HB Occult amount + for 14 days after single episode of UGLB
- Hematocrit
- Haemoglobin
- Coagulation
- Profile ABG and Electrolytes
- Angiography – UGIB
- Colonoscopy- LGLB
- T/T quick identification
- Aggressive
- Prompt Consultation
- Aggressive Resuscitation– Establish good access to change before (I/O gauge peripheral IV)
- Hypotensive – NS bolos
- Anaemic – PRBCS
- FFPS or Platelet – Massive GI Bleed
- NA – Na cavage
- PPI
- Octereotide 25-50 UG/hr in addition to endoscopic S clero
- therapy and Rebciedy occurs
- Juliprcmin – Vaso Constricts
- Splanchnic circulation pressure inportal system
- Propanolol
- Endoscopy
- Balloon tamponade
