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Intestinal Bleeding

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Overview

Common Name Intestinal Bleeding
Scientific Name
Disease Type Gastrointestinal hemorrhage
Host Type human; human
ICD Code K92.2
Distribution Worldwide; more common in older adults

Causative Agent

Causative Agent Various: diverticular disease, inflammatory bowel disease, peptic ulcers, colorectal cancer, angiodysplasia, infectious colitis, ischemic colitis, hemorrhoids, polyps
Transmission Not transmissible; endogenous causes related to underlying gastrointestinal pathology

Symptoms

Symptoms Description Bright red blood in stool (hematochezia), dark tarry stools (melena), abdominal pain, fatigue, dizziness, shortness of breath, anemia symptoms, occult blood in stool. May be acute or chronic.
Diagnosis Fecal occult blood test, colonoscopy, upper endoscopy (EGD), capsule endoscopy, CT angiography, blood tests (CBC, coagulation profile), stool studies

Treatment

Conventional Treatment Fluid resuscitation, blood transfusion if significant blood loss, endoscopic hemostasis (clipping, cauterization), angiographic embolization, surgical intervention for severe cases, treat underlying cause (e.g., PPI for ulcers, antibiotics for infection, anti-inflammatory for IBD)
Herbal Treatment Demulcent and astringent herbs such as Althaea officinalis (marshmallow root), Filipendula ulmaria (meadowsweet), Achillea millefolium (yarrow), Geranium maculatum (cranesbill), Agrimonia eupatoria (agrimony). In TCM: herbs that cool blood and stop bleeding such as San Qi (Panax notoginseng), Bai Ji (Bletilla striata). Ayurvedic: Bol (Commiphora myrrha), Kutaj (Holarrhena antidysenterica). Use under professional supervision only.
Prevention Manage underlying conditions (IBD, ulcers, diverticulosis), high-fiber diet, adequate hydration, avoid NSAIDs and excessive alcohol, regular colorectal cancer screening (colonoscopy), smoking cessation
Prognosis Depends on underlying cause and severity; excellent with prompt treatment for most benign causes; poorer with malignancy or massive hemorrhage

Additional Information

History Recognized in medical texts since ancient times; Hippocrates and traditional systems described bloody stools and treatments with astringent plants. Modern endoscopy revolutionized diagnosis since 1970s.
Reference World Gastroenterology Organisation guidelines; UpToDate: Lower gastrointestinal bleeding; Textbook of Natural Medicine (Pizzorno & Murray); Chinese Herbal Medicine: Materia Medica (Bensky); Ayurvedic Medicine (Pole)
URL https://www.ncbi.nlm.nih.gov/books/NBK537291/

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