Substance Use and Comorbidity Substance Total Comorbidity Total Abuse F10 69 Semi-Consciousness 2 Ascites 20 Fever 4 F10.0 5 F10.2 131 Ascites 4 Hypertension 3 Hypoglycaemia 1 Melena 2 Neuropathy 1 Respiratory Tract Infection 1 Schizophrenia 2 F10.3 135 Acute gastritis 1 Ascites 2
Haematemesis 1 Hypertension 1 Melena 1 Death 1 Chronic Obstructive Pulmonary Disease 1 Fever 1 Hyperbilirubinaemia 1 Hypoglycaemia 1 Neuropathy 1 F10.5 16 Hypertension 2 Table 4.
Generally, GORD does not lead to major complications, but the presence of less common symptoms is a red flag for further investigation: dysphagia (difficulty swallowing), painful swallowing, persistent vomiting,
haematemesis or melaena (blood in vomit or stool), anaemia, unexplained weight loss or new onset of persistent symptoms in people aged over 55.
Gastric lipoma presenting with
haematemesis. BMJ Case Rep., 2015, 2015.
The patient had a history of
haematemesis, two episodes of focal fits in the last 24 hours and had been in and out of the hospital for the last two years on account of recurrent jaundice and mild symptoms such as fatigue and diarrhoea.
A 32-year-old female presented haemodynamically unstable with an upper gastrointestinal (UGIT) haemorrhage evidenced by
haematemesis and fresh rectal bleeding.
All young patients aged 18-40 years of age with IDA having GI symptoms who underwent upper and/or lower GI endoscopies between July 2016 to December 2016 at Aga Khan University Hospital Karachi were included in the study and patients having active bleeding (per rectal bleed,
haematemesis, melena, epistaxis and menorrhagia) were excluded.
[1] Less commonly, patients may present with weight loss, anorexia,
haematemesis and intussusception.
Bleeding was defined as clinical evidence of bleeding such as
haematemesis, melena or drop in haemoglobin >2g/dl.
There was no associated heartburn, vomiting, fever, jaundice,
haematemesis, melena, chills, chest pain, or constipation.
Leli, "The role of surgery in a case of diffuse mucormycosis with
haematemesis and gastric necrosis," Annals of The Royal College of Surgeons of England, vol.
A classical example is represented by the Henoch-Schonlein purpura, which causes GIB, revealed by melena, only in rare cases by
haematemesis. The most frequenly involved segments are duodenum and terminal ileum, expressing leukocytoclastic vasculitis changes, associated with mucosal ischemia (Nam et al 2014).