A Prospective Clinical Study of Upper Gastrointenstinal Bleeding

A Prospective Clinical Study of Upper Gastrointenstinal Bleeding Abstract: Gastrointenstinal bleeding also known as gastrointenstinal hemorrhage is all forms of bleeding in the gastrointenstinal tract from mouth to the rectum. Upper gastrointenstinal bleeding includes hemorrhage originating from above ligament of Treitz. GI bleeding can be potentially life threatening. Rapid assessment and resuscitation should precede diagnostic evaluation in unstable patients with acute severe bleeding. Upper GI bleed usually present with hematemesis, coffee-ground emesis or malena. Acute upper GI bleeding is assessed by risk scores such as Rockall Score and Glasgow Blatchford Score. Aim: To study the Clinical aspects of Upper Gastrointenstinal Bleeding in a Tertiary Care Hospital. Methods: Total 100 patients were included for a period of one year. Patients with age above 18 yrs and below 60yr of both sexes presenting with gastrointenstinal bleed were included. All the patients were stabilized & subjected to endoscopic procedure within 72 hrs. Severity was assessed by Rockall Score. Result: In this study the most common clinical presentation is malena. Chronic liver disease is the most frequent associated co-morbid condition. There is an association of alcohol with that of upper GI bleed. Conclusion: Upper GI Bleed is a common medical emergency. In this study conducted in a tertiary care hospital the most common presentation of upper GI bleed is malena. It is associated with the more incidence of duodenal ulcer. The frequent associated co-morbid condition is chronic liver disease. Alcohol shares a significant role in the onset of upper GI bleed. //////////////////////////////////////////////////////////////// Layman Abstract: Gastrointestinal (GI) bleeding refers to bleeding anywhere in the digestive system, from the mouth to the rectum. When the bleeding starts from the upper part of the digestive tract (above a specific point called the ligament of Treitz), it is known as upper GI bleeding. This condition can be serious and sometimes life-threatening, so quick medical assessment and treatment are very important, especially in patients who are unstable. Common warning signs include vomiting blood, vomit that looks like coffee grounds, or passing black, tarry stools. Doctors use scoring systems to assess how severe the bleeding is and to guide treatment. This study was conducted in a tertiary care hospital to understand the clinical features of upper GI bleeding. A total of 100 patients aged between 18 and 60 years, both men and women, were studied over one year. All patients were stabilized and examined using an endoscopic procedure within three days of admission. The severity of bleeding was assessed using a standard scoring system. The study found that the most common symptom of upper GI bleeding was passing black stools. Chronic liver disease was the most commonly associated health condition, and alcohol consumption was found to have a strong link with upper GI bleeding. Duodenal ulcers were also a frequent cause. In conclusion, upper GI bleeding is a common medical emergency. Early recognition and treatment are crucial. Conditions like chronic liver disease and alcohol use play a major role in increasing the risk, and awareness of these factors can help in prevention and better management of the condition. Source / Reference: https://doi.org/10.9734/bpi/hmms/v16/... #uppergibleeding, #gastrointestinalbleeding, #endoscopy, #clinicalstudy, #duodenalulcer, #melena, #hematemesis, #meded, #medicalemergency, #gastroenterology, #hospitalresearch, #internalmedicine, #liverdisease, #rockallscore, #glasgowblatchfordscore, #giemergency, #alcoholrisk, #esophagealvarices, #medicalstudy, #medicalresearch, #malena, #gihemorrhage, #uppergiendoscopy, #caseanalysis, #digestivebleeding Related Keywords upper gi bleeding, gastrointestinal hemorrhage, melena symptoms, duodenal ulcer, endoscopy in gi bleeding, rockall score, glasgow blatchford score, chronic liver disease, variceal bleeding, alcohol and gi bleeding, medical emergency, upper gi endoscopy, hospital study, internal medicine, clinical case study, tertiary care research, gi bleed causes, gi bleeding management, hematemesis, coffee ground emesis, mallory weiss tear, esophageal varices, gi bleeding treatment, gi bleeding risk factors, digestive tract bleeding