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.
 Less commonly, patients may present with weight loss, anorexia, haematemesis
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.
(b) Hypoproteinemia (c) Haemoconcentration: rising hematocrit [greater than or equal to] 20% from the baseline levels (baseline levels for male is around 40% and for female it is 36%) (iv) Hemorrhagic manifestation most common as positive tourniquet test, petechiae, ecchymosis, epistaxis, gum bleeding, and haematemesis
and/or melaena 2.5.
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).