In 2006, hospitalizations for upper GI bleeding covered a wide age range—47 percent of admissions for patients
65 to 84; 25 % for patients 45 to 64; 18 % for patients older than 85; and 10 percent for patients under 45.
The number of hospital patients who died from
upper GI bleeding fell from 20,013 in 1998 to 16,344 in 2006
A new study suggests that aspirin therapy on long - term doses greater than 75 to 81 mg per day does not enhance the prevention of heart disease but does increase the risk of stomach bleeding, contrary to what many doctors .
GI Bleeding Gastrointestinal (GI) bleeding refers to any bleeding that starts in the gastrointestinal tract, which extends from the mouth to the anus. The amount of bleeding can range from nearly undetectable to acute, massive, and life threatening.
Hematemesis : vomiting of bright red blood, indicating rapid upper GI bleeding
Dark blood mixed with the stool
Melena – dark stool
Bright red blood coating the stool
Coffee-grounds appearance of vomit
Physical Exam for GI bleeding patient Including:
HR, BP, tilt test, RR, O 2 saturation
General appearance, Mental status
Neck veins, oral mucosa
Skin temperature and color
Upper GI Bleed Upper GI bleeding: The upper GI tract is located between the mouth and the upper part of the small intestine. Hematemesis refers to vomiting of clots, fresh blood, or “coffee grounds” and generally represents bleeding from the upper GI tract 50% present with hematemesis NGT with positive blood on aspirate Melena (black tarry stools)