Upper GI bleed Vs. Lower GI bleedCreated by:
How can we differentiate upper gastrointestinal bleeding from lower gastrointestinal bleeding, from patient's sympotms and signs. Usually, patient with upper gastrointestinal bleed will present with frank red blood haematemesis (can be coffee ground vomiting at time), or malaena (passing black tarry stool from the rectum). They can have epigastric pain or discomfort as well. Patient will lower gastrointestinal bleeding usually presented with passing frank blood per rectum. But, soemtime lower GI bleed can present as malaena as well, if the bleeding is from proximal large bowel, expecially caecal bleeding. There will be a drop in haemoglobullin (Hb) for patient suffering from either upper GI or lower GI bleeding.