A discussion of the etiologies and work-up of GI bleeding, as well as the difference between melena, hematemesis, and hematochezia.
Пікірлер: 86
@sarahmina14425 жыл бұрын
Your diagrams are the best Dr. Strong!! Thank you so much for your efforts and time.
@cynthiadavis649 Жыл бұрын
The is the best video concerning GI Bleed I have seen m. Easy to comprehend.
@monkeylalamonkey5 жыл бұрын
Very Clear and Organized. Thank you!
@panzrith_prak31263 жыл бұрын
Great video , this is so complete and simple. Thank you
@HafizahHoshni4 жыл бұрын
Simply excellent. Very grateful for clear, concise and well presented video. Thank you for the great channel. 😊😊 7/9/2019
@lolitafaandhe14883 жыл бұрын
Why didn't i find out this channel sooner. Thank u soo much
@chanb56653 жыл бұрын
Great Doctor you certainly cover a great deal step by step procedure excellent!!!
@user-wz6oo9bq5j3 жыл бұрын
Your educational videos are the best
@sexycmllong10444 ай бұрын
My sister just past away from GI bleed December 7th we watch her suffer for 3 days she was on hospice so she couldn't go to the hospital and she wanted to be at home fly high lisa we miss and love you 😢💔
@Kevin_Yagoonie2 ай бұрын
I'm sorry to hear. May I ask what was causing her GI bleeding?
@LabibaMansoor4 жыл бұрын
Great video! Easy explanation and tables are so helpful
@Kareemo2272 жыл бұрын
Hello Dr. Strong, I have a few questions regarding NGT insertion if you would kindly answer them, as I am very conflicted about their efficacy and general use You mention the use for evaluating blood presence and severity of ongoing hemorrhage in gastric lavage and how it is generally going out of favor. I was wondering if there were any other uses for gastric lavage, specifically: -Aspiration of potential blood to prevent constipation and degradation of ammonia in a patient with a history of hepatic encephalopathy Is there any clinical data regarding that? I've read conflicting evidence online and would love your input.
@cippyjournals4 жыл бұрын
so helpful for medical students all over the world. GBU!
@jeehankausar69972 жыл бұрын
So clearly explained ! Thankyou
@SKARTHIKSELVAN5 жыл бұрын
Thanks for your video.
@marieangielove9209 Жыл бұрын
Thank you. This is very helpful.
@youssefkhial67915 жыл бұрын
A very practical and interesting series .. thank you
@rand0mGT6 ай бұрын
Thanks doc! Thorough unlike some videos
@TheBlueLotus777 Жыл бұрын
Irritation with the Stomach upper Gi tract symptoms is so frustrating I’m beginning not to even care about it anymore The pain in my side whenever I eat too much of something sugar along with gas and black stool during that process is very irritating especially since it’s happened out of the Blue. I’ll wing it just like I do most things I don’t like bringing my family into my health issues.
@sepehralaie67162 жыл бұрын
Thank you so much,may i ask you to explain what to do before passing the patient to the endoscopy ward?
@simonblunden21513 жыл бұрын
Very informative. I’ve experienced two fairly serious GI bleeds one of which my pulse and hemoglobin levels were very low. Specialist has done endoscopy, colonoscopy and capsule endoscopy which were all inconclusive. Also tested negative for H-pylori. Everything was fine for about 15 months and now I’m experiencing GI bleed episode again with melema. The ONLY thing that I’ve done differently is started to take ibuprofen again a few weeks ago (hadn’t done so for over 15 months). Waiting to see specialist again, but wonder whether ibuprofen is what did it.
@hussainshah30442 жыл бұрын
It could be as Ibuprofen is an NSAID and NSAIDs can cause stomach ulcers, which can lead to severe bleeding. To confirm this you would need to consult your doctor. Try discussing with your doctor if you could use an alternative instead of Ibuprofen.
@davidthestudent81102 жыл бұрын
So you think that taking Ibuprofin might have caused the ulcers? Has it been confirmed? Is your GI bleeding? Did your faeces smell? How long have you been having the symptoms?
@bookbeing Жыл бұрын
Wouldn't an mri with contrast afford a better less invasive means of diagnostic result?
@tayyipilekomiteyedogru1465 жыл бұрын
excellent
@ayseakpnar60495 жыл бұрын
Thank you a lot sir. Do you think about adding your new lectures to the Drive account?
@StrongMed5 жыл бұрын
Thanks for reminding me! I just added a new folder for the Approach to Symptoms videos, and put 6 pdfs there (drive.google.com/drive/u/0/folders/1sYXI-9uBN7t6Ah2iKefoU4MshSSUSsRw ). Will add more when I have time.
@50filip4 жыл бұрын
@@StrongMed Thank you,where can we find the other simmilar PDFs?
@chillingshadow5 жыл бұрын
This is good.
@drram6875 жыл бұрын
Thank you.....👍🏻
@mustaphakamil7263 жыл бұрын
Thank you sir.
@suneelsharma17634 жыл бұрын
great one sir
@ironmanminer88064 жыл бұрын
I’ve been diagnosed with the hematmesis and was released from hospital a few months ago. In the last 3 days I’ve been having chest pains. Should I be concerned. I take paracetamol and the pain goes away for a few ours but comes back again.
@StrongMed4 жыл бұрын
I'm sorry but I can't offer specific, individualized medical advice on here, though new onset chest pain is something that you should take seriously. I recommend speaking with your physician.
@dresmailqasem4 жыл бұрын
So good
@jeanriani2 жыл бұрын
Thankyou so much
@rumit99464 жыл бұрын
fantastic lecture. Thanks a lot
@Kashif2593 жыл бұрын
Great presentation. Very clear, concise and succinct. A quick question though.. can you please name few most common specific treatments as well? Thanks
@kimgloryangelraja23123 жыл бұрын
Thank you 🙏
@usarmymedic13343 жыл бұрын
I have a large hiatial hernia and spent the night vomiting blood and lost a copious amount in stool. So off to the ER I went. I have been being treated for this hernia and esophageal stenosis which has caused severe anemia. I have 4 iron infusions over the last 8 months. I also have multiple diverticuli.
@TheBlueLotus777 Жыл бұрын
Are you okay?
@usarmymedic1334 Жыл бұрын
@@TheBlueLotus777I had my surgery to fix the hiatial hernia. The surgeon also performed a fundiplacation to help stop the GERD. What an amazing difference the surgery has made. Thank you for asking
@Sourav67992 ай бұрын
Bro are u okay now?
@blackwidowcod3087 Жыл бұрын
Hi can someone help? I have had black stool from Tuesday and it is now Monday for me. I didn’t pass a stool for 2 days and I passed one 5 minutes ago and it doesn’t seem as dark as it was and only a trace amount of blood whereas before it was quite a lot. Does this mean it’s ok now or what should I do? I’ve had a pain in the left side of my stomach for a good few days now as well and it triggers when I have a bowel movement and when I eat. I believe this may be a stomach ulcer but I am not sure. I got tablets from A&E and they told me I have a respiratory tract infection which I don’t understand has anything to do with my black stool. My bloods and urine came back normal. What should I do?
@StrongMed Жыл бұрын
I'm very sorry, but I cannot offer specific, individualized medical advice here. I strongly recommend speaking with your own physicians about your medical concerns.
@arthurgonzalez595 Жыл бұрын
Im from houston and was told there was blood in my stool , they want to do an endoscopy and just wanted to see if a colonoscopy was better or the capsule endoscopy
@StrongMed Жыл бұрын
I hope the video was helpful, but unfortunately, I can't give specific, individualized medical advice here.
@ezatullahakbari61995 жыл бұрын
Thanks sir. It was so helpful
@harmersargent74554 жыл бұрын
jail
@traceycancio17953 жыл бұрын
Blood no stool no pain?
@abdofury1305 жыл бұрын
please make a video about chemical transmission ( (nor)adrenaline _acetyl choline) , and thanks sir
@StrongMed5 жыл бұрын
Thanks for the suggestion! This is on the "long list" - meaning a topic that I'm planning to cover, but with so many other great suggestions, and because I missed the point in the year when this material is covered at my own med school, it probably won't be for a while.
@sunving4 жыл бұрын
Thanks
@drbaqimedicine79474 жыл бұрын
Sir kindly make a video on seizures..all types and management thank you regards
@StrongMed Жыл бұрын
It took a few years, but I finally got to it! kzfaq.info/get/bejne/f9xhlJeTtLLDm2Q.html
@yunassaxer71193 жыл бұрын
tak!
@timbennett40163 жыл бұрын
I had a Upper GI Bleed caused by ibuprofen, this video helped me understand what was happening inside me ;)
@davidthestudent81102 жыл бұрын
How did you treat it? How was it diagnosed? Did you go through colonoscopy?
@DrAdnan5 жыл бұрын
Some GI almost makes me want to be a gastroenterologist because it’s so interesting.
@RicardoSabong5 жыл бұрын
Molto bene
@drsuessl4 ай бұрын
Scariest moment was my upper GI bleed (massive). (Due to medications). I didn’t know that I have cirrhosis so bad that my liver couldn’t filter the blood backed up into my esophagus into the vases and I was throwing up a lot of blood. Mass General Hospital saved me ❤❤
@StrongMed4 ай бұрын
Esophageal variceal bleeds are one of the scariest things a hospitalist can encounter.
@tanzeelzainab85205 жыл бұрын
Why we give beta blokr in upr gi bleeding
@drmfdmfd40805 жыл бұрын
Tanzeel zainab what is the mechanism of action B blocker? Its the answer 👌
@tanzeelzainab85205 жыл бұрын
@@drmfdmfd4080 they also reduce the effect of epinephrine which is vasoconstrictor..than how..
@drmfdmfd40805 жыл бұрын
Tanzeel zainab R U SURE ITS VASOCONSTRICTION ???!
@drmfdmfd40805 жыл бұрын
If the pt have high BP will u give norepinephrine ?!
@drmfdmfd40805 жыл бұрын
Decrease varices growth and decrease risk of rupture its decrease portal pressure
@eniotanaka22294 жыл бұрын
Thanks a lot
@yianhinsaechao7898 Жыл бұрын
HELP..... I've been pooping out YELLOW LIQUID.. WTF!? NO ORDINARY BULKY-POOP , ONLY YELLOW LIQUID 😲😢😭🤔
@yord1212 Жыл бұрын
❤❤❤❤❤
@linc99525 жыл бұрын
👍
@donbhatt56474 ай бұрын
My mother died from this due to neglegence
@byomee5 жыл бұрын
perfect
@luisyaraure93205 жыл бұрын
I'm sure you would laugh if you saw specialists in my country getting worry about hemoglobin levels. I thought it was important.
@StrongMed5 жыл бұрын
I didn't mean to imply that the hemoglobin level is not important at all. But if I had 2 patients with an acute GI bleed: Patient #1: Looks fine, vitals normal, hemoglobin level 7 g/dL. Patient #2: Looks ill, hypotensive and tachycardic, hemoglobin level 10 g/dL. ...I would be much more worried about patient #2.
@ajeetalbert915 жыл бұрын
Vitals are always more important.
@luisyaraure93205 жыл бұрын
Actually I agree with u. Congrats for your job of teaching us, keep doing you great labor! Good wishes from Venezuela.
@luisyaraure93205 жыл бұрын
Actually I agree with u. Congrats for your job of teaching us, keep doing you great labor! Good wishes from Venezuela.
@RasishSubedi5 жыл бұрын
our professor said hematocrit better than Hb for blood loss