Anemia Melena

Anemia Melena. What symptoms are associated with melena? Significant blood loss Low blood volume Anemia Shock (weakness shortness of breath pale skin clamminess dizziness Low blood volume Anemia Shock (weakness shortness of breath pale skin clamminess dizziness confusion and tachycardia or a fast.

Clinical findings of hematemesis melena hematochezia a positive stool occult blood test or unexplained anemia suggest the diagnosis of GI hemorrhage Direct visualization by esophagogastroduodenoscopy (EGD) provides an opportunity for diagnosis and management of lesions in the esophagus stomach or proximal duodenum.

What Is Melena Disease? Causes and Natural Remedies

Differential DiagnosisClinical FeaturesInvestigationsMelena usually occurs as a result of anupper gastrointestinal bleed (rarely it can be due to bleeding in the small intestine or ascending colon) Upper GI haemorrhage has a number of causes the most common of which are peptic ulcer disease liver disease and gastric cancer The key facts to ascertain from a history of melena are 1 Colour and texture of the stool– jet black tarlike and sticky 2 Associated symptoms – including haematemesis abdominal pain or a history of dyspepsia dysphasia or odynophagia 3 Past medical history – including smoking and alcohol status and inflammatory bowel disease 4 Drug history– use of steroids NSAIDs anticoagulants or iron tablets A digital rectal examination is essential to confirm the melena as well as a full abdominal examinationto assess for epigastric tenderness or peritonism hepatomegaly and for any stigmata of liver disease Investigations should be tailored to the specific presentation but a generic outline would involve a structured approach as below 1 Routine bloods (FBC U&Es LFTs and clotting) 11 Check for any drop in Hb however remember that an acute bleed may not initially show with an anaemia 12 Liver function tests may reveal underlying liver damage as a potential cause 13 Any drop in haemoglobin and rise in the ureacreatinine ratio* is very indicative of an upper GI bleed 14 All patients with melena should have a Group and Save requested those with significant melena (especially suspected variceal bleed) should have at least 4 units of blood crossmatched 1 Arterial blood gas 11 Useful in bleeding or acutely unwell patients especially for the pH Base Excess and Lactate for signs of tissue hypoperfusion 2 Oesophagogastroduodenoscopy (OGD) 21 The definitive investigation in most cases of melena and also forms part of the management in cases of ongoing unstable bleed 46/5.

Melena: What Is It, Causes, Symptoms, Bleeding, Treatment

It is a condition characterized by a lack of healthy red blood cells and shares the following symptoms Fatigue Weakness Lightheadedness Fainting Rapid pulse Pale skin Shortness of breath Abdominal pain.