Epistaxis as a Cause of Hematemesis and Melena
- 1 June 1987
- journal article
- symposium
- Published by Wolters Kluwer Health in Journal of Clinical Gastroenterology
- Vol. 9 (3) , 283-285
- https://doi.org/10.1097/00004836-198706000-00008
Abstract
Epistaxis was diagnosed in 10 patients with apparent upper gastrointestinal bleeding, comprising a 0.55% incidence of hematemesis and melena in the population studied. A sufficient amount of blood can be swallowed during epistaxis to cause hematemesis and melena. Recent facial trauma or epistaxis, absence of a history of chronic dyspepsia, and impairment of blood coagulation emerge as strong indicators of the diagnosis and should lead to a careful examination of the nose and nasopharynx for the source of bleeding.Keywords
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