Description

Bleeding in the gastrointestinal tract may be overt or obscure. Bleeding with a source in the GI tract must be distinguished from bleeding outside the GI tract and from pseudo-bleeding.


 

Inflammation-related:

(1) esophagitis with or without ulceration

(2) gastritis with or without ulceration

(3) hiatal hernia (Cameron’s erosions)

(4) duodenitis with or without ulceration

(5) celiac sprue

(6) Crohn’s disease

(7) ulcerative colitis

(8) ischemic colitis

(9) other forms of colitis

(10) parasitic infection

(11) infectious enteritis (tuberculous, bacterial, viral)

(12) radiation-induced

 

Tumor-related:

(1) polyp(s)

(2) benign tumor (including hemangioma)

(3) primary malignant tumor

(4) metastatic tumor

 

Vascular-related:

(1) varices

(2) gastric antral vascular ectasia (watermelon stomach)

(3) portal gastropathy

(4) Dieulafoy’s lesion in the stomach

(5) blue rubber bleb nevus syndrome

(6) angiodysplasia or vascular ectasia

(7) telangiectasia

(8) amyloidosis

(9) vasculitis

(10) aortoenteric fistula (rarely occult)

(11) other arteriovenous lesion

 

Other:

(1) diverticuli

(2) Meckel’s diverticulum

(3) anal fissure

(4) hemorrhoids

(5) running or other exercise

(6) surgical anastomosis

(7) splenosis

 

Extra-intestinal bleeding:

(1) epistaxis

(2) bleeding gums

(3) pulmonary (hemoptysis)

(4) hemobilia

(5) bleeding from the pancreas

 

Non-bleeding:

(1) factitious

(2) blood in diet

(3) false-positive test for fecal blood

 

Drugs that may contribute to bleeding:

(1) anticoagulants

(2) NSAIDS

(3) other medications

 


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