What are the symptoms of gastrointestinal bleeding?

summary

To clarify this problem, we must first understand which parts of the upper gastrointestinal tract include. The stomach, duodenum, esophagus, gallbladder and pancreas also belong to this category. If there is less bleeding in the upper gastrointestinal tract, the patients will only feel dizzy, fatigue and other manifestations, and have no obvious symptoms. If the symptoms are obvious, it indicates that the disease is serious, and they need to see a doctor as soon as possible.

What are the symptoms of gastrointestinal bleeding?

Anemia and syncope: no symptoms within 400ml of blood loss, moderate blood loss can cause anemia or progressive anemia, dizziness and weakness, sudden rise can produce syncope, thirst, cold feeling and low blood pressure, etc. Shock can be produced when massive hemorrhage reaches 30-50% of the total body blood volume (about 1500-2500ml). The symptoms are restlessness or unconsciousness, pale complexion, cold and wet limbs, cyanosis of lips, dyspnea, blood pressure falling to undetectable level, pulse pressure difference narrowing (less than 3.33-4kpa) and pulse rate fast but weak (pulse rate more than 120 times / min), Can cause death;

Hematemesis and (or) black stool: hematemesis and black stool are often found in the patients whose bleeding site is above the pylorus, but only black stool can be found in the patients whose bleeding site is below the pylorus. But the lesions above pylorus with less blood loss and fast speed can only see black stool, while the Bing changes below pylorus with large blood loss and fast speed can cause hematemesis due to blood flowing back into the stomach;

Azotemia: massive bleeding up to 30-50% (about 1500-2500ml) of the whole body blood volume can produce shock, manifesting as restlessness or unconsciousness, pale complexion, cold and wet limbs, cyanosis of lips, dyspnea, blood pressure falling to undetectable, pulse pressure difference narrowing (less than 3.33-4kpa) and pulse fast and weak (pulse rate greater than 120 times / min), etc. improper treatment can lead to death;

matters needing attention

Lymph binning: emaciation, left supraclavicular fossa lymph node enlargement, epigastric mass were more common in gastric cancer; Spider nevus, splenomegaly and ascites were more common in portal hypertension and rupture of esophageal varices; Jaundice, gallbladder enlargement, severe epigastric pain, hematemesis and strip blood clot indicate extrahepatic biliary hemorrhage; Bleeding of skin and mucous membrane indicates systemic diseases, such as telangiectasia and hemangioma in skin and mucous membrane of face, upper limb, oral cavity and nasopharynx;