Symptoms of chronic gastrointestinal bleeding
summary
The sites of chronic gastrointestinal bleeding include esophagus, stomach, duodenum, pancreas, biliary tract and upper jejunum after gastrojejunostomy. There may be hematemesis, hematochezia and other symptoms. Hematemesis needs to be differentiated from hemoptysis. Hematemesis comes from the digestive tract, sometimes mixed with gastric contents, generally brown or brown. If the digestive tract bleeding, because the excreta contains old blood, stool was tar viscous. If the amount of gastrointestinal bleeding is large, it can vomit dark red or even bright red blood; Stool may also be mixed with bright red blood. If the bleeding is located in the upper gastrointestinal tract, the patient may only have hematemesis without bloody stool or black stool.
Symptoms of chronic gastrointestinal bleeding
Peripheral circulation failure. When the amount of bleeding is large or the hemostasis is not timely, the patient's body is weak, there may be peripheral circulation failure caused by insufficient circulation perfusion, visible lips pale, dizziness, palpitations, sweating, fatigue and other diseases, and even shock syncope. At this time, due to the active supplement of blood volume, observe the patient's urine volume, balance in and out.
The temperature is abnormally high. The temperature rise is mainly low fever, without chills and night sweats. It is irregular. The general temperature is 37-38 ℃, and the duration is short. This symptom also varies from person to person. Some patients do not have fever clinically. The specific cause of fever is unclear. The mechanism of fever is complex, which may be related to the dysfunction of thermoregulatory center.
Azotemia, because the blood belongs to protein, the blood urea nitrogen in the blood after absorption by the digestive tract increases temporarily, which is called enterogenous azotemia in medicine. It usually starts to rise several hours after a bleeding, reaches the peak in 24-48 hours, but it can return to normal in several days after metabolism.
matters needing attention
Most patients come to see a doctor because of hematemesis or black manure judgment for gastrointestinal chronic bleeding, vary from person to person, some patients have not found hematemesis and black stool is appeared around circulation failure, or shock, so need doctors to grasp the patient's past medical history, actively improve the relevant examination, discharge other diseases, do early detection, clear etiology, accurate judgment.
