Symptoms of Acute Gastrointestinal Bleeding

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Acute gastrointestinal bleeding is bleeding that is sudden and severe.

The symptoms of acute GI bleeding depend on where in the digestive tract the bleeding is occurring. Symptoms of upper GI bleeding can include bright red blood, dark clots, or coffee ground-like material in vomit, or black, tar-like stools. Symptoms of lower GI bleeding can include passing bright red blood alone or passing blood mixed in stool (turning stool to black or tar like), or bright red or maroon-colored blood in the stools.

Some bleeds, particularly those that occur in the upper GI tract, can be large and fatal. Therefore, it is very important to be evaluated by a physician for any GI bleeding, and if someone has any of the symptoms of an acute bleed, they should seek emergency treatment immediately.

Symptoms of acute bleeding

  • Weakness
  • Shortness of breath
  • Dizziness
  • Rapid pulse
  • Reduced urine flow
  • Crampy abdominal pain
  • Cold, clammy hands and feet
  • Faintness
  • Diarrhea
  • Confusion
  • Disorientation
  • Sleepiness
  • Bright red blood coating the stool
  • Dark blood mixed with the stool
  • Black or tarry stool
  • Bright red blood in vomit
  • Coffee-grounds appearance of vomit

Bleeding in the digestive tract is not a disease, but rather a symptom of the disease. The cause of the bleeding may be related to a condition that can be cured, or it may be a symptom of a more serious condition.

The cause of the bleeding depends on what area of the digestive tract of bleeding occurs in.

Common causes of gastrointestinal tract bleeding are:

In the Esophagus:

  • Inflammation (esophagitis): Stomach acid that backs up into the esophagus can cause inflammation, and this inflammation may lead to bleeding.
  • Varices: These are abnormally enlarged veins located at the lower end of the esophagus.
  • Tears: A tear in the lining of the esophagus that is usually caused by prolonged vomiting, but may also be caused by prolonged coughing or hiccuping. This is sometimes called Mallory-Weiss syndrome, which is a disorder of the lower end of the esophagus caused by severe retching and vomiting and characterized by laceration associated with bleeding.

In the Stomach:

In the Small Intestine:

In the Large Intestine and Rectum:

  • Hemorrhoids: This is the most common cause of visible blood in the lower digestive tract, and is usually a bright red. They are enlarged veins in the anal area that can rupture and bleed.
  • Ulcerative colitis: Inflammation and small ulcerations can cause bleeding.
  • Crohn's disease: This is a chronic condition that can cause inflammation that may result in rectal bleeding.
  • : This is a condition caused by out-pouching of the colon wall.

Treating gastrointestinal tract bleeding

Treatment of bleeding in the digestive tract depends on the cause of bleeding, and whether the bleeding is acute or chronic. For example, if aspirin is responsible for the bleeding, a patient stops taking aspirin and the bleeding is treated. If cancer is the cause of the bleeding, the usual course of treatment is removal of the tumor.

If a peptic ulcer is the cause of the bleeding, the doctor may prescribe a drug for the treatment of H. pylori, recommend a change in diet, possibly a change in lifestyle.

The first step in treatment of GI bleeding is to stop the bleeding. This is usually done by injecting chemicals directly into a bleeding site, or by cauterizing the bleeding site with a heater probe passed through an endoscope.

The next step is to treat the condition that caused the bleeding. This includes medications used to treat ulcers, esophagitis, H. pylori, and other infections. These include proton pump inhibitors (PPIs), H2 blockers, and antibiotics. Surgical intervention may also be needed, especially if the cause of the bleeding is a tumor or polyps, or if treatment with an endoscope is unsuccessful.


"Ulcers and Gastrointestinal Bleeding: Protecting Your Health." American College of Gastroenterology. 18 Oct 2007.

"Bleeding in the Digestive Tract." NIH Publication No. 07–1133 November 2004. National Digestive Diseases Information Clearinghouse (NDDIC). 18 Oct 2007.

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