Gastrointestinal bleeding



What is gastrointestinal bleeding?

Gastrointestinal (GI) bleeding is a symptom of a disorder in your digestive tract. The blood often appears in stool or vomit but isn’t always visible, though it may cause the stool to look black or tarry. The level of bleeding can range from mild to severe and life-threatening.

Bleeding in the stomach or colon can usually be easily identified, but finding the cause of bleeding that occurs in the small intestine can be difficult. But sophisticated imaging technology can usually locate the problem, and minimally invasive procedures often can fix it.

How common is gastrointestinal bleeding?

Please discuss with your doctor for further information.


What are the symptoms of gastrointestinal bleeding?

There are a few things that you can look out for if you suspect that you might have GI or rectal bleeding. Your stool might become darker and sticky, like tar, if bleeding comes from the stomach or upper GI tract.

You may pass blood from your rectum during bowel movements, which could cause you to see some blood in your toilet or on your toilet tissue. This blood is usually bright red in color. Vomiting blood is another sign that there is bleeding somewhere in your GI tract.

When should I see my doctor?

If you experience any of these symptoms, or if you have vomit that looks like coffee grounds, call your doctor immediately. GI bleeding could signal a life-threatening condition. Prompt medical treatment is essential. Also, seek treatment immediately if you experience any of the following symptoms:

  • Paleness
  • Weakness
  • Dizziness
  • Shortness of breath

These symptoms may also signal severe bleeding.


What causes gastrointestinal bleeding?

Different parts of the digestive tract are affected by specific conditions. And there are various causes of bleeding in different regions.

Causes of upper GI bleeding

Peptic ulcers are a common cause of GI bleeding. These ulcers are open sores that develop in the lining of your stomach or duodenum. An infection from H. pylori bacteria usually causes peptic ulcers.

Also, enlarged veins in your esophagus can tear and bleed as a result of a condition called esophageal varices. Tears in the walls of your esophagus can also cause GI bleeding. This condition is known as Mallory-Weiss syndrome.

Causes of lower GI bleeding

One of the most common causes of lower GI bleeding is colitis, which occurs when your colon becomes inflamed. Colitis has multiple causes, including:

  • Infection
  • Food poisoning
  • Parasites
  • Crohn’s disease or ulcerative colitis
  • Reduced blood flow in the colon

Hemorrhoids are another common cause of GI or rectal bleeding. A hemorrhoid is an enlarged vein in your rectum or anus. These enlarged veins can rupture and bleed, causing rectal bleeding.

And an anal fissure may also cause lower GI bleeding. This is a tear in the muscular ring that forms the anal sphincter, and is usually caused by constipation or hard stools.

Risk factors

What increases my risk for gastrointestinal bleeding?

Please consult with your doctor for further information.

Diagnosis & treatment

The information provided is not a substitute for any medical advice. ALWAYS consult with your doctor for more information.

How is gastrointestinal bleeding diagnosed?

Diagnosis of the underlying cause of your GI bleeding will usually start with your doctor asking about your symptoms and medical history. Your doctor may also request a stool sample to check for the presence of blood along with other tests to check for signs of anemia.

Upper GI bleeding is most commonly diagnosed after your doctor performs an endoscopic examination. Endoscopy is a procedure that involves the use of a small camera located atop a long, flexible endoscopic tube your doctor places down your throat. The scope is then passed through your upper GI tract.

The camera allows your doctor to see inside your GI tract and potentially locate the source of your bleeding. Because endoscopy is limited to the upper GI tract, your doctor may perform an enteroscopy. This procedure is performed if the cause of your bleeding isn’t found during endoscopy.

Enteroscopy is similar to endoscopy, except there’s usually a balloon attached to the camera-tipped tube. When inflated, this balloon allows your doctor to open up the intestine and see inside.

To determine the cause of lower GI bleeding, it’s possible your doctor may perform a colonoscopy. During this test your doctor will insert a small, flexible tube into your rectum. A camera is attached to the tube so your doctor can view the entire length of your colon.

Air moves through the tube to provide a better view. Your doctor may take a biopsy for additional testing. You may also undergo a scan to locate your GI bleeding. A harmless radioactive tracer will be injected into your veins. The tracer will light up on an X-ray so your doctor can see where you are bleeding.

If your doctor can’t find the source of your bleeding with endoscopy or a GI bleeding scan, you may have a Pill Cam test. Your doctor will have you swallow a pill that contains a small camera that will take pictures of your bowel to find the source of your bleeding.

How is gastrointestinal bleeding treated?

Endoscopy can be useful, not only in diagnosing GI bleeding, but also for treating it. The use of special scopes with cameras and laser attachments, along with medications, can be used to stop the bleeding. In addition, your doctor can use tools alongside scopes to apply clips to the bleeding vessels to stop the bleeding.

If hemorrhoids are the cause of your bleeding, over-the-counter (OCT) treatments might work for you. If you find that OTC remedies don’t work, your doctor might use a heat treatment to shrink your hemorrhoids. And antibiotics can usually treat Infections.

Lifestyle changes & home remedies

What are some lifestyle changes or home remedies that can help me manage gastrointestinal bleeding?

If you have any questions, please consult with your doctor to better understand the best solution for you.


Hello Health Group does not provide medical advice, diagnosis or treatment.

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