THE SYSTEM DISEASES OF THE DIGESTIVE SYSTEM : BLEEDING INTESTINAL (HAEMORRHAGIA INTESTINALIS) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Organic disease of the intestine (duodenal ulcer, peptic ulcer processes in the intestine with dysentery, typhoid fever, malnutrition, polyps and tumors of the intestine, fissures); disorders of the intestinal blood (thrombosis of the mesenteric vessels, piles); a blood disease and blood vessels, predisposing to bleeding (essential trombopenia, scurvy and other).
Pathogenesis is the same as gastric bleeding (see).
Symptoms, depending on the degree of bleeding, the location and nature of the underlying disease, are reduced to the appearance of blood in the stool, the blanching of the face, dizziness, slight or more pronounced syncope, cold sweat; pulse small, rapid; blood pressure is lowered; when the duodenal ulcer hungry late pain precede bleeding and subside after him; when tumors - pain-persistent, accompanied by bloating and stool retention.
The course depends on the underlying suffering. Usually bleeding is not rich and does not lead to acute bleeding; with repeated bleeding increases anemicare.
Recognition of the difficulties is not; it facilitates the General appearance of the patient and the appearance of characteristic faeces. To localize the source of bleeding in the rectum indicates the admixture of light, unmodified blood to feces; digital examination of the rectum and rectoscopy establish the presence of hemorrhoids, fissures, ulcers, cancer, polyps. To localize the source of bleeding is highest in the intestine indicates black, tarry stools. Anamnestic data, palpation and x-ray examination of the intestine provide the opportunity to establish the location and nature of the main disease.
The prediction depends on the underlying suffering. Bleeding is usually not fatal.