An Approach to GI Bleeding (Melena, Hematemesis, Hematochezia)

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Published 2019-02-09
A discussion of the etiologies and work-up of GI bleeding, as well as the difference between melena, hematemesis, and hematochezia.

All Comments (21)
  • @sarahmina1442
    Your diagrams are the best Dr. Strong!! Thank you so much for your efforts and time.
  • The is the best video concerning GI Bleed I have seen m. Easy to comprehend.
  • @sexycmllong1044
    My sister just past away from GI bleed December 7th we watch her suffer for 3 days she was on hospice so she couldn't go to the hospital and she wanted to be at home fly high lisa we miss and love you 😢💔
  • @chanb5665
    Great Doctor you certainly cover a great deal step by step procedure excellent!!!
  • @LabibaMansoor
    Great video! Easy explanation and tables are so helpful
  • @HafizahHoshni
    Simply excellent. Very grateful for clear, concise and well presented video. Thank you for the great channel. 😊😊 7/9/2019
  • @cippyjournals
    so helpful for medical students all over the world. GBU!
  • @rand0mGT
    Thanks doc! Thorough unlike some videos
  • Very informative. I’ve experienced two fairly serious GI bleeds one of which my pulse and hemoglobin levels were very low. Specialist has done endoscopy, colonoscopy and capsule endoscopy which were all inconclusive. Also tested negative for H-pylori. Everything was fine for about 15 months and now I’m experiencing GI bleed episode again with melema. The ONLY thing that I’ve done differently is started to take ibuprofen again a few weeks ago (hadn’t done so for over 15 months). Waiting to see specialist again, but wonder whether ibuprofen is what did it.
  • Irritation with the Stomach upper Gi tract symptoms is so frustrating I’m beginning not to even care about it anymore The pain in my side whenever I eat too much of something sugar along with gas and black stool during that process is very irritating especially since it’s happened out of the Blue. I’ll wing it just like I do most things I don’t like bringing my family into my health issues.
  • @Kareemo227
    Hello Dr. Strong, I have a few questions regarding NGT insertion if you would kindly answer them, as I am very conflicted about their efficacy and general use You mention the use for evaluating blood presence and severity of ongoing hemorrhage in gastric lavage and how it is generally going out of favor. I was wondering if there were any other uses for gastric lavage, specifically: -Aspiration of potential blood to prevent constipation and degradation of ammonia in a patient with a history of hepatic encephalopathy Is there any clinical data regarding that? I've read conflicting evidence online and would love your input.
  • @sepehralaie6716
    Thank you so much,may i ask you to explain what to do before passing the patient to the endoscopy ward?