Gastrointestinal bleeding describes every form of hemorrhage (blood loss) in the gastrointestinal tract, from the pharynx to the rectum. It has diverse causes, and a medical history, as well as physical examination, generally distinguishes between the main forms. The degree of bleeding can range from nearly undetectable to acute, massive, life-threatening bleeding. Upper endoscopy or colonoscopy are generally considered appropriate to identify the source of bleeding.
Bleeding may originate from any site along the gastrointestinal tract, but is often divided into:
- Upper GI bleeding (from a source located between the pharynx and the start of the duodenum)
- Lower GI bleeding (from a source between the duodenum and the rectum)
Considerations
Gastrointestinal bleeding can range from microscopic bleeding, where the amount of blood is so small that it can only be detected by laboratory testing, to massive bleeding where pure blood is passed.
It is important to be aware of gastrointestinal bleeding, because it may herald many significant diseases and conditions. Prolonged microscopic bleeding can lead to massive losses of iron and subsequent anemia. Acute, massive bleeding can lead to hypovolemia, shock, and even death.
Gastrointestinal bleeding can occur at any age from birth on. The degree and suspected location of the bleeding determines what tests should be performed to find the cause. Once a bleeding site is identified, numerous therapies are available to stop the bleeding.
