An Approach to GI Bleeding (Melena, Hematemesis, Hematochezia)

  Рет қаралды 176,330

Strong Medicine

Strong Medicine

Күн бұрын

A discussion of the etiologies and work-up of GI bleeding, as well as the difference between melena, hematemesis, and hematochezia.

Пікірлер: 86
@sarahmina1442
@sarahmina1442 5 жыл бұрын
Your diagrams are the best Dr. Strong!! Thank you so much for your efforts and time.
@cynthiadavis649
@cynthiadavis649 Жыл бұрын
The is the best video concerning GI Bleed I have seen m. Easy to comprehend.
@monkeylalamonkey
@monkeylalamonkey 5 жыл бұрын
Very Clear and Organized. Thank you!
@panzrith_prak3126
@panzrith_prak3126 3 жыл бұрын
Great video , this is so complete and simple. Thank you
@HafizahHoshni
@HafizahHoshni 4 жыл бұрын
Simply excellent. Very grateful for clear, concise and well presented video. Thank you for the great channel. 😊😊 7/9/2019
@lolitafaandhe1488
@lolitafaandhe1488 3 жыл бұрын
Why didn't i find out this channel sooner. Thank u soo much
@chanb5665
@chanb5665 3 жыл бұрын
Great Doctor you certainly cover a great deal step by step procedure excellent!!!
@user-wz6oo9bq5j
@user-wz6oo9bq5j 3 жыл бұрын
Your educational videos are the best
@sexycmllong1044
@sexycmllong1044 4 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_Yagoonie
@Kevin_Yagoonie 2 ай бұрын
I'm sorry to hear. May I ask what was causing her GI bleeding?
@LabibaMansoor
@LabibaMansoor 4 жыл бұрын
Great video! Easy explanation and tables are so helpful
@Kareemo227
@Kareemo227 2 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.
@cippyjournals
@cippyjournals 4 жыл бұрын
so helpful for medical students all over the world. GBU!
@jeehankausar6997
@jeehankausar6997 2 жыл бұрын
So clearly explained ! Thankyou
@SKARTHIKSELVAN
@SKARTHIKSELVAN 5 жыл бұрын
Thanks for your video.
@marieangielove9209
@marieangielove9209 Жыл бұрын
Thank you. This is very helpful.
@youssefkhial6791
@youssefkhial6791 5 жыл бұрын
A very practical and interesting series .. thank you
@rand0mGT
@rand0mGT 6 ай бұрын
Thanks doc! Thorough unlike some videos
@TheBlueLotus777
@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.
@sepehralaie6716
@sepehralaie6716 2 жыл бұрын
Thank you so much,may i ask you to explain what to do before passing the patient to the endoscopy ward?
@simonblunden2151
@simonblunden2151 3 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.
@hussainshah3044
@hussainshah3044 2 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.
@davidthestudent8110
@davidthestudent8110 2 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
@bookbeing Жыл бұрын
Wouldn't an mri with contrast afford a better less invasive means of diagnostic result?
@tayyipilekomiteyedogru146
@tayyipilekomiteyedogru146 5 жыл бұрын
excellent
@ayseakpnar6049
@ayseakpnar6049 5 жыл бұрын
Thank you a lot sir. Do you think about adding your new lectures to the Drive account?
@StrongMed
@StrongMed 5 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.
@50filip
@50filip 4 жыл бұрын
@@StrongMed Thank you,where can we find the other simmilar PDFs?
@chillingshadow
@chillingshadow 5 жыл бұрын
This is good.
@drram687
@drram687 5 жыл бұрын
Thank you.....👍🏻
@mustaphakamil726
@mustaphakamil726 3 жыл бұрын
Thank you sir.
@suneelsharma1763
@suneelsharma1763 4 жыл бұрын
great one sir
@ironmanminer8806
@ironmanminer8806 4 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.
@StrongMed
@StrongMed 4 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.
@dresmailqasem
@dresmailqasem 4 жыл бұрын
So good
@jeanriani
@jeanriani 2 жыл бұрын
Thankyou so much
@rumit9946
@rumit9946 4 жыл бұрын
fantastic lecture. Thanks a lot
@Kashif259
@Kashif259 3 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
@kimgloryangelraja2312
@kimgloryangelraja2312 3 жыл бұрын
Thank you 🙏
@usarmymedic1334
@usarmymedic1334 3 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
@TheBlueLotus777 Жыл бұрын
Are you okay?
@usarmymedic1334
@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
@Sourav6799
@Sourav6799 2 ай бұрын
​Bro are u okay now?
@blackwidowcod3087
@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
@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
@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
@StrongMed Жыл бұрын
I hope the video was helpful, but unfortunately, I can't give specific, individualized medical advice here.
@ezatullahakbari6199
@ezatullahakbari6199 5 жыл бұрын
Thanks sir. It was so helpful
@harmersargent7455
@harmersargent7455 4 жыл бұрын
jail
@traceycancio1795
@traceycancio1795 3 жыл бұрын
Blood no stool no pain?
@abdofury130
@abdofury130 5 жыл бұрын
please make a video about chemical transmission ( (nor)adrenaline _acetyl choline) , and thanks sir
@StrongMed
@StrongMed 5 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.
@sunving
@sunving 4 жыл бұрын
Thanks
@drbaqimedicine7947
@drbaqimedicine7947 4 жыл бұрын
Sir kindly make a video on seizures..all types and management thank you regards
@StrongMed
@StrongMed Жыл бұрын
It took a few years, but I finally got to it! kzfaq.info/get/bejne/f9xhlJeTtLLDm2Q.html
@yunassaxer7119
@yunassaxer7119 3 жыл бұрын
tak!
@timbennett4016
@timbennett4016 3 жыл бұрын
I had a Upper GI Bleed caused by ibuprofen, this video helped me understand what was happening inside me ;)
@davidthestudent8110
@davidthestudent8110 2 жыл бұрын
How did you treat it? How was it diagnosed? Did you go through colonoscopy?
@DrAdnan
@DrAdnan 5 жыл бұрын
Some GI almost makes me want to be a gastroenterologist because it’s so interesting.
@RicardoSabong
@RicardoSabong 5 жыл бұрын
Molto bene
@drsuessl
@drsuessl 4 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 ❤❤
@StrongMed
@StrongMed 4 ай бұрын
Esophageal variceal bleeds are one of the scariest things a hospitalist can encounter.
@tanzeelzainab8520
@tanzeelzainab8520 5 жыл бұрын
Why we give beta blokr in upr gi bleeding
@drmfdmfd4080
@drmfdmfd4080 5 жыл бұрын
Tanzeel zainab what is the mechanism of action B blocker? Its the answer 👌
@tanzeelzainab8520
@tanzeelzainab8520 5 жыл бұрын
@@drmfdmfd4080 they also reduce the effect of epinephrine which is vasoconstrictor..than how..
@drmfdmfd4080
@drmfdmfd4080 5 жыл бұрын
Tanzeel zainab R U SURE ITS VASOCONSTRICTION ???!
@drmfdmfd4080
@drmfdmfd4080 5 жыл бұрын
If the pt have high BP will u give norepinephrine ?!
@drmfdmfd4080
@drmfdmfd4080 5 жыл бұрын
Decrease varices growth and decrease risk of rupture its decrease portal pressure
@eniotanaka2229
@eniotanaka2229 4 жыл бұрын
Thanks a lot
@yianhinsaechao7898
@yianhinsaechao7898 Жыл бұрын
HELP..... I've been pooping out YELLOW LIQUID.. WTF!? NO ORDINARY BULKY-POOP , ONLY YELLOW LIQUID 😲😢😭🤔
@yord1212
@yord1212 Жыл бұрын
❤❤❤❤❤
@linc9952
@linc9952 5 жыл бұрын
👍
@donbhatt5647
@donbhatt5647 4 ай бұрын
My mother died from this due to neglegence
@byomee
@byomee 5 жыл бұрын
perfect
@luisyaraure9320
@luisyaraure9320 5 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.
@StrongMed
@StrongMed 5 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.
@ajeetalbert91
@ajeetalbert91 5 жыл бұрын
Vitals are always more important.
@luisyaraure9320
@luisyaraure9320 5 жыл бұрын
Actually I agree with u. Congrats for your job of teaching us, keep doing you great labor! Good wishes from Venezuela.
@luisyaraure9320
@luisyaraure9320 5 жыл бұрын
Actually I agree with u. Congrats for your job of teaching us, keep doing you great labor! Good wishes from Venezuela.
@RasishSubedi
@RasishSubedi 5 жыл бұрын
our professor said hematocrit better than Hb for blood loss
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