Gastrointestinal bleeding - Diagnosis and treatment
Here's how to diagnose the cause of upper or lower gastrointestinal bleeding:
What is the management of gastrointestinal bleeding?
- A doctor will complete a complete history and physical examination to assess the patient's problem. The doctor can do a physical examination, including rectal examination with a finger, to look for blood that is visible in the stool or microscopic blood from the rectum.
- Laboratory tests such as complete blood counts, serum chemistry, liver tests, and blood clotting tests can also help determine the severity of bleeding and the factors that can cause problems.
- The doctor may need to undergo a procedure called endoscopy or colonoscopy. An endoscope is a long tube with a small camera. This tube will enter the stomach and the first part of the small intestine. Colonoscopy refers to a tube travel with a small camera through the rectum to the large intestine, to see the source of bleeding directly. Both of these procedures can be in the form of diagnostic tests, can find the source of bleeding; and maybe like a therapeutic examination, which simultaneously stops the area of bleeding found.
What is the management of gastrointestinal bleeding?
- There is no personal care at home for severe gastrointestinal bleeding
- Anal hemorrhoids or fissures can be treated with a diet high in fiber, fluids to keep stool and softeners if necessary.
- Severe gastrointestinal bleeding can interfere with the stability of the patient's vital signs. The patient's blood pressure can drop sharply and his heart rate increases
- Doctors must overcome this disease by providing intravenous solutions and possible blood transfusions.
- In some cases, patients may need surgery
- For patients with higher gastrointestinal bleeding, such as gastric bleeding, patients may be given intravenous proton pump (IPP) inhibitors such as omeprazole (Prilosec) for acid suppression. stomach.
- If large amounts of blood are in the upper gastrointestinal tract, you can give a prokinetic patient (a drug that helps empty the stomach), such as erythromycin or metoclopramide (Reglan), to help clean the stomach. stomach, blood clots or leftovers before the endoscopic procedure. clean the stomach
- Somatostatin or octreotide (Sandostatin) in cases of varicose bleeding (small blood vessels) or antibiotics in patients with liver cirrhosis
- Patients should go to the hospital emergency room if they experience severe gastrointestinal bleeding.
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