GI Bleeding Diagnosis & Treatment Options at KIMS

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GI Bleeding

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Diagnosis

When it comes to diagnosing gastrointestinal (GI) bleeding, medical professionals employ a comprehensive approach to pinpoint the underlying cause and develop an effective treatment plan. Here’s what you can expect during the diagnostic process:

1. Medical History and Physical Examination: The journey begins with a thorough discussion of your symptoms, medical history, and any medications you may be taking. Your doctor will also conduct a physical examination, checking for signs of anaemia, abdominal tenderness, or distention, which can provide valuable clues.

2. Stool Tests: A stool sample may be analysed to detect hidden blood, which could indicate bleeding in the digestive tract. This simple test can provide important information about your condition and help guide further diagnostic steps.

3. Imaging Studies: If the cause of bleeding remains unclear, imaging tests such as a CT scan or an abdominal ultrasound may be ordered. These non-invasive procedures allow doctors to visualise the GI tract and identify abnormalities, such as tumours, inflammation, or structural issues.

4. Endoscopic Procedures: For a direct look at the source of the bleeding, your doctor may recommend an endoscopy. This procedure involves inserting a flexible tube with a camera into the digestive tract, allowing for visualisation and potential treatment of bleeding sites. Upper endoscopy (esophagogastroduodenoscopy or EGD) examines the oesophagus, stomach, and upper part of the small intestine, while a colonoscopy focuses on the colon.

5. Angiography: In some cases, a specialised imaging technique called angiography may be used to locate the source of bleeding, particularly in cases of suspected vascular malformations. This procedure involves injecting contrast dye into the blood vessels and taking X-rays to identify any abnormalities.

Through these diagnostic steps, healthcare professionals can accurately determine the cause of GI bleeding, paving the way for timely and effective treatment to restore your digestive health.

Treatment

When it comes to gastrointestinal (GI) bleeding, prompt treatment is essential to manage symptoms, address the underlying cause, and prevent complications. Medical professionals use a variety of approaches tailored to the specific condition causing the bleeding.

1. Initial Stabilisation: The first step in treatment often involves stabilising the patient, particularly if they are experiencing significant blood loss. This may include administering intravenous (IV) fluids and blood transfusions to replenish lost blood and maintain hydration.

2. Medications: Depending on the cause of the bleeding, your doctor may prescribe medications to help manage the condition. For example, proton pump inhibitors (PPIs) can reduce stomach acid and promote healing of peptic ulcers, while antibiotics may be prescribed for infections related to GI bleeding.

3. Endoscopic Treatments: In many cases, endoscopy can be both a diagnostic and therapeutic tool. During the procedure, doctors can apply techniques such as cauterization or clipping to control bleeding from ulcers or polyps. This minimally invasive approach often allows for immediate treatment without the need for major surgery.

4. Surgical Interventions: If bleeding is severe or does not respond to less invasive treatments, surgical options may be necessary. Surgical procedures can include.

1. Laparoscopic Surgery: This minimally invasive approach can be used to remove problematic areas, such as diverticula or tumours, that may be causing bleeding.

2. Open Surgery: In more complex cases, open surgery may be required to repair damaged blood vessels or remove affected sections of the GI tract. Surgeons will evaluate the best approach based on the specific situation and the patient’s overall health.

3. Angiographic Embolization: This procedure involves inserting a catheter into the blood vessels supplying the bleeding site and injecting materials to block the blood flow, effectively stopping the bleeding without surgery.

5. Long-Term Management: After addressing the immediate bleeding, your healthcare provider will work with you to develop a long-term management plan. This may include dietary changes, lifestyle modifications, and regular follow-ups to monitor your condition and prevent future episodes of GI bleeding.

With a combination of medical and surgical treatments, healthcare professionals aim to effectively manage GI bleeding, restore your health, and enhance your quality of life. If you or someone you know is experiencing symptoms of GI bleeding, don’t hesitate to seek prompt medical attention.

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